Definição das competências essenciais para o treinamento em cardio-oncologia na Residência Médica Cardiologia

Abstract

Introduction: The teaching of Cardio-oncology is essential for the training of professionals capable of dealing with cardiovascular diseases in patients with a current or previous history of cancer, considering the increasing prevalence and potential morbidity and mortality of both. Objective: This study aims to propose the Essential Competency Matrix for training in Cardio-oncology during Medical Residency in Cardiology and understand the perception of cardiology residents during training in Cardio-oncology. Method: The study was exploratory, prospective and descriptive, involving nine preceptors and one professor, composing the panel of experts, from the Medical Residency Program in Cardiology of two Public Higher Education Institutions to obtain the consensual matrix of competencies, and the medical residents of Cardiology after rotation in Cardio-oncology at the Onofre Lopes University Hospital/Federal University of Rio Grande do Norte. To develop the skills matrix, the Delphi method was used. To analyze the residents' perception, a semi-structured questionnaire was used with five-point Likert-type items and open questions. It had ethical approval by the Research Ethics Committee (CEP-HUOL, CAEE nº 54993422.6.0000.5292). Results: The final matrix reached consensus in the first round, with an agreement rate ranging from 80% to 100%, and addresses competencies in the following domains: patient care; health management; practical performance; interpersonal and multidisciplinary relationship; and medical education. All medical residents from 2020 to 2023 responded to the questionnaire (N=14). A high degree of agreement was observed between the items evaluated, especially in topics related to medical education (presentation and discussion of a scientific article contributing to the understanding of cases (92%); feedback from the preceptorship contributing to improving care (92%); contact with other graduates, improving knowledge in the area of Cardiooncology (68%). Conclusion: The Matrix of competencies in Cardio-oncology during the training of specialists in Cardiology innovates in the insertion of teaching skills and can serve as a basis for other professions and medical specialties inside and outside the institution. The skills developed during the Cardio-oncology rotation at HUOL are well evaluated in the perception of residents, including those related to medical teaching.