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Previous issue date: 2017-12-07 / INTRODU??O: Ensinar habilidades em t?cnica cir?rgica ? uma das tarefas mais importantes na ?rea de ensino em tocoginecologia e requer a presen?a de um tutor capacitado e de um m?todo avaliativo dispon?vel, de f?cil aprendizagem e que seja capaz de abranger as diversas etapas do ensino. OBJETIVO: Analisar e aplicar o Operative Performance Rating System (OPRS) como instrumento de avalia??o em cen?rios reais de pr?tica cir?rgica ginecol?gica a fim de avaliar alunos da gradua??o em medicina e residentes, como complementa??o dos m?todos avaliativos j? existentes. METODOLOGIA: Estudo transversal, descritivo, quantitativo que avaliou o desempenho de estudantes e residentes de ginecologia obstetr?cia, durante a execu??o de cirurgias ginecol?gicas em hospital universit?rio. Os alunos foram avaliados de acordo com os escores obtidos nos itens do OPRS (escala de Likert de 5- anatomia; instrumental cir?rgico; fluxo da cirurgia, intera??o com a equipe e desempenho global). O escore do instrumento varia de 4 a 20 pontos. O software Statistical Package for the Social Sciences, vers?o 21, foi utilizado para an?lise dos dados, aplicando An?lise de Vari?ncia, teste de Tukey e teste t de student. RESULTADOS: Foram realizadas 218 avalia??es, sendo composta por 24 residentes e 123 graduandos de medicina. Comparando as m?dias das vari?veis dos itens do OPRS, observou-se uma diferen?a entre as m?dias nos itens da avalia??o com o per?odo de gradua??o e resid?ncia (p < 0,001). Entre os graduandos, evidenciou-se diferen?a nas m?dias dos itens da avalia??o (p < 0,05), exceto para o item intera??o (p < 0,108). Para os residentes, a an?lise apresentou diferen?a nas m?dias dos itens da avalia??o relacionadas ao tempo de resid?ncia m?dica (p<0,001). CONCLUS?O: O uso do OPRS no processo de avalia??o de residentes e graduandos possibilita uma diferencia??o entre os n?veis de conhecimento, permitindo a monitoriza??o do progresso de acordo com o tempo de estudo oferendo ainda um feedback imediato sobre o desempenho na pr?tica cir?rgica. / INTRODUCTION: Teaching skills in surgical technique is one of the most important tasks in the area of teaching gynecology, and requires the presence of a trained tutor and an available evaluative method, easy to learn and capable of covering the various stages of teaching. OBJECTIVE: To analyze and apply the Operative Performance Rating System (OPRS) as a tool of evaluation in real scenarios of surgical practice, to evaluate undergraduate students and residents, as a complement to the existing evaluation methods. METHODS: Cross-sectional, descriptive, quantitative study that assessed the performance of students and residents during the execution of gynecological surgeries in a university hospital. The students were evaluated according to the scores obtained in the OPRS items (Likert scale of 5- anatomy, surgical instruments, surgery flow, interaction with the team and overall performance). The instrument score ranges from 4 to 20 points. The software Statistical Package for the Social Sciences, version 21, was used to analyze the data, applying Analysis of Variance, Tukey test and student t-test. RESULTS: Comparing the means of the variables of the OPRS items, a difference was observed between the methods in the evaluation items according to to the graduation and residence period (p <0.001). Among the undergraduates, there was a difference in the means of the evaluation items (p <0.05), except for the item interaction (p <0.108). For the residents, the analysis showed a difference in the means of the evaluation items related to the medical residence time (p <0.001). CONCLUSION: The use of OPRS in the evaluation process of residents and undergraduates allows a differentiation between levels of knowledge, allowing the monitoring of progress according to the study time and offering immediate feedback on the performance in the surgical practice.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24770 |
| Date | 07 December 2017 |
| Creators | Almeida, Gleisse Aguiar Silva de |
| Contributors | 42252725400, Maranh?o, Tecia Maria de Oliveira, 13049127449, Can?rio, Ana Carla Gomes, 67281141491, Diniz, Rosiane Viana Zuza, Oliveira, Ana Katherine da Silveira Gon?alves de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENSINO NA SA?DE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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