Medicina do adolescente - matriz de competências para a graduação médica

Abstract

The competency-based education aims at the formation of a professional that, beyond dominating knowledge, possesses the necessary abilities and skills to face complex challenges that will appear in professional life. The present work has as an objective to contribute for the creation of a competency matrix ordered to the Adolescent Medicine during medical graduation with the scope that the egressed may, at the end of the course, carry it out with autonomy and safety. The work in sight consists of a quantitative exploratory study, which utilized the Delphi Methodology, and was realized in four phases: first a bibliografic survey and the creation of a pilot matrix were made; in sequence a research was performed with specialists (pediatricians and adolescent medics) – first evaluation cycle of pilot matrix; in the third phase, research was done alongside a panel of local judges – second evaluation cycle of pilot matrix; and at last, the results were analysed and the definitive matrix was elaborated. At the end of the two evaluation cycles a matrix proposal composed of 24 essential competencies in Adolescent Medicine was structured upon 3 thematic axies: the first axis, containing competencies linked to adolescent care; the second, containing competencies over the main themes in Adolescent Medicine; and the third axis, with the general competencies concentrated in the acknowledgement of the main pathologies that affect adolescents. The results allowed to trace a profile of competencies in accordance with the proposed objective and will permit the fullfilment of an existent gap in professional formation, guaranting a training in Adolescent Medicine, suplying the necessity of dealing with questions more directed to psicossocial and sexual problems, and the physical and emotional developement of that part of the population which necessitates higher atention.