Atividades profissionais confiáveis na otorrinolaringologia: revisão integrativa
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Resumo
Objetivo: Avaliar as evidências sobre a aplicação de Atividades Profissionais Confiáveis na residência médica de Otorrinolaringologia. Métodos: Realizou-se, em dezembro de 2024, uma revisão integrativa da literatura por meio de artigos publicados nos últimos cinco anos, disponíveis na Biblioteca Virtual da Saúde (BVS), Web of Science, Embase e Google Schoolar. A estratégia de busca retornou 1294 artigos, após aplicação de filtros 7 foram incluídos. As variáveis categoriais avaliadas foram: 1- metodologia, 2- implementação, 3- pontos fortes e 4- fragilidades. Resultados: Dos 7 artigos, 4 desenvolveram estudo metodológico para criação das APCs voltadas a Otorrinolaringologia e algumas subáreas com variações na quantidade de 46 a 335, enquanto 2 estudos realizaram avalição de desempenho das APCs através de aplicativo (11 APCs). Em 2 estudos foi possível realizar uma avaliação longitudinal dos residentes com identificação de padrões de progressão nos níveis de competências. Apenas 2 estudos contemplou uma avaliação multicêntrica das APCs. Considerações Finais: Atividades Profissionais Confiáveis oferecem uma abordagem estruturada para o aprendizado baseado em competências, permitindo que os residentes adquiram habilidades práticas essenciais de forma progressiva e com avaliação continua. Mas enfatiza-se os desafios de padronização de APCs únicas que possam ser utilizadas por vários centros.
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