The Progress Test in gynecology and obstetrics medical residency: the national experience

Abstract: Introduction: The Progress Test (PT) is a comprehensive, longitudinal cognitive assessment with benefits for the learner, educational programs, and society. Although it is widely used in undergraduate courses in Brazil, there is little experience regarding its use in medical residency. This study aims to portray Febrasgo’s experience in the first four years of implementing the Resident’s Individual PT in ObGyn (TPI-GO). Experience report: The TPI-GO was implemented in 2018, being offered annually to Brazilian residents. In the last two years, the TPI-GO has been provided online. Febrasgo established criteria that allow for exemption or bonus in the theoretical test to encourage the trainees’ participation in the TPI-GO to obtain the Specialist Certification in Gynecology and Obstetrics (TEGO). Results are provided confidentially to candidates and allow self-assessment. The results of the residents’ performance from the same service are provided to the program supervisor, offering subsidies for self-assessment of quality and indicating points for improvement. Discussion: Since it was implemented, there has been an increasing number of candidates enrolled in the TPI-GO and a high adherence rate. The medians of performance of the two cohorts of residents studied showed cognitive evolution between beginners (R1) and graduates (R3), with differences attributed in part to the adverse effects of the Pandemic on training. Conclusion: The implementation of the PT in medical residency is feasible, acceptable, and shows advantages and benefits, but it requires the commitment of the organizing team, besides logistical and financial support. The results confidentiality is recommended and preserves the candidate. The possibility of granting bonuses and exemptions in the TEGO theoretical test is an excellent attraction aiming at the adhesion and adherence of residents to the PT. The TPI-GO online increases access with acceptable levels of security.

摘要
引言：进展测试（Progress Test，PT）是一项综合性纵向认知评估工具，可为学习者、教育项目乃至社会带来多重益处。尽管该测试在巴西本科阶段课程中应用较为广泛，但在医学住院医师培训领域的使用经验却相对不足。本研究旨在呈现巴西妇产科医师协会（Febrasgo）在妇产科住院医师个人进展测试（TPI-GO）实施首四年的实践经验。

经验报告：TPI-GO于2018年正式推行，每年面向巴西住院医师开放。近两年来，该测试已转为线上开展。为鼓励住院医师参与TPI-GO以获取妇产科专科医师认证（TEGO），Febrasgo制定了相关规则，可为参与测试的学员提供理论考试豁免或加分激励。测试结果将以保密形式反馈给考生，供其开展自我评估；同一科室住院医师的整体表现结果则会反馈给项目主管，为其开展质量自查提供依据，并指明待改进方向。

讨论：自推行以来，报名参与TPI-GO的考生人数持续增长，且整体参与率维持在较高水平。对两届住院医师群体的表现中位数分析显示，初级住院医师（R1）与终末期住院医师（R3）的认知水平存在显著提升，部分差异可归因于此次疫情对住院医师培训造成的不利影响。

结论：在医学住院医师培训中推行进展测试具备可行性与接受度，且能带来诸多优势与益处，但需要组织团队的投入，以及必要的后勤与资金支持。建议测试结果以保密形式发放，以保护考生权益。在TEGO理论考试中设置豁免或加分政策，是吸引住院医师参与进展测试的有效激励举措。线上开展的TPI-GO大幅提升了测试的可及性，且具备可接受的安全保障水平。