Avaliação de habilidades clínicas e feedback na residência médica em pediatria: contribuição da pesquisa-ação educacional

Abstract

The Academic Conclusion of the Course (TACC) had the objective to analyze the evaluation system of pediatric resident physicians of a university hospital in order to promote teacher training in evaluated methods. The methodology used was educational action research conducted with teachers and preceptors of the pediatric medical residency of a university hospital. The stages consisted of: 1. Application of a questionnaire about the participants' profile and the evaluated methods used to evaluate the resident physician; 2. Workshop on clinical skills assessment and feedback; and 3. Immediate evaluation after the workshop with another Kirkpatrick level 1 questionnaire. The results of the research are presented in the original article entitled: Clinical skills assessment and feedback in pediatric residency: contribution of educational action research, which presents the situational diagnosis of evaluation in the pediatric residency program, the elaboration of evaluation workshop, such as formative, integrative and interactive action and workshop impact assessment. The products of this research consisted in the evaluation workshop, instructional video and instructional manual on the Structured Objective Clinical Examination (OSCE) method and presentation of the Faculty's medical skills laboratory to the teachers and preceptors participating in the research. The products of this research consisted in the simulated environment performance assessment workshop, the Structured Clinical Examination Objective (OSCE), instructional video and manual on the OSCE method and presentation of the faculty of medicine faculty laboratory to participating teachers and preceptors. Given the complexity of medical residency, a gold standard specialization in physician training, install a systematic assessment with immediate and effective feedback, either in the real or simulated environment, enable the identification of any mismatches in the skills of the resident physician and their correction in the training process. A continuous training offer is required to make the assessment system more solid, and educational action research has shown to contribute to this process. Additionally, it makes it necessary to raise awareness among the preceptors of the importance of their role as a resident trainer and evaluator, promoting greater integration of teaching axes.