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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e742-e749
DOI: 10.1055/s-0043-1768621
Artigo Original | Original Article
Básica

Core Competencies Self-Assessment and Patient-Practitioner Orientation during the First Year of a Brazilian Orthopedic Residency

Article in several languages: português | English
Kelly Biancardini Gomes Barbato 
1   Área de Medicina Interna, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
2   Divisão de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
3   Escola de Medicina Souza Marques, Fundação Técnico-Educacional Souza Marques, Rio de Janeiro, RJ, Brasil
,
Luciana Santos de Carvalho 
4   Unidade de Educação Permanente, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Viviani Barreira Marangoni 
4   Unidade de Educação Permanente, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
5   Atividade integradora – Ciclo Básico, Centro Universitário Arthur Sa Earp Neto, Rio de Janeiro, RJ, Brasil
,
Fábio de Souza 
1   Área de Medicina Interna, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
6   Departamento de Cardiologia, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
,
Marcella Martins de Vasconcelos Vaena 
7   Coordenação Diagnóstica e Terapêutica de Hemoterapia, Instituto Nacional de Saúde da mulher, da criança e do adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
8   Departamento de Hemoterapia, Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brasil
9   Divisão Campus Cittá, Instituto de Educação Médica Estácio de Sá, Universidade Estácio de Sá, Rio de Janeiro, RJ, Brasil
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Abstract

Objective Training a competent physician requires to direct the resident profile of graduate students for practice activities. We sought to identify the doctor-patient relationship orientation and the self-assessment of the core competencies, which they pointed out needed to be developed.

Methods All 56 orthopedic residents admitted between 2016 and 2019 participated in the present prospective observational study. The Patient Practitioner Orientation Scale (PPOS) and a self-assessment questionnaire were answered at the beginning and end of the first year of residency (R1) in Orthopedics and Traumatology. We calculated mean and standard deviation for PPOS items and scores and analyzed them through the paired t-test. Self-Assessment Questionnaire answer options were “yes” or “I need to improve it” and skills were classified in decreasing order of the frequency of “I need to improve it” responses with description of absolute number and percentage. We compared frequencies using Fisher Test. P-values < 0.05 were considered statistically significant. GraphPad Prism 8.4.3 (GraphPad Software, San Diego, CA, USA) and Microsoft Excel (Microsoft Corporation, Redmond, WA, USA) were used for statistical analysis.

Results In the period between the beginning and the end of R1, the total PPOS mean score significantly decreased from 4.63 to 4.50 (p = 0.024), more biomedical-focused. Around one-third of the residents identified competencies of patient care, practice-based learning and improvement, and interpersonal and communication skills as needed to improve.

Conclusions The PPOS and self-assessment activities could promote reflection practices and are possible tools for learner-centered competency assessment. Biomedical guidance tends to prevail as the training of physicians progresses, and periodic self-assessments can be worked on to build a growth mindset.

Keywords

medical residency - orthopedics - physician-patient relations - self-assessment - competency-based education

Financial Support

The present study received no financial support from either public, commercial, or not-for-profit sources.


Contributions of the Authors

Barbato K.: designed the study, performed the experiments and analysis, wrote the paper with input from all authors.

Carvalho L.: contributed to the paper analysis and writing.

Marangoni V.: contributed to the paper analysis and writing.

Souza F.: gave substantial contributions to the analysis and interpretation of paper data and contributed to the paper writing.

Vaena M.: gave substantial contributions to the analysis and interpretation of paper data, contributed to the paper writing and revised the manuscript critically for important intellectual content.

All authors discussed the results and contributed to the final manuscript, which was read and approved by all.


Work developed at the National Institute of Traumatology and Orthopedics, Rio de Janeiro, RJ, Brazil.




Publication History

Received: 31 July 2022

Accepted: 18 October 2022

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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