Implantação e análise de uma estratégia de Avaliação Baseada em Procedimentos (PBA) na residência médica de urologia do Hospital Universitário Onofre Lopes
Introduction. Changes in society and in medical practices have demanded improvements in the surgical teaching process in Medical Residencies around the world, leading to the emergence of new competency-based teaching-learning and assessment models. In this process, the Procedure Based Assessment (PB...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/45647 |
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| Resumo: | Introduction. Changes in society and in medical practices have demanded
improvements in the surgical teaching process in Medical Residencies around the
world, leading to the emergence of new competency-based teaching-learning and
assessment models. In this process, the Procedure Based Assessment (PBA) stands
out as an assessment tool in the work environment, with summative and formative
characteristics, supported by assessment of competencies and structured feedback.
This research aimed to elaborate, implement and analyze the PBA in the Urology
Medical Residency Program at Onofre Lopes University Hospital (PRMUro-HUOL). Methodology. This is an exploratory, prospective, action research study, with
the participation of 10 preceptors and six residents. The stages of the study involved
the training of participants, the elaboration of the PBA by group consensus, the
application of the assessments and the evaluation of the group's perception through a
questionnaire. Results. It can be highlighted the creation of six models of PBA related to the
most relevant procedures of PRMUro-HUOL, two for each year of residency. The
application of 31 PBAs was accounted for. In the analysis of performance data, a
positive correlation was demonstrated between training time and PBA performance in
laparoscopic radical prostatectomy, percutaneous nephrolithotomy, laparoscopic
nephrectomy and all six procedures together, using Spearman’s coefficient. Through
the application of a questionnaire, the participants agreed on the potential of the PBA
to certify surgical competence, evaluate progression and improve the learning curve. Conclusion. The methodology of developing the PBA by group consensus
associated with team training proved a feasible option for implementation of this type
of instrument. The experience of the group with the PBA was positive, with good
acceptance and perception of benefits from the pedagogical point of view, so that the
routine adoption of the tool in PRMUro-HUOL shows promise. |
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