Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care
Abstract Background In Brazil, residency programmes in Family and Community Medicine (FCM) and Multiprofessional Residency in Family Health (MRFH) are two-year specialisation courses, funded by the federal government, which aim to train professionals to work in Primary Health Care (PHC). The aim of...
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2025-07-01
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| Online Access: | https://doi.org/10.1186/s12909-025-07521-z |
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| author | Élida de Fátima Diniz Souza Ana Paula Ramos Machado José Danúzio Leite de Oliveira José Olivandro Duarte de Oliveira Lauradella Geraldinne Sousa Nóbrega Maysa Barbosa Rodrigues Toscano Daiane Medeiros da Silva Ricardo Alves de Olinda Renata Valéria Nóbrega David Matheson Silvana Santos |
| author_facet | Élida de Fátima Diniz Souza Ana Paula Ramos Machado José Danúzio Leite de Oliveira José Olivandro Duarte de Oliveira Lauradella Geraldinne Sousa Nóbrega Maysa Barbosa Rodrigues Toscano Daiane Medeiros da Silva Ricardo Alves de Olinda Renata Valéria Nóbrega David Matheson Silvana Santos |
| author_sort | Élida de Fátima Diniz Souza |
| collection | DOAJ |
| description | Abstract Background In Brazil, residency programmes in Family and Community Medicine (FCM) and Multiprofessional Residency in Family Health (MRFH) are two-year specialisation courses, funded by the federal government, which aim to train professionals to work in Primary Health Care (PHC). The aim of this study was to draw up an inventory of the assessed competences of the residency programmes in the state of Paraíba, Brazil. Our study’s hypothesis is that self-assessment of competences can be a useful tool for monitoring the development of competences in the training of health professionals, contributing to the process of transitioning from academic curricula to one that is more responsive to the needs of health systems. Methods This is a cross-sectional study with a quantitative approach, in which a structured questionnaire was applied to 300 residents and preceptors from eleven FCM and MRFH residency programmes. Thirty-four professional competences were assessed, and scores were produced from the sum of the Likert scale scores, ranging from 0 to 170 points. Descriptive statistical analysis showed the frequency of residents and preceptors mastering each of the 34 competences. Bivariate analysis was used to compare the differences between these two groups (residents and preceptors) and to assess the agreement between the residents’ self-assessment and that of their preceptor’s evaluation. Results Most participants were female (69.7%), had no partner (53.7%) and no children (76%). The competency score was higher among preceptors (p = 0.003), males (p = 0.008) and those with more experience in PHC (p = 0.003). Among physicians, the median resident self-assessment score was 123, while the resident assessment by the preceptor was 140 (p < 0.001). In the case of the MFHR, there was no significant difference between the median resident self-assessment (134.5) and the resident assessment by the preceptor (130.0) (p = 0.483). Conclusions The Inventory of self-assessed competences proved to be a useful and quick tool for identifying the training strengths and weaknesses of professionals working in Primary Health Care. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-0049420d64ca4f07bd7cd85e8860f7cd |
| institution | Kabale University |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
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| series | BMC Medical Education |
| spelling | doaj-art-0049420d64ca4f07bd7cd85e8860f7cd2025-08-20T04:01:41ZengBMCBMC Medical Education1472-69202025-07-0125111410.1186/s12909-025-07521-zInventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health careÉlida de Fátima Diniz Souza0Ana Paula Ramos Machado1José Danúzio Leite de Oliveira2José Olivandro Duarte de Oliveira3Lauradella Geraldinne Sousa Nóbrega4Maysa Barbosa Rodrigues Toscano5Daiane Medeiros da Silva6Ricardo Alves de Olinda7Renata Valéria Nóbrega8David Matheson9Silvana Santos10Mestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaDepartamento de Estatística, Universidade Estadual da ParaíbaMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaSchool of Nursing, University of WolverhamptonMestrado Profissional em Saúde da Família (PROFSAÚDE), Universidade Estadual da ParaíbaAbstract Background In Brazil, residency programmes in Family and Community Medicine (FCM) and Multiprofessional Residency in Family Health (MRFH) are two-year specialisation courses, funded by the federal government, which aim to train professionals to work in Primary Health Care (PHC). The aim of this study was to draw up an inventory of the assessed competences of the residency programmes in the state of Paraíba, Brazil. Our study’s hypothesis is that self-assessment of competences can be a useful tool for monitoring the development of competences in the training of health professionals, contributing to the process of transitioning from academic curricula to one that is more responsive to the needs of health systems. Methods This is a cross-sectional study with a quantitative approach, in which a structured questionnaire was applied to 300 residents and preceptors from eleven FCM and MRFH residency programmes. Thirty-four professional competences were assessed, and scores were produced from the sum of the Likert scale scores, ranging from 0 to 170 points. Descriptive statistical analysis showed the frequency of residents and preceptors mastering each of the 34 competences. Bivariate analysis was used to compare the differences between these two groups (residents and preceptors) and to assess the agreement between the residents’ self-assessment and that of their preceptor’s evaluation. Results Most participants were female (69.7%), had no partner (53.7%) and no children (76%). The competency score was higher among preceptors (p = 0.003), males (p = 0.008) and those with more experience in PHC (p = 0.003). Among physicians, the median resident self-assessment score was 123, while the resident assessment by the preceptor was 140 (p < 0.001). In the case of the MFHR, there was no significant difference between the median resident self-assessment (134.5) and the resident assessment by the preceptor (130.0) (p = 0.483). Conclusions The Inventory of self-assessed competences proved to be a useful and quick tool for identifying the training strengths and weaknesses of professionals working in Primary Health Care. Clinical trial number Not applicable.https://doi.org/10.1186/s12909-025-07521-zSelf-assessmentCompetencesMedical residencyFamily and community medicinePrimary health care |
| spellingShingle | Élida de Fátima Diniz Souza Ana Paula Ramos Machado José Danúzio Leite de Oliveira José Olivandro Duarte de Oliveira Lauradella Geraldinne Sousa Nóbrega Maysa Barbosa Rodrigues Toscano Daiane Medeiros da Silva Ricardo Alves de Olinda Renata Valéria Nóbrega David Matheson Silvana Santos Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care BMC Medical Education Self-assessment Competences Medical residency Family and community medicine Primary health care |
| title | Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| title_full | Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| title_fullStr | Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| title_full_unstemmed | Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| title_short | Inventory of self-assessed competences: a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| title_sort | inventory of self assessed competences a tool for identifying training strengths and weaknesses in medical and multiprofessional residency programmes for primary health care |
| topic | Self-assessment Competences Medical residency Family and community medicine Primary health care |
| url | https://doi.org/10.1186/s12909-025-07521-z |
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