Assessment of the Performance of Orthopedic Residents in Clinical Practice

The Mini Clinical Evaluation Exercise (Mini-CEX) was applied by three teaching doctors at four different moments. The instrument was adapted by the authors for use in orthopedics, with the development of descriptors for each evaluated skill. Supervisors were trained to use the Mini-CEX by the principal investigator through teaching materials and discussions, with standardization of the instrument descriptors.

Results

The mean scores obtained in the 4 evaluations for each of the 21 residents reveal improvement in the performances of residents in all skills assessed from the 1^st to the 4^th meeting.

Conclusions

We have found that the performance of orthopedic residents presented a satisfactory evolution, with progressive improvement in all skills.

Keywords
learning; orthopedics; physical examination; teaching

Competence	Meetings (mean ± standard deviation)				p ^* * Y – postgraduate year. Different letters indicate significant differences. R1–first year resident, R2–second year resident, R3–third year resident.
Competence	First	Second	Third	Fourth
Physical examination	2.67 ± 1.02d	3.71 ± 0.96c	5.86 ± 0.96b	6.57 ± 1.25a	< 0.001
Medical interview skill	2.86 ± 1.39d	3.95 ± 1.02c	6.00 ± 0.95b	7.00 ± 0.89a	< 0.001
Clinical judgment	4.19 ± 1.33c	4.90 ± 0.83c	6.57 ± 1.16b	7.38 ± 0.86a	< 0.001
Humanistic quality	4.14 ± 1.24c	5.19 ± 1.03b	6.14 ± 1.11a	6.76 ± 1.04a	< 0.001

Competence	Y^* * Diferentes letras indicam diferenças significativas.	First	Second	Third	Fourth	p ^** Teste de Friedman seguido por análise posthoc.
Physical examination	R1	1.86 ± 1.07d	3.00 ± 0.58c	4.86 ± 0.90b	6.29 ± 0.49a	<0.001
	R2	3.17 ± 0.75b	3.67 ± 1.21b	6.33 ± 0.52a	6.83 ± 0.75a	0.001
	R3	3.00 ± 0.76b	4.38 ± 0.52b	6.38 ± 0.52a	6.63 ± 1.92a	0.001
Medical interview skill	R1	1.43 ± 1.13c	3.00 ± 0.58c	5.14 ± 1.07b	6.29 ± 0.49a	0.001
	R2	3.50 ± 0.84c.b	4.50 ± 1.22b	6.17 ± 0.41a	7.00 ± 0.89a	< 0.001
	R3	3.63 ± 0.92c	4.38 ± 0.52c	6.63 ± 0.52b	7.63 ± 0.74a	0.001
Clinical judgment	R1	2.86 ± 1.07c	4.29 ± 0.49c	5.57 ± 1.13a	6.57 ± 0.53a	0.001
	R2	4.67 ± 1.03c	5.33 ± 0.82c	6.67 ± 0.82b	7.83 ± 0.75a	0.001
	R3	5.00 ± 0.76b	5.13 ± 0.83b	7.38 ± 0.74a	7.75 ± 0.71a	< 0.001
Humanistic quality	R1	3.71 ± 1.11b	4.86 ± 1.21b	5.71 ± 1.11a	6.71 ± 1.11a	0.001
	R2	4.17 ± 1.47b	5.00 ± 1.26b	6.00 ± 1.10a	6.33 ± 0.52a	0.002
	R3	4.50 ± 1.20d	5.63 ± 0.52c	6.63 ± 1.06b	7.13 ± 1.25a	< 0.001

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] Address for correspondence Bruno Air Machado da Silva, Ortopedia e Traumatologista no Instituto Ortopédico de Goiânia, Rua 56, 554, Jardim Goiás, 554, Goiânia, Goiás, Brasil, brunoairmachado@hotmail.com

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Assessment of the Performance of Orthopedic Residents in Clinical Practice* * Work developed in the Hospital das Clínicas Universidade Federal de Goiás, GO, Brazil

Abstract

Objective

Methods

Results

Conclusions

Assessment of the Performance of Orthopedic Residents in Clinical Practice^* * Work developed in the Hospital das Clínicas Universidade Federal de Goiás, GO, Brazil