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Caminhos para a avalia??o da forma??o em odontologia: desenvolvimento, valida??o e aplica??o de crit?rios

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Previous issue date: 2015-03-05 / A necessidade da universaliza??o do acesso ? sa?de e a fal?ncia do modelo
pedag?gico centrado na transmiss?o de conhecimento tem levado a mudan?as na
forma??o de profissionais de sa?de. O objetivo deste estudo foi proporcionar uma
nova alternativa para avalia??o de cursos de Odontologia por meio do
desenvolvimento, valida??o e aplica??o de crit?rios com base nas Diretrizes
Curriculares Nacionais (DCN). Para tanto, o estudo foi desenvolvido em tr?s etapas:
desenvolvimento e valida??o de crit?rios de avalia??o de cursos de Odontologia com
base nas DCN; estudo piloto para verifica??o da aplicabilidade dos crit?rios validados
e avalia??o de cursos de Odontologia da regi?o nordeste. Na primeira etapa foi
formulado modelo l?gico que permitiu a constru??o de uma matriz de crit?rios validada
por meio da t?cnica de consenso Delfos modificado, apresentando as dimens?es:
Perfil do egresso, Orienta??o do cuidado em sa?de, Integra??o ensino-servi?o e
Abordagem pedag?gica. O estudo piloto foi realizado com cinco cursos de
Odontologia, por meio de estudo documental dos Projetos Pedag?gicos dos Cursos
(PPC), aplica??o do question?rio validado e entrevista com os coordenadores de
curso. Os resultados do estudo piloto indicam a possibilidade de serem verificados,
por meio dos crit?rios validados e utilizando-se diferentes propostas metodol?gicas,
avan?os e limita??es curriculares frente ? proposta de reorienta??o da forma??o
recomendada pelas DCN. A avalia??o de cursos de Odontologia da regi?o Nordeste
foi realizada a partir da aplica??o do question?rio validado a coordenadores de 30
cursos, incluindo institui??es p?blicas e privadas. Os dados foram submetidos ?
an?lise descritiva, sendo ainda testada a diferen?a entre m?dias e a correla??o entre
a avalia??o dos coordenadores nas dimens?es e subdimens?es entre si, entre a
avalia??o geral dos cursos e entre as vari?veis: categoria administrativa, tempo
decorrido da ?ltima atualiza??o curricular, participa??o em programas de reorienta??o
da forma??o de profissionais de sa?de, nota ENADE (Exame Nacional de
Desempenho dos Estudantes) e CPC (Conceito Preliminar do Curso) do ano de 2013.
Foi constatada correla??o positiva (p<0,01) entre as m?dias obtidas pela percep??o
dos coordenadores na maior parte das dimens?es e entre estas e o desempenho geral
do curso. N?o houve diferen?as significativas entre a percep??o dos coordenadores
quanto ao desempenho dos cursos e a categoria administrativa (p?blico/privado).
Essa diferen?a foi um pouco maior quando comparou-se as m?dias de desempenho
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ao tempo decorrente da ?ltima atualiza??o curricular, obtendo melhor desempenho
cursos com atualiza??o curricular mais recente, mesmo sem diferen?a significativa
entre dimens?es. Obtiveram melhores m?dias de desempenho os cursos que n?o
participam de programas de reorienta??o da forma??o profissional, com diferen?a
significativa (p<0,05) para o escore geral e para todas as dimens?es, exceto a
dimens?o Integra??o ensino-servi?o (p=0,064). N?o foi observada correla??o
significativa entre a avalia??o dos coordenadores em todas as dimens?es e na
avalia??o geral e as notas do ENADE e CPC 2013. O instrumento final proposto neste
estudo representa alternativa diferenciada de avalia??o da forma??o, tanto de
cirurgi?es-dentistas como de outros profissionais, considerando que as DCN preveem
a forma??o com foco nas necessidades de sa?de da popula??o, integrada ao SUS e
baseada na aprendizagem centrada no estudante. / The need for universal access to health and the failure of the pedagogical model
centered on the transmission of knowledge has led to changes in the training of health
professionals. The objective of this study was to provide a new alternative for
evaluating dental students through the development, validation and application of
evaluation criteria based on the National Curriculum Guidelines (DCN in Brazil).
Therefore, the study was conducted in three phases: development and validation of
evaluation criteria of Dentistry courses based on the DCN; a pilot study to verify the
applicability of the validated criteria and evaluation of the dentistry courses in the
Northeast. In the first stage, a logical model was formulated, allowing for the
construction of a criteria matrix, validated by a modified Delphi consensus technique.
The validated matrix has the following dimensions: Profile of graduates, health care
guidance, teaching and service integration, and pedagogical approach. The pilot study
was conducted in five dental courses through a documentary study of the pedagogical
project course (PPC), and application of validated questionnaires and interviews with
course coordinators. The results of the pilot study indicate the possibility of being
verified by means of validated criteria and using different methodological proposals,
advances and curricular limitations facing the proposed reorientation of training
recommended by DCN. The evaluation of Northeast Dentistry courses was carried out
by applying a questionnaire validating a matrix of 30 course coordinators, including
public and private institutions. The data were submitted to descriptive analysis, and
also tested the difference between means and the correlation between the assessment
of the coordinators in the dimensions and sub-dimensions with each other, among the
general evaluation of courses and between the following variables: administrative
category, time since last curriculum updating, participation in reorienting the training of
health professionals programs, ENADE and CPC (Preliminary Concepts of the Course)
scores in the year 2013. Positive correlation (p <0.01) was found between the means
obtained by the perception of the coordinators in most dimensions, and also between
them and the overall performance of the course. There were no significant differences
between the coordinators? perception about course performance and the administrative
category (public / private). This difference is slightly higher when the average
performance is compared with respect to time due to the last curriculum update, getting
better performance in courses with the latest updated curriculum, even with there not
11
being this significant difference between dimensions. Better averages of performance
were obtained in courses that do not participate in reorientation programs of
professional training, with a significant difference (p<0.05) for the overall score and for
all dimensions except the dimensions of teaching-service Integration (p = 0.064). There
was no significant correlation between the assessment of coordinators in all
dimensions, in the overall assessment or ENADE and CPC scores in 2013. The final
instrument proposed in this study is a different alternative assessment for health
training of both dentists and other professionals, considering that the DCN providing
for the training and graduation of professionals is focused on the health needs of the
population, integrated with the SUS (the National Brazilian Health System) and based
on student-centered learning.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20113
Date05 March 2015
CreatorsPessoa, Talitha Rodrigues Ribeiro Fernandes
Contributors02255508818, http://lattes.cnpq.br/2335211528795775, Morais, Cl?udia Helena Soares de, 45138222449, http://lattes.cnpq.br/8905654343063318, Azevedo, George Dantas de, 67381286491, http://lattes.cnpq.br/1088076378928302, Ara?jo, Maria Ercilia, 98316745887, Costa, Rafael Arouca Hofke, 03817138733, http://lattes.cnpq.br/7896560481508221, Noro, Luiz Roberto Augusto
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguagePortuguese
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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