Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus).

José Juvenal Linhares,Bárbara De Araújo Lima Dutra,Luis Fernando Farah De Tofoli,Filipe Sancho De Macedo,Guarany Mont'Alverne De Arruda,Priscila Campos Távora,Maycon Fellipe Da Ponte

doi:10.1590/1516-3180.2014.0804872

José Juvenal Linhares, Bárbara De Araújo Lima Dutra + Show 5 more

Open Access

https://doi.org/10.1590/1516-3180.2014.0804872

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Abstract

This research project arose from a proposal made to the teachers by the students of a medical course at a federal university in Brazil, from their personal experiences regarding the skills and competencies that should be developed during the obstetrics and gynecology (OBG) stage of the internship. The objective here was to develop the matrix of skills necessary for training good general physicians in the medical course. Exploratory qualitative study conducted in a federal university in Brazil. The basis for developing these competencies among OBG interns was "The Competency Matrix for Medical Internship" developed by Bollela and Machado. The instrument was presented to, analyzed by and modified by a set of OBG specialists, at two sessions. The specific competencies expected from students over the internship in OBG were framed within overall topics that had previously been determined and listed: healthcare, decision-making, communication and interpersonal relationships, management and organization of the Brazilian National Health System (Sistema Único de Saúde, SUS) and professionalism. A competency matrix that standardizes the minimum requirements that interns should be capable of putting into practice after concluding the OBG stage is a valuable tool for ensuring student performance and a fair and rigorous assessment for them, thereby seeking to train good general physicians who meet the community's needs.

Highlights

Medical internship is a unique process of theoretical and practical postgraduate medical training in which the aim is that physicians should become qualified for the technically differentiated practices of one of the legally recognized medical specialties.[1]
The competencies expected from students during the internship in obstetrics and gynecology were framed from the overall issues that had previously been determined and listed as specific skills within these themes
The criterion used was to present the competencies that best represented each theme within what was expected from students over the course of the internship in obstetrics and gynecology

Summary

Introduction

Medical internship is a unique process of theoretical and practical postgraduate medical training in which the aim is that physicians should become qualified for the technically differentiated practices of one of the legally recognized medical specialties.[1]. Competence, from the Latin competentia, is the ability to do something successfully or efficiently, which means that there should be harmony between knowledge and its application. It has been used in professional training since 1973, following publication of the article “Testing for competence rather than for ‘intelligence’” by the American psychologist David McClelland.[3] Currently, the concept of professional competence is defined in Brazil by the content of Article 6 of Resolution 04/99 of the National Educational Council and Basic Education Chamber (CNE/CEB), and by CNE/CEB Opinion 16/99. The nature of competence is complex: it has multiple meanings and can erroneously be confused as synonymous with skill

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