Uso do OSCE como instrumento de avaliação em ginecologia e obstetrícia: percepção dos alunos de medicina da UFRN

Abstract

The Objective Structural Clinical Evoluation (OSCE) is recognized as an excellent competency assessment tool applied in Brazil and implemented in the UFRN medical course since 2011. However, there are few studies, mainly in gynecology and obstetrics that reveal the student's perception this instrument of evaluation. This study allowed to reflect on the use of innovative methodology in the training, recognizing limitations and positive points, in order to improve its applicability. The general objective was to analyze the perception of UFRN medical students about the use of the OSCE as an evaluation tool in gynecology and obstetrics. Fifty-one students from the 10th and 11th periods participated in the study. In the quantitative approach, a semi-structured questionnaire was applied with OSCE issues and an open-ended question "Relate the influence of the OSCE on learning, immediately after the evaluation, and on the qualitative use of the Free Association of Words TALP). The data were submitted to the EVOC software, analyzed according to Bardin in categories and subcategories and by descriptive statistics. In the results, it was observed that there was no statistically significant relationship between the variables, sex, age group and period of the course, used in this study, but in the descriptive analysis most of the students understand what the OSCE is and that it positively influenced their practice, there is impartiality and mastery of content by teachers, the stations are well structured and refine the knowledge. The student perceives the feedback as important in correcting their mistakes, but the interference of the emotional, influences negatively in the process, quoted in 87.9% of the speeches. From the lexicographic analysis carried out by the EVOC program 2000,174 evoked words pointed out that the Social Representations of student perception about the use of the OSCE have a central nucleus based on the category of emotional instability and associates the nervousness and anxiety to the OSCE as an evaluation tool. this your real difficulty. The open question reinforced the reliability of these data. It is concluded that in his perception, the student considers the OSCE a good evaluation tool, a valid experience, that sediments his professional practice and prepares for selective processes and that despite the limiting aspects, such as emotional factors, that can interfere negatively to a good result, the use of this evaluation instrument should be maintained in the discipline of gynecology and obstetrics.