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Revista Brasileira de Educação Médica

versão impressa ISSN 0100-5502versão On-line ISSN 1981-5271

Resumo

MACEDO, Francisco Pires Negromonte de; VILAR, Maria José Pereira  e  MACEDO, Marcelle Alves Borba Negromonte de. Assessment in a radiology residency: development of a new method and initial experience. Rev. Bras. Educ. Med. [online]. 2021, vol.45, n.3, e160.  Epub 08-Jul-2021. ISSN 1981-5271.  https://doi.org/10.1590/1981-5271v45.3-20210032.

Introduction:

There has been a growing interest in competency-based medical education over the past few decades. Student assessment is one of its central pillars, and should be continuous, based on clear and eminently formative criteria, and provide constant feedback. The systematization of assessment methods involves variables such as reliability, validity, acceptability, educational impact and cost. In Radiology, the literature lacks specific assessment instruments, especially in Medical Residency Programs in Brazil.

Objective:

Our aim was to develop and implement an assessment tool with a formative character for the Radiology program of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte, which encompasses specific skills and creates opportunities for feedback in practice scenarios.

Method:

The study has a descriptive, exploratory and interventionist approach, divided into three stages. The first two consisted of workshops with residents and preceptors, one to conceptualize and understand competency assessment and feedback techniques, and the other to collectively build an assessment tool appropriate for Radiology, defining the most important competencies to be assessed. In the third stage, the researchers monitored how the instrument was initially applied by the preceptors.

Result:

Both workshops were attended by the three researchers, sixteen preceptors and five residents. The resulting assessment instrument contains a header for resident and evaluator data, location and examination performed. Next, seven competencies that should be assessed in relation to what is expected for the resident’s level, and an overall scale of the evaluation, followed by fields for comments by the preceptor and the resident. The instrument was applied 33 times in practice scenarios, over a six-month period.

Conclusion:

The execution of training workshops for preceptors, with the introduction of a new culture of assessment, was fundamental for the construction and initial experience in the application of the assessment tool in that program. This tool was found to be feasible, low cost and had good acceptability among preceptors and residents, serving as a starting point in the search for a systematic assessment in the Radiology residency program.

Palavras-chave : Educational Measurement; Residency; Competency-Based Education; Diagnostic Imaging.

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