Abstract
Abstract: Introduction: a specific instrument is needed to monitor the development of competencies in pediatric surgery during the residency. Objective: to develop an instrument in conformity with the “Milestone Project”, using the competencies determined by the Brazilian Association of Pediatric Surgery, for use in the Pediatric Surgery Residency in Brazil. Method: the research was developed in three stages: the development of the initial instrument, qualification with a focal group of experts, and instrument evaluation by Brazilian pediatric surgeons in order to validate and quantify the instrument’s acceptance. Result: The initial instrument was created with 4 competencies and 13 sub-competencies, each with 5 levels of assessment. Four experts performed the initial qualification, which resulted in 44 adaptations, and the instrument was finalized with 4 competencies subdivided into 10 sub-competencies, each with 5 levels of assessment. Subsequently, the instrument was evaluated by the Brazilian Pediatric Surgery Group and the Brazilian Pediatric Urology Group. There were 40 expert responses, with a total of 2394 positive responses from the 50 assessment items. The instrument had a general acceptance of 91.2%, being considered applicable (96.7%), reproducible (93.3), relevant to the covered topics (96%), technically (93.6%) and theoretically appropriate (93.3%), reliable (85.5%), and dependable (79.8%). Conclusion: an instrument was developed to assist in the assessment of competencies developed during residency in pediatric surgery in conformity with the Milestone Project. This instrument has been validated by experts and considered applicable, reproducible, relevant, technically and theoretically adequate, reliable and dependable.
Highlights
The current approach to health education is based on the competencies that will be developed during the physician and the specialist’s training
According to the National Commission of Medical Residency (CNRM), the Resident Physician will be periodically evaluated in their training through written, oral, practical or performance tests, and through attitude scales, which include attributes such as: ethical behavior, relationship with the health team and the patient, interest in the activities, and other criteria of the institution’s Medical Residency Commission (COREME)[1,3]
The objective of this research is to present an assessment instrument that can be used as a tool to evaluate the acquisition of competencies throughout the pediatric surgery residency in Brazil, following CNRM regulations and the Brazilian Association of Pediatric Surgery guidelines[3,4]
Summary
The current approach to health education is based on the competencies that will be developed during the physician and the specialist’s training. For the Brazilian Association of Pediatric Surgery (ABCP), the training in pediatric surgery aims to educate the specialist, previously trained as a general surgeon, to work as a pediatric surgeon in the following areas: neonatal, general, and urological pediatric surgery, pediatric oncologic, trauma, and video-assisted surgery. With this training, the pediatric surgeon will adequately advise families and peers in other specialties, define and perform clinical and surgical procedures, use technical resources, and perform appropriate interprofessional integration[4]
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