Instrumento para avaliação formativa longitudinal na residência médica em pediatria

Abstract

Competency-based curricula have been implemented in several levels of health professionals training, as new educational paradigms arise. Active methodologies, formative assessments and student-centered pedagogical process have been used to promote trainee’s autonomy, critical thinking and to exercise multiples intellectual abilities. Entrustable Professional Activities (EPA) is a concept that came up in this context as a parameter for planning core tasks to be dominated with competence by the student, with variable levels of supervision. EPA is useful to stablish confidence between educator and student, to guarantee safe and qualified resident’s clinical practice, as long as to access competencies and clinical performance. This documental research is a qualitative and exploratory study that intends to analyze the Comissão Nacional de Residência Médica competencies milestones for medical residency programs in Pediatrics, in Brazil, through the method of dialectic hermeneutics, to base a framework for access clinical performance of pediatrics residents in a university hospital. As methodology to reach the EPA list, the result information from the analysis of the Resolução CNRM No 1 de 29 de dezembro de 2016 was organized in meaning cores. Competences, knowledge, skills and attitudes determined by the Resolution for each year of residence were correlated to each nucleus. Next, subtask specifications for each APC were developed, and leveling by expected degree of reliability by year of residence was performed. A core of 17 EPA was identified, that might be seized across the educational continuum in Pediatrics program and provide the milestones for the assessment framework to be used in the analysis of resident progression. Therefore, EPA is a tool that enables to individually measure the trainee’s development in terms of knowledge, skills, and abilities throughout the years of training in the Pediatrics medical specialty, once it translate into practice the normative requirements of the regulatory organs for medical residencies in Brazil.