Competency-based training in medical residency: Case study in a medium-sized private hospital

Abstract

Introduction: Medical residency in medium-sized private hospitals faces challenges related to high care pressure, limited academic tradition, and fragile systematized pedagogical structures, which compromise the comprehensive development of residents and the sustainability of the educational environment.

Objective: To describe and analyze the Clinical Connection Project as a structured educational intervention aimed at the integrated development of hard skills, soft skills, and hybrid skills in medical residents of a medium-sized private hospital.

Methodology: This is a descriptive case study with a qualitative approach, based on document analysis, participant observation, questionnaires, and semi-structured interviews with residents, preceptors, and institutional managers. The intervention combined technical and behavioral educational strategies, including clinical-pedagogical meetings, progress testing, structured feedback, individual development plans, and the andragogical use of the DISC tool for behavioral profile analysis.

Results: The findings indicate strengthening of clinical reasoning and decision-making, improvement in communication skills, teamwork, and emotional self-regulation, as well as the development of hybrid skills characterized by the integration of clinical judgment, use of care-related data, clinical communication, and ethical responsibility. Additionally, positive evolution was observed in institutional indicators related to patient experience, particularly the Net Promoter Score in the Emergency Department.

Conclusions: The Clinical Connection Project contributed to the systematization of andragogical practices, strengthening of the teaching culture, integration of multiprofessional teams, and promotion of a more balanced and mature training process, demonstrating the feasibility and relevance of structured educational interventions in non-university private hospitals.