SciELO - Scientific Electronic Library Online

 
vol.45 issue3Validation of content for an instrument to assess medical students in tutorial sessionsOrotraqueal intubation training in the coronavirus pandemic: application of the rapid cycle deliberate practice author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Share


Revista Brasileira de Educação Médica

Print version ISSN 0100-5502On-line version ISSN 1981-5271

Abstract

RODRIGUES, Carolina de Castro Santos; DIAS, Ruth Borges  and  TOLEDO JUNIOR, Antônio Carlos. Building a Delphi consensus on Otorhinolaryngological skills for the medical graduate. Rev. Bras. Educ. Med. [online]. 2021, vol.45, n.3, e133.  Epub June 17, 2021. ISSN 1981-5271.  https://doi.org/10.1590/1981-5271v45.3-20210024.

Introduction:

Otorhinolaryngological disorders are amongst the most prominent frequent diseases in primary care. The overload in secondary care is thought to be a consequence of the low resolution of these problems in primary care. A deficiency in undergraduate medical training may explain this fact. The average estimated time spent studying otorhinolaryngological practice is estimated to be 0.6% of the total average practice hours after analysis of data from 141 medical course syllabuses in Brazil, corresponding to approximately 70.5% of all the medical schools in operation in 2013. Few studies have been conducted in this area and regarding teaching and the need for curriculum reassessment.

Objectives:

This study seeks to ascertain a consensus on the skills required by the general practitioner in the specialty of otorhinolaryngology.

Methods: An initial questionnaire was devised addressing the otorhinolaryngological skills relevant to primary care clinical practice. Using the Delphi method, the questionnaire was sent in electronic format to 20 specialists with training in three different specialties; this heterogeneity of the survey sample helped ensure the reliability of the results. The results obtained after each round were analyzed by one researcher and validated by another, observing any discrepant trends and opinions, as well as their justifications. Once the results had all been compiled and systematized, a new questionnaire was devised and sent out, starting a new round until consensus had been established for all the skills.

Results:

Five rounds were completed until a consensus was established for all 17 otorhinolaryngological skills evaluated by the propositions.

Conclusions:

The data obtained by this work can serve as a basis and guideline for developing an otorhinolaryngological curriculum for undergraduate medical training since no consensus was found in the literature establishing such a minimum skill set.

Keywords : Medical Education; Curriculum; Consensus; Otorhinolaryngology; Primary Care.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )