Avaliação do uso de portfólio na educação médica em cenário da Atenção Primária à Saúde - uma contribuição do curso de medicina da Universidade José do Rosário Vellano

Abstract

Introduction: The National Curriculum Guidelines for the medical course reinforced the need to contextualize medical education in Primary Health Care scenarios. Evaluating learning in Primary Health Care requires tools that can capture the complexity of the teaching-learning process and reliably assess the acquisition of knowledge. One of the instruments for this purpose is the portfolio. Objectives: To evaluate the use of the portfolio implemented by the School of Medicine of the José do Rosário Vellano University (UNIFENAS-BH) in the educational strategy Medical Practice in the Community, aiming to identify if the learning objectives were reached and to evaluate students ability to reflect in the portfolio. Methodology: A descriptive, retrospective study of a qualitative approach that had as scenario and subjects of research the students of the first and third periods enrolled in the discipline Medical Practice in the Community, in the first half of 2018. First, it was carried out content analysis, thematic analysis type , in which words, phrases or expressions were expressed that expressed students' understanding of the content of the subject and the adequacy to the learning objectives of the educational strategy. Next, the portfolios were analyzed in order to identify in the reports the student's reflective capacity using the R.E.F.L.E.C.T. Results: As regards the content analysis of the portfolios, it was possible to observe a heterogeneous apprehension of the content worked in the educacional estrategy. Some learning objectives were achieved and quoted more frequently, others quoted by a small number of students and others were not highlighted at any time. The analysis by R.E.F.L.E.C.T. demonstrated that the students presented low levels of reflection, with important difference between the internship fields. The students who carried out their activities in the UBS of greater social vulnerability are more reflective. Final considerations: The study demonstrated the potential of the portfolio to be an evaluation tool to monitor the acquisition of skills and competences by the students, while fostering understanding about the social reality of the community visited, as well as allowing the discovery of self and about the people with whom they lived during the activity. In order for this potential to be well exploited, it is essential that the appropriate environment for its implementation is guaranteed.