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Cross-cultural adaptation of the milestones project in otolaryngology for the brazilian reality

ABSTRACT

Introduction:

competency-based medical education is well established, but there is a worldwide shortage of instruments capable of assessing these doctors in training.

Objective:

to validate the instrument The Otolaryngology - Head and Neck Surgery Milestone Project for use in Residency Programs in Otorhinolaryngology in Brazil.

Method:

The study had 5 stages. In stage I, two independent translations of the Milestones Project in otorhinolaryngology were carried out. In step II, a synthesis of the translations was performed. Subsequently, the competencies required by the Brazilian Association of Otorhinolaryngology for training otorhinolaryngologists in Brazil were added. In step III, a back-translation of the instrument was carried out and sent to the original authors. Then, the instrument was sent to be evaluated by a committee of 8 experts. In stage IV, each expert made comments about each of the items, and after analyzing the suggestions, a new instrument was created. In stage V, this instrument was sent for evaluation by otorhinolaryngologists across the country.

Results:

after translations and expert evaluation, an instrument with 19 items was created. The instrument was submitted to analysis by Otorhinolaryngologists from all over Brazil. Acceptance percentages were: applicability (99.25%), reliability (99.5%), reproducibility (98.6%), reliability (93.84%), relevance (93.15%).

Conclusion:

the created instrument was considered applicable, reproducible, relevant, reliable and trustworthy, presenting content validity.

Keywords:
Otolaryngology; Internship and Residency; Educational Measurement; Competency-Based Education; Validation Study

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