Evaluation of a Medical Residency Program in Gynecology and Obstetrics

Detalhes bibliográficos
Autor(a) principal: Sanchez,Natalia Romano
Data de Publicação: 2020
Outros Autores: Rodrigues,Cibele Isaac Saad
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Educação Médica (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000200209
Resumo: Abstract: Introduction: Medical residency in gynecology and obstetrics is unquestionably important in the training of physicians who choose this specialty of the Brazilian Ministries of Health and Education. However, studies evaluating these residency programs are scarce, especially regarding the reflexive qualitative aspects of the research. Therefore, this exploratory and descriptive study aimed to evaluate the current medical residency program in gynecology and obstetrics of the School of Medical and Health Sciences at Pontifícia Universidade Católica de São Paulo (PUC-SP) using a quantitative and qualitative approach. Method: The methodology included a comparative curriculum analysis between the program recommended by the National Committee of Medical Residency until 2018 and the program offered by PUC-SP School of Medical and Health Sciences, as well as a self-administered questionnaire completed by individuals who graduated between 2007 and 2018. Results: The most significant findings of the comparative curriculum analysis include discrepancies in the percentage arrangement of annual workload, indicating an overload of on-call duty hours, and unequal distribution of internships. The questionnaire response rate was 66% (41 of 62 participants). Most respondents were women (n=32, 78%), who worked mainly in the cities of Sorocaba (n=21, 43.7%) and São Paulo (n=10, 21%). Most medical graduates were partially satisfied with the program (n=34, 82.9%). Some responses also matched the findings of the comparative curriculum analysis, such as dissatisfaction with the number of gynecological surgical procedures performed (n=39, 95.1%). Regarding the content analysis of open-ended answers, categorized according to Bardin, the graduates appreciated activities in obstetrics, and the most relevant criticisms were related to fewer hours assigned to certain activities, especially those devoted to gynecological surgical practices and theoretical activities. Conclusions: Based on the findings, suggestions were proposed and accepted by the managers for changes that should have a positive impact on the medical residency program. This research contributes to the diagnostic evaluation of a traditional medical residency program in Brazil, proposes improvements, and uses reproducible methods, thus serving as a comparison basis for other studies so that advances can be made in the training of these specialists.
id ABEM-1_3181dff44bd296784f49b54e9f9af1ef
oai_identifier_str oai:scielo:S0100-55022020000200209
network_acronym_str ABEM-1
network_name_str Revista Brasileira de Educação Médica (Online)
repository_id_str
spelling Evaluation of a Medical Residency Program in Gynecology and ObstetricsMedical EducationInternship and ResidencyEducational AssessmentGynecologyObstetricsAbstract: Introduction: Medical residency in gynecology and obstetrics is unquestionably important in the training of physicians who choose this specialty of the Brazilian Ministries of Health and Education. However, studies evaluating these residency programs are scarce, especially regarding the reflexive qualitative aspects of the research. Therefore, this exploratory and descriptive study aimed to evaluate the current medical residency program in gynecology and obstetrics of the School of Medical and Health Sciences at Pontifícia Universidade Católica de São Paulo (PUC-SP) using a quantitative and qualitative approach. Method: The methodology included a comparative curriculum analysis between the program recommended by the National Committee of Medical Residency until 2018 and the program offered by PUC-SP School of Medical and Health Sciences, as well as a self-administered questionnaire completed by individuals who graduated between 2007 and 2018. Results: The most significant findings of the comparative curriculum analysis include discrepancies in the percentage arrangement of annual workload, indicating an overload of on-call duty hours, and unequal distribution of internships. The questionnaire response rate was 66% (41 of 62 participants). Most respondents were women (n=32, 78%), who worked mainly in the cities of Sorocaba (n=21, 43.7%) and São Paulo (n=10, 21%). Most medical graduates were partially satisfied with the program (n=34, 82.9%). Some responses also matched the findings of the comparative curriculum analysis, such as dissatisfaction with the number of gynecological surgical procedures performed (n=39, 95.1%). Regarding the content analysis of open-ended answers, categorized according to Bardin, the graduates appreciated activities in obstetrics, and the most relevant criticisms were related to fewer hours assigned to certain activities, especially those devoted to gynecological surgical practices and theoretical activities. Conclusions: Based on the findings, suggestions were proposed and accepted by the managers for changes that should have a positive impact on the medical residency program. This research contributes to the diagnostic evaluation of a traditional medical residency program in Brazil, proposes improvements, and uses reproducible methods, thus serving as a comparison basis for other studies so that advances can be made in the training of these specialists.Associação Brasileira de Educação Médica2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000200209Revista Brasileira de Educação Médica v.44 n.2 2020reponame:Revista Brasileira de Educação Médica (Online)instname:Associação Brasileira de Educação Médica (ABEM)instacron:ABEM10.1590/1981-5271v44.2-20190311.inginfo:eu-repo/semantics/openAccessSanchez,Natalia RomanoRodrigues,Cibele Isaac Saadeng2020-04-23T00:00:00Zoai:scielo:S0100-55022020000200209Revistahttp://www.educacaomedica.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@abem-educmed.org.br||revista@educacaomedica.org.br1981-52710100-5502opendoar:2020-04-23T00:00Revista Brasileira de Educação Médica (Online) - Associação Brasileira de Educação Médica (ABEM)false
