MEDICAL INTERNSHIP: A PROPOSAL FOR A CONTINUOUS EVALUATION BY COMPETENCIES

Introduction and objective: The assessment for learning in the medical internship, consistently and coherently, is an ongoing challenge. This study describes a formative and continuous assessment tool (Competency Matrix (CM)) with criteria and parameters that are previously agreed between tutors and students and periodically recorded during the internship. Method: longitudinal Application of CM containing the dimensions of Knowledge, Attitude and Practice, matrixed with contents: conceptual (SUS principles, APS Attributes, MFC characteristics, Centered Medicine in person), instrumental (Access database, SOAP, CIAP, MBE / Clinical Epidemiology) and substantial (prevalent clinical themes). Results and conclusions: The continuous use of this instrument allows students and tutors to identify the learning potencialities and needs, building and fixing the route of acquisition of key competences to medical training. This is the formative assessment fase. The periodic reflection on the observations of CM occurs in two stages along the internship. Tutor and student identify whether the goals are being "hit" or "unreached" and rework strategies to review the competence item not reached. Eventually, in a third moment, at final of the stage, there is the selective evaluation fase, with the completion of approval or not the student. This Competence Matrix, has been applied and improved over the last three years of medical school where the authors are preceptors of Medicine of Family and Community. It was created to promote consistency between educational level and the gradual acquisition of skills required to operate in Primary Health, through the constant rearrangement of strategies by the student and his teacher.