Nivel de conocimiento de historia clínica como instrumento legal, estudiantes de odontología UCSG, semestre B-2019.

Abstract

INTRODUCTION: The medical history is a legal document between dentist and patient where events of his life and his personal data are recorded, including his health problems and his present or future treatments. MATERIALS AND METHODS: A cross – sectional analytical study was carried out, a sample of students attending the 7th, 8th, 9th cycles of the dental career were presented. The knowledge of dental students regarding the clinical history was analyzed with a legal focus, anamnesis, in relation to the clinical examination, diagnosis and paraclinical examinations through surveys conducted exclusively for this study. The results were tabulated and developed as a percentage. RESULTS: Among the variables studied, 77.68% of legal knowledge about the medical history was found, being mostly adequate. In addition to finding 100% adequate knowledge in history, clinical examination, presumptive - definitive diagnosis, and paraclinical exams. CONCLUSION: The knowledge about the medical history is high in the students of higher cycles of the dental career thanks to the teaching that is taught as part of the academic curriculum.