Implantação e análise de uma estratégia de Avaliação Baseada em Procedimentos (PBA) na residência médica de urologia do Hospital Universitário Onofre Lopes

Abstract

Introduction. Changes in society and in medical practices have demanded improvements in the surgical teaching process in Medical Residencies around the world, leading to the emergence of new competency-based teaching-learning and assessment models. In this process, the Procedure Based Assessment (PBA) stands out as an assessment tool in the work environment, with summative and formative characteristics, supported by assessment of competencies and structured feedback. This research aimed to elaborate, implement and analyze the PBA in the Urology Medical Residency Program at Onofre Lopes University Hospital (PRMUro-HUOL). Methodology. This is an exploratory, prospective, action research study, with the participation of 10 preceptors and six residents. The stages of the study involved the training of participants, the elaboration of the PBA by group consensus, the application of the assessments and the evaluation of the group's perception through a questionnaire. Results. It can be highlighted the creation of six models of PBA related to the most relevant procedures of PRMUro-HUOL, two for each year of residency. The application of 31 PBAs was accounted for. In the analysis of performance data, a positive correlation was demonstrated between training time and PBA performance in laparoscopic radical prostatectomy, percutaneous nephrolithotomy, laparoscopic nephrectomy and all six procedures together, using Spearman’s coefficient. Through the application of a questionnaire, the participants agreed on the potential of the PBA to certify surgical competence, evaluate progression and improve the learning curve. Conclusion. The methodology of developing the PBA by group consensus associated with team training proved a feasible option for implementation of this type of instrument. The experience of the group with the PBA was positive, with good acceptance and perception of benefits from the pedagogical point of view, so that the routine adoption of the tool in PRMUro-HUOL shows promise.