Towards competency-based education: building the Family Medicine clerkship blueprint
DOI:
https://doi.org/10.5712/rbmfc12(39)1354Keywords:
Competency-Based Education. Medical Education. Internship and Residency. Family Practice.Abstract
Objective: To elaborate a blueprint of the competencies to be developed during three months of Family Medicine Clerkship at the Federal University of Health Sciences of Porto Alegre (UFCSPA). Methods: A literature review was carried out on competency-based education, medical schools using this approach and national and international guidelines on medical education. Therefore, the applicability of the recommendations in the context of UFCSPA Clerkship was discussed. Results: Eighteen competencies were established and divided into four axes: General, Individual Approach, Family Approach, and Community Approach. Each competency was depicted in one or more components. For each component, we have identified the teaching and students’ assessment methods currently applied in Family Medicine Clerkship. Conclusions: Clerkship competencies, which were previously developed in an intuitive way, were organized in a blueprint that enables the review and adequacy of teaching methods and students’ assessment.
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Gruppen LD, Mangrulkar RS, Kolars JC. The promise of competency-based education in the health professions for improving global health. Hum Resour Health. 2012;10:43. DOI: http://dx.doi.org/10.1186/1478-4491-10-43 DOI: https://doi.org/10.1186/1478-4491-10-43
Santos WS. Organização curricular baseada em competência na educação médica. Rev Bras Educ Médica. 2011;35(1):86-92. DOI: http://dx.doi.org/10.1590/S0100-55022011000100012 DOI: https://doi.org/10.1590/S0100-55022011000100012
Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med. 2002;77(5):361-7. DOI: http://dx.doi.org/10.1097/00001888-200205000-00003 DOI: https://doi.org/10.1097/00001888-200205000-00003
Quintero GA. Medical education and the healthcare system--why does the curriculum need to be reformed? BMC Med. 2014;12:213. DOI: https://doi.org/10.1186/s12916-014-0213-3
World Health Organization. The world health report 2008: primary health care now more than ever. [Internet]. Geneva: World Health Organization; 2008. [cited 2017 May 2]. Available from: http://www.who.int/whr/2008/whr08_en.pdf
Perrenoud P. Ensinar: agir na urgência, decidir na incerteza: saberes e competências em uma profissão. 2a ed. Porto Alegre: Artmed; 2001.
Scheffer M, Biancarelli A, Cassenote A. Demografia médica no Brasil 2015 [Internet]. Departamento de Medicina Preventiva da Faculdade de Medicina da USP; Conselho Regional de Medicina do Estado de São Paulo; 2015 p. 284. Report No.: ISBN: 978-85-89656-22-1. [cited 2017 May 2]. Available at: http://www.usp.br/agen/wp-content/uploads/DemografiaMedica30nov2015.pdf
Association for Medical Education in Europe (AMEE). Outcome-based education. No 14. Association for Medical Education in Europe. Dundee: AMEE; 1999.
Bollela VR, Machado JLM. Bridging the gaps [Internet]. Vol. 30. [cited 2016 Jun 26]. Available from: https://www.researchgate.net/profile/Valdes_Bollela/publication/259677053_Internato_Baseado_em_Competencias_Bridging_the_gaps_(2010)/links/0deec52d50c12c96db000000.pdf
Albanese MA, Mejicano G, Anderson WM, Gruppen L. Building a competency-based curriculum: the agony and the ecstasy. Adv Health Sci Educ Theory Pract. 2010;15(3):439-54. DOI: http://dx.doi.org/10.1007/s10459-008-9118-2 DOI: https://doi.org/10.1007/s10459-008-9118-2
Schmal SR, Ruiz-Tagle AA. Una metodología para el diseño de un currículo orientado a las competencias. Ingeniare Rev Chil Ing. 2008;16(1):147-58. DOI: http://dx.doi.org/10.4067/S0718-33052008000100004 DOI: https://doi.org/10.4067/S0718-33052008000100004
Risco de Domínguez G. Design and implementation of a competency-based curriculum for medical education. Rev Peru Med Exp Salud Publica. 2014;31(3):572-81.
