Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

CONTEXT AND OBJECTIVE: This research project arose from a proposal made to the teachers by the students of a medical course at a federal university in Brazil, from their personal experiences regarding the skills and competencies that should be developed during the obstetrics and gynecology (OBG) stage of the internship. The objective here was to develop the matrix of skills necessary for training good general physicians in the medical course.DESIGN AND SETTING: Exploratory qualitative study conducted in a federal university in Brazil.METHODS: The basis for developing these competencies among OBG interns was "The Competency Matrix for Medical Internship" developed by Bollela and Machado. The instrument was presented to, analyzed by and modified by a set of OBG specialists, at two sessions.RESULTS: The specific competencies expected from students over the internship in OBG were framed within overall topics that had previously been determined and listed: healthcare, decision-making, communication and interpersonal relationships, management and organization of the Brazilian National Health System (Sistema Único de Saúde, SUS) and professionalism.CONCLUSIONS: A competency matrix that standardizes the minimum requirements that interns should be capable of putting into practice after concluding the OBG stage is a valuable tool for ensuring student performance and a fair and rigorous assessment for them, thereby seeking to train good general physicians who meet the community's needs.

研究背景与目的：本研究项目源自巴西某联邦大学医学专业学生向教师提交的提案——学生结合自身在妇产科（obstetrics and gynecology，简称OBG）实习阶段对应当培养的技能与能力的个人体会，提出相关建议。本研究旨在制定该医学专业培养优秀全科医师的必备技能矩阵。
研究设计与实施场景：本研究为在巴西某联邦大学开展的探索性定性研究。
研究方法：开发OBG实习生所需核心能力的依据，为Bollela与Machado制定的《医学实习能力矩阵》（The Competency Matrix for Medical Internship）。该工具经多名OBG专家通过两次会议研讨、分析并完成修订。
研究结果：OBG实习阶段学生应具备的特定能力，被归入此前预先确定并列出的五大核心主题：医疗照护、决策制定、沟通与人际关系、巴西国家卫生系统（Sistema Único de Saúde，简称SUS）的管理与组织，以及职业素养。
研究结论：制定一套标准化能力矩阵，明确OBG实习阶段结束后实习生需具备的最低实践要求，是保障学生学习成效、对其开展公平严谨考核的重要工具，进而助力培养满足社区实际需求的优秀全科医师。