Competências clínicas essenciais em endocrinologia e metabologia para o médico generalista

Abstract

Introduction: Teaching by Competencies mobilizes Knowledge, Skills and Attitudes. In the medical field, it is important to define the competences necessary for a general practitioner, contributing to the training of professionals more prepared for the job. A competence matrix expresses the collective consensus about the essential content for the student, being an instrument able to guide the teaching-learning processes. Objective: To develop a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabolism for the General Practitioner, to be achieved at the end of the undergraduate course in Medicine. Methodology: For the accomplishment of this work, the Delphi methodology was applied, in order to obtain consensus about the Essential Clinical Competencies. The study was divided into four phases: bibliographic survey and construction of the Pilot Matrix; opinion consultation with 07 local judges; analysis of the results obtained after the 1st evaluation cycle and elaboration of a questionnaire for a 2nd evaluation cycle; application of the questionnaire, analysis of responses and preparation of the Final Competency Matrix. Results: The Pilot Matrix was composed of 23 competencies, defined based on the main sub-areas of Endocrinology and Metabology, covering Knowledge, Skills and Attitudes. After the 1st evaluation cycle, alterations were suggested in 14 competences, totaling 22 alteration proposals. After the 2nd evaluation cycle, there was consensus on 16 of the 22 suggested changes, 05 for Increasing the Complexity of Competence, 07 for Reducing the Complexity of Competence and 04 for Changing the Competence. There was no situation of Exclusion from Competence. Conclusion: The elaboration of a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabology for the General Practitioner, to be achieved at the end of the graduation in Medicine, is fundamental, due to the increasing frequency of endocrine and metabolic diseases in the world population, the shortage of specialists and the reduced amount of adequate material on the subject. In this way, the Matrix proposal contributes to contemporary medical education based on Competencies, as well as to the qualified teaching of Endocrinology in undergraduate Medicine.