Inventário de competências: lacunas e potencialidades formativas nas residências em Medicina da Família e Comunidade e multiprofissional em saúde da família no Estado da Paraíba

Abstract

This study investigated the competences of residents and preceptors in Family and Community Medicine (FCM) and Multiprofessional Family Health Residency (MMHR) programmes. The hypothesis of this study was that self-assessment of competences can be a useful tool in the training of health professionals, contributing to the process of transition from academic curricula to curricula that respond better to the needs of health systems. This is a cross-sectional study with a quantitative approach, in which a structured questionnaire was administered to 300 residents and preceptors from eleven FCM and FHMR programmes in the state of Paraíba - Brazil. Thirty-four professional competences were assessed and scores were produced from the sum of the likert scale scores, ranging from 0 to 170 points. Descriptive statistical analysis showed the frequency of residents and preceptors mastering each of the 34 competences. Bivariate analysis was used to compare the differences between these two groups and to assess the agreement between the residents' self-assessment and that of their peers. The majority of participants were female (69.7%), had no partner (53.7%) and no children (76%). The competences score was higher in the group of preceptors (p=0.003), males (p=0.008) and those with more experience in PHC (p=0.003). Among doctors, the median resident self-assessment score was 123, while the resident assessment by the preceptor was 140 (p<0.001). In the case of the RMSF, there was no significant difference between the median of the resident's self-assessment (134.5) and the resident's assessment by the preceptor (130.0) (p=0.483). The ‘Competence Inventory’, produced through self-assessment, proved to be a useful and quick tool for identifying the training potential and weaknesses of professionals working in Primary Health Care. The technical product produced consisted of a conclusive technical report, in the form of a portfolio for dissemination, summarising the findings of the research group's work, as well as suggestions and recommendations for the study participants, with a view to improving the training process implemented in the residencies. This Master's Degree Final Paper is the result of the Professional Master's Degree in Family Health (PROFSAÚDE).