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FEM: Revista de la Fundación Educación Médica

versão On-line ISSN 2014-9840versão impressa ISSN 2014-9832

Resumo

DIAZ-PLASENCIA, Juan A. et al. Reliability and validity of a reflective portfolio in the assessment of the clinical practice in the chapter of Surgical Oncology of the first Surgery course. FEM (Ed. impresa) [online]. 2016, vol.19, n.4, pp.175-185. ISSN 2014-9840.

Subjects and methods: This prospective correlational and descriptive study aimed to determine: the bivariate correlation among test scores of theoretical exam, clinical practice, virtual learning and objective structured clinical examination (OSCE) of the total series with portfolio; the regression equation to predict the score of portfolio from the theoretical and OSCE of chapter of surgical oncology; the correlation between self-reflective learning of portfolio with the final grade and portfolio scores with Inventory; and inter-rater reliability of the structure and its overall portfolio note. Results: There was significant correlation between portfolio and theoretical examination (r = 0.410; p = 0.0001), clinical practice (r = 0.258; p = 0.003), virtual clinical case (r = 0.260; p = 0.003) and OSCE (r = 0.204; p = 0.020). The multiple linear regression analysis determined the regression equation to predict the score of portfolio and its relation to the theory test (p = 0.001) and the OSCE of Surgical Oncology chapter (p = 0.010). There was significant correlation between self-reflective learning (r = 0.305; p = 0.0001) with the final theoretical note of the course. The rater reliability of portfolio was significant in: real clinical case (α = 0.486; p = 0.006), critical incident (α = 0.702; p = 0.0001), self-reflective learning (α = 0.664; p = 0.0001) and language structure (α = 0.431; p = 0.017). There was a correlation between the two raters with respect to the note of portfolio (α = 0.67; p = 0.0001) and the test Inventory (α = 0.632; p = 0.001). Conclusions: The portfolio can be used in undergraduate because it is a reliable instrument and has predictive and concurrent validity, allowing students to reflect on their learning needs.

Palavras-chave : Evaluation; Medical education; Portfolios; Reliability; Undergraduate; Validity.

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