Braid LMC, Machado MFAS, Aranha AC. State of the art of curriculum research relating to healthcare professional training courses: a survey on articles published between 2005 and 2011. Interface (Botucatu). 2012;16(42):679-92. DOI: http://dx.doi.org/10.1590/S1414-32832012000300008 DOI: https://doi.org/10.1590/S1414-32832012000300008
Campos JJB. Novos currículos de Medicina na FAMEMA e na UEL: uma construção permanente rumo à realidade presente e futura [Internet]. 2001 [cited 2016 Jul 3]. Available from: http://www.uel.br/ccs/olhomagico/v8n2/Joao2.htm
Feuerwerker LCM. Mudanças na educação médica e residência médica no Brasil. São Paulo: Hucitec; 1998. 190 p. DOI: https://doi.org/10.1590/S1414-32831998000200005
An International Association For Medical Education - AMEE [Internet]. [cited 2016 Dec 28]. Available from: https://www.amee.org/home
Allen S, Anim T, Anthony E, Araujo D, Beebe D, Dostal J, et al. The Family Medicine Milestone Project. The Accreditation Council for Graduate Medical Education and The American Board of Family Medicine [Internet]. 2015 [cited 2016 Jul 3]. Available from: https://www.acgme.org/Portals/0/PDFs/Milestones/FamilyMedicineMilestones.pdf
Medical Education - Initiatives - AAMC [Internet]. [cited 2016 Dec 28]. Available from: https://www.aamc.org/initiatives/meded/
Chair DT, Konkin J, Parsons E, Saucier D, Shaw L, Walsh A, et al. Canadian Medical Education (CanMEDS)-FamilyMedicine [Internet]. 2009. [cited 2017 May 2]. Available from: http://www.cfpc.ca/uploadedFiles/Education/CanMeds%20FM%20Eng.pdf
Core EPAs - Initiatives - AAMC [Internet]. [cited 2016 Dec 29]. Available from: https://www.aamc.org/initiatives/coreepas/
Zahlout AJM, Uzcátegui Z, Pérez-González JF. Exploración de un modelo de la competencia médica en alumnos de sexto año de la Escuela de Medicina “Luis Razetti”. Rev Fac Med. 2006;29(2):184-93.
Ribeiro ECO. A educação dos profissionais de saúde na América Latina: teoria e prática de um movimento de mudança. Interface (Botucatu). 2000;4(7):139-42. DOI: http://dx.doi.org/10.1590/S1414-32832000000200014 DOI: https://doi.org/10.1590/S1414-32832000000200014
Ministério da Educação. Conselho Nacional de Educação. Resolução n. 3, de 20 de junho de 2014. Institui Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina e dá outras providências. [Internet]. Ministério da Educação; 2014 [acesso 2016 Jun 25]. Disponível em: http://portal.mec.gov.br/index.php?option=com_docman&view=download&alias=15874-rces003-14&Itemid=30192
Lermen Junior N. Currículo Baseado em Competências para Medicina de Família e Comunidade. Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) [Internet]. 2015. [acesso 2017 Maio 2]. Disponível em: http://www.sbmfc.org.br/media/Curriculo%20Baseado%20em%20Competencias(1).pdf
Moaveni A, Valin S, Hilderal V. Family and Communitty Medicine Clerkship. University of Toronto. [Internet]. 2014. [cited 2017 Maio 2]. Available from: http://dfcm.webservices.utoronto.ca/Assets/DFCM2+Digital+Assets/Family+and+Community+Medicine/DFCM+Digital+Assets/Undergraduate/HPD+Handbook+14.15.pdf
Tandeter H, Carelli F, Timonen M, Javashvili G, Basak O, Wilm S, et al. A ‘minimal core curriculum’ for Family Medicine in undergraduate medical education: a European Delphi survey among EURACT representatives. Eur J Gen Pract. 2011;17(4):217-20. DOI: http://dx.doi.org/10.3109/13814788.2011.585635 DOI: https://doi.org/10.3109/13814788.2011.585635
Franco CAGS, Cubas MR, Franco RS. Currículo de medicina e as competências propostas pelas diretrizes curriculares. Rev Bras Educ Méd. 2014;38(2):221-30. DOI: http://dx.doi.org/10.1590/S0100-55022014000200009 DOI: https://doi.org/10.1590/S0100-55022014000200009
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