Explorando o Viva Voce: um relato de experiência sobre o uso desse método avaliativo em residência em medicina de família e comunidade no Recife

Lucas Campos Studart; Maria Olivia Lima de Mendonça; Rubens Cavalcanti Freire da Silva; Isabel Brandão Correia; João Victor Moreira

doi:10.5712/rbmfc19(46)4244

Authors

Lucas Campos Studart Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil. https://orcid.org/0009-0004-2794-4033
Maria Olivia Lima de Mendonça Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil. https://orcid.org/0000-0002-4882-1225
Rubens Cavalcanti Freire da Silva Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil / Universidade de Pernambuco – Recife (PE), Brasil. https://orcid.org/0000-0002-8111-9067
Isabel Brandão Correia Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil / Universidade de Pernambuco – Recife (PE), Brasil.
João Victor Moreira Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil.

DOI:

https://doi.org/10.5712/rbmfc19(46)4244

Keywords:

Evaluation Study, Internship and Residency, Teaching.

Abstract

Introduction: During the 19th century, the practice of medical education worldwide was not standardised, but scientific advances propelled the formalisation of health education, based on scientism and focused on diseases. However, this model failed to understand the social complexity of health, leading, after years, to reforms aimed at a more critical medical education. Despite the advances, it is still noticeable the difficulty in completely overcoming the gap in critical medical education, with evaluating integrated student performance being a major challenge. In this sense, Viva Voce emerges, a type of oral assessment introduced in the Family Practice Residency Program of the Recife Health Department (PRMFC Sesau Recife) in 2022. Objective: To describe the experience of implementing and conducting the Viva Voce in this residency program. Methods: The Viva Voce is a form of oral examination characterized by face-to-face interaction between the examinee and the examiners, without the involvement of patients. Within the context of the PRMFC Sesau Recife, the exam is conducted semiannually and aims to evaluate residents regarding attitudes and clinical reasoning. It is organised by creating simulated clinical cases structured in stages, with defined learning objectives. Residents are individually assessed, following a script and an evaluation form. Results: The implementation of Viva Voce provided a formative and summative evaluation, focused on the clinical reasoning and decision-making of residents. The evaluative modality is considered relevant for analysing criticality and communication skills. However, it faces challenges such as the need for examiner training and managing student anxiety. Conclusions: Viva Voce proves to be an important ally in medical education, providing an evaluation that encompasses essential aspects of health practice. Despite challenges such as student anxiety, Viva Voce contributes to diversifying the evaluative structure, essential for training quality healthcare professionals.

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Author Biographies

Maria Olivia Lima de Mendonça, Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil.

Médica de Família e Comunidade pela Escola Nacional de Saúde Pública (Ensp). Concursada da Estratégia Saúde da Família da Prefeitura do Recife. Preceptora do Programa de Residência em Medicina de Família e Comunidade da Secretaria Municipal de Saúde do Recife e do internato médico da Universidade de Pernambuco.

Rubens Cavalcanti Freire da Silva, Secretaria Municipal de Saúde da Cidade do Recife – Recife (PE), Brasil / Universidade de Pernambuco – Recife (PE), Brasil.

Doutor em Saúde Coletiva pelo Programa de Pós-graduação em Saúde Coletiva do Instituto de Medicina Social Hesio Cordeiro (Uerj). Professor Adjunto da Faculdade de Ciências Médicas da Universidade de Pernambuco (UPE). Médico de Família e Comunidade concursado da Estratégia Saúde da Família da Prefeitura da Cidade do Recife. Preceptor do Programa de Residência em Medicina de Família e Comunidade da Secretaria Municipal de Saúde do Recife.

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