Análise da implantação de um sistema de avaliação baseado em atividades profissionais confiáveis no internato de cirurgia geral do curso de medicina da Unifenas - Campos Alfenas

Abstract

Introduction: Assessment of skills during medical training is essential for qualifying the teaching-learning process and ensuring patient safety. The evaluation based on EPA model makes it possible to define the student's level of autonomy to carry out an activity, in addition to having a formative character, enabling adequate feedback and identifying gaps in learning. The implementation of this model in undergraduate courses is challenging, due to the high number of students. Objective: To analyze the process of implementing an assessment model based on EPA for surgery internship students at the Professor Edson Antônio Velano University – UNIFENAS. Methods: This is an observational, descriptive, cross-sectional study carried out at the general surgery internship of the UNIFENAS medical course – Alfenas campus. After the evaluation process, the Clinical Competence Committee (CCC) prepared a report for each intern with the results of the assessment. Subsequently, a questionnaire was administered to evaluate the students' perception of the proposed method. Results: Thirty-two surgical internship students from the UNIFENAS medical course took part in the study. A minimum of two assessments per student was established. 87.5% of the students received the established number of assessments and 81.3% of them achieved the expected level of autonomy in the EPA assessed. The main skills gaps found in the EPA assessment were related to theoretical knowledge, technical failures and behavioral issues. When assessing the students' perception of the implementation of this assessment system, the majority of participants were very accepting, with 59.4% preferring the EPA-based method and 9.4% the traditional method. 31.3% said they had no opinion on the matter. The majority of students considered the EPA-based assessment to be an efficient method, easy to understand and providing more assertive feedback. Conclusion: Implementing an EPA based assessment system in the general surgery internship is viable and can help identify skills gaps related to medical practice that would be difficult to notice in theoretical evaluations. The students' perception during this process was seen positively, highlighting the improvement in providing feedback.