dc.title.none.fl_str_mv Evaluation of a Medical Residency Program in Gynecology and Obstetrics
title Evaluation of a Medical Residency Program in Gynecology and Obstetrics
spellingShingle Evaluation of a Medical Residency Program in Gynecology and Obstetrics
Sanchez,Natalia Romano
Medical Education
Internship and Residency
Educational Assessment
Gynecology
Obstetrics
title_short Evaluation of a Medical Residency Program in Gynecology and Obstetrics
title_full Evaluation of a Medical Residency Program in Gynecology and Obstetrics
title_fullStr Evaluation of a Medical Residency Program in Gynecology and Obstetrics
title_full_unstemmed Evaluation of a Medical Residency Program in Gynecology and Obstetrics
title_sort Evaluation of a Medical Residency Program in Gynecology and Obstetrics
author Sanchez,Natalia Romano
author_facet Sanchez,Natalia Romano
Rodrigues,Cibele Isaac Saad
author_role author
author2 Rodrigues,Cibele Isaac Saad
author2_role author
dc.contributor.author.fl_str_mv Sanchez,Natalia Romano
Rodrigues,Cibele Isaac Saad
dc.subject.por.fl_str_mv Medical Education
Internship and Residency
Educational Assessment
Gynecology
Obstetrics
topic Medical Education
Internship and Residency
Educational Assessment
Gynecology
Obstetrics
description Abstract: Introduction: Medical residency in gynecology and obstetrics is unquestionably important in the training of physicians who choose this specialty of the Brazilian Ministries of Health and Education. However, studies evaluating these residency programs are scarce, especially regarding the reflexive qualitative aspects of the research. Therefore, this exploratory and descriptive study aimed to evaluate the current medical residency program in gynecology and obstetrics of the School of Medical and Health Sciences at Pontifícia Universidade Católica de São Paulo (PUC-SP) using a quantitative and qualitative approach. Method: The methodology included a comparative curriculum analysis between the program recommended by the National Committee of Medical Residency until 2018 and the program offered by PUC-SP School of Medical and Health Sciences, as well as a self-administered questionnaire completed by individuals who graduated between 2007 and 2018. Results: The most significant findings of the comparative curriculum analysis include discrepancies in the percentage arrangement of annual workload, indicating an overload of on-call duty hours, and unequal distribution of internships. The questionnaire response rate was 66% (41 of 62 participants). Most respondents were women (n=32, 78%), who worked mainly in the cities of Sorocaba (n=21, 43.7%) and São Paulo (n=10, 21%). Most medical graduates were partially satisfied with the program (n=34, 82.9%). Some responses also matched the findings of the comparative curriculum analysis, such as dissatisfaction with the number of gynecological surgical procedures performed (n=39, 95.1%). Regarding the content analysis of open-ended answers, categorized according to Bardin, the graduates appreciated activities in obstetrics, and the most relevant criticisms were related to fewer hours assigned to certain activities, especially those devoted to gynecological surgical practices and theoretical activities. Conclusions: Based on the findings, suggestions were proposed and accepted by the managers for changes that should have a positive impact on the medical residency program. This research contributes to the diagnostic evaluation of a traditional medical residency program in Brazil, proposes improvements, and uses reproducible methods, thus serving as a comparison basis for other studies so that advances can be made in the training of these specialists.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000200209
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000200209
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1981-5271v44.2-20190311.ing
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Educação Médica
publisher.none.fl_str_mv Associação Brasileira de Educação Médica
dc.source.none.fl_str_mv Revista Brasileira de Educação Médica v.44 n.2 2020
reponame:Revista Brasileira de Educação Médica (Online)
instname:Associação Brasileira de Educação Médica (ABEM)
instacron:ABEM
instname_str Associação Brasileira de Educação Médica (ABEM)
instacron_str ABEM
institution ABEM
reponame_str Revista Brasileira de Educação Médica (Online)
collection Revista Brasileira de Educação Médica (Online)
repository.name.fl_str_mv Revista Brasileira de Educação Médica (Online) - Associação Brasileira de Educação Médica (ABEM)
repository.mail.fl_str_mv revista@abem-educmed.org.br||revista@educacaomedica.org.br
_version_ 1754303007919439872