National Consensus Catalog of Psychomotor Competencies for Brazilian Medical Graduates: a modified Delphi study - Part I.
- 1Universidade Federal de São Paulo - São Paulo (SP), Brazil.
- 2Santa Casa de São Paulo, Faculdade de Ciências Médicas - São Paulo (SP), Brazil.
- 3Faculdade de Medicina do ABC - Santo André (SP), Brazil.
Abstract
Objective
To develop a national consensus catalog of essential psychomotor competencies and establish the minimum expected competence levels for graduating medical students across anesthesiology and surgical specialties in Brazil using a modified Delphi process.Methods
This national consensus-development study used a two-round modified Delphi process coordinated by the Brazilian Medical Association. Scientific Committees representing anesthesiology and 14 surgical specialty societies developed preliminary specialty-specific catalogs and proposed the expected competence level for each competency. Board-certified specialists evaluated the competency-competence-level combinations using a five-point Likert scale. Consensus was predefined as ≥75% combined agreement.Results
A total of 802 specialists participated in the first Delphi round, and 622 completed the second round. The preliminary catalogs comprised 343 competency statements. Of these, 273 (79.6%) achieved consensus, whereas 70 (20.4%) were excluded. During the first Delphi round, participants proposed 103 additional competency statements, of which 90 (87.4%) achieved consensus after evaluation during the second Delphi round. The final consensus catalog comprised 363 specialty-specific psychomotor competencies, corresponding to 244 unique psychomotor competencies after harmonization. Most competencies were classified as Perform independently (n=274), followed by Perform under supervision (n=55) and Master the technique (n=34).Conclusion
This modified Delphi study established a national consensus catalog of psychomotor competencies and expected competence levels for graduating medical students across anesthesiology and 14 surgical specialties. The catalogue provides a national consensus-based reference for competency-based undergraduate medical education. Future studies should evaluate its implementation and educational impact.
Related
- National Consensus Catalogue of Psychomotor Competencies for Brazilian Medical Graduates: a modified Delphi Study - Part II.
- Self-perceived competencies of Master of Public Health graduates and recommendations for programs in South Africa
- Development of consensus-based standards for a National Clinical Audit of Perioperative Care: protocol for a modified Delphi consensus study.
- Care coordination through primary health care and network integration: the importance of ensuring comprehensive and integrated care in the Brazilian Unified National Health System
- Developing national meta-accreditation standards for medical education accreditation bodies in Iran: a mixed-methods standards development and consensus study.
BibTeX
@article{nogueira2026national,
title = {{National Consensus Catalog of Psychomotor Competencies for Brazilian Medical Graduates: a modified Delphi study - Part I.}},
author = {Rodrigo de Melo Nogueira and José Eduardo Lutaif Dolci and Cesar Eduardo Fernandes and Antonio José Gonçalves and José Gustavo Parreira and Ramiro Colleoni Neto and Francisco Sandro Menezes-Rodrigues and Fernando Sabia Tallo and Brazilian Specialty Societies},
journal = {Revista da Associacao Medica Brasileira (1992)},
year = {2026},
month = oct,
doi = {10.1590/1806-9282.20261096},
url = {https://europepmc.org/article/MED/42912054},
note = {CC BY},
}
RIS
TY - JOUR
TI - National Consensus Catalog of Psychomotor Competencies for Brazilian Medical Graduates: a modified Delphi study - Part I.
AU - Rodrigo de Melo Nogueira
AU - José Eduardo Lutaif Dolci
AU - Cesar Eduardo Fernandes
AU - Antonio José Gonçalves
AU - José Gustavo Parreira
AU - Ramiro Colleoni Neto
AU - Francisco Sandro Menezes-Rodrigues
AU - Fernando Sabia Tallo
AU - Brazilian Specialty Societies
PY - 2026
DA - 2026/10/19
JO - Revista da Associacao Medica Brasileira (1992)
DO - 10.1590/1806-9282.20261096
UR - https://europepmc.org/article/MED/42912054
AB - Objective To develop a national consensus catalog of essential psychomotor competencies and establish the minimum expected competence levels for graduating medical students across anesthesiology and surgical specialties in Brazil using a modified Delphi process.Methods This national consensus-development study used a two-round modified Delphi process coordinated by the Brazilian Medical Association. Scientific Committees representing anesthesiology and 14 surgical specialty societies developed preliminary specialty-specific catalogs and proposed the expected competence level for each competency. Board-certified specialists evaluated the competency-competence-level combinations using a five-point Likert scale. Consensus was predefined as ≥75% combined agreement.Results A total of 802 specialists participated in the first Delphi round, and 622 completed the second round. The preliminary catalogs comprised 343 competency statements. Of these, 273 (79.6%) achieved consensus, whereas 70 (20.4%) were excluded. During the first Delphi round, participants proposed 103 additional competency statements, of which 90 (87.4%) achieved consensus after evaluation during the second Delphi round. The final consensus catalog comprised 363 specialty-specific psychomotor competencies, corresponding to 244 unique psychomotor competencies after harmonization. Most competencies were classified as Perform independently (n=274), followed by Perform under supervision (n=55) and Master the technique (n=34).Conclusion This modified Delphi study established a national consensus catalog of psychomotor competencies and expected competence levels for graduating medical students across anesthesiology and 14 surgical specialties. The catalogue provides a national consensus-based reference for competency-based undergraduate medical education. Future studies should evaluate its implementation and educational impact.
SN - 0104-4230
SN - 1806-9282
ER -