<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="letter"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIR Med Educ</journal-id><journal-id journal-id-type="publisher-id">mededu</journal-id><journal-id journal-id-type="index">20</journal-id><journal-title>JMIR Medical Education</journal-title><abbrev-journal-title>JMIR Med Educ</abbrev-journal-title><issn pub-type="epub">2369-3762</issn></journal-meta><article-meta><article-id pub-id-type="publisher-id">56568</article-id><article-id pub-id-type="doi">10.2196/56568</article-id><title-group><article-title>Collaborative Development of an Electronic Portfolio to Support the Assessment and Development of Medical Undergraduates</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" equal-contrib="yes"><name name-style="western"><surname>dos Santos</surname><given-names>Luiz Ricardo Albano</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>de Oliveira</surname><given-names>Alan Maicon</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>dos Santos</surname><given-names>Luana Michelly Aparecida Costa</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Aguilar</surname><given-names>Guilherme Jos&#x00E9;</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Costa</surname><given-names>Wilbert Dener Lemos</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Donato</surname><given-names>Dantony de Castro Barros</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Bollela</surname><given-names>Valdes Roberto</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib></contrib-group><aff id="aff1"><institution>Ribeir&#x00E3;o Preto Medical School, University of S&#x00E3;o Paulo</institution>, <addr-line>Ribeir&#x00E3;o Preto</addr-line>, <country>Brazil</country></aff><aff id="aff2"><institution>School of Pharmaceutical Sciences of Ribeir&#x00E3;o Preto, University of S&#x00E3;o Paulo</institution>, <addr-line>Ribeir&#x00E3;o Preto</addr-line>, <country>Brazil</country></aff><aff id="aff3"><institution>Faculty of Philosophy, Sciences and Letters at Ribeir&#x00E3;o Preto, University of S&#x00E3;o Paulo</institution>, <addr-line>Ribeir&#x00E3;o Preto</addr-line>, <country>Brazil</country></aff><aff id="aff4"><institution>Clinical Hospital of the Ribeir&#x00E3;o Preto Medical School, University of S&#x00E3;o Paulo</institution>, <addr-line>Ribeir&#x00E3;o Preto</addr-line>, <country>Brazil</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Mogali</surname><given-names>Sreenivasulu Reddy</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name name-style="western"><surname>Arbabisarjou</surname><given-names>Azizollah</given-names></name></contrib><contrib contrib-type="reviewer"><name name-style="western"><surname>Lima</surname><given-names>Iara Souza</given-names></name></contrib><contrib contrib-type="reviewer"><name name-style="western"><surname>Lacerda</surname><given-names>Kleython</given-names></name></contrib></contrib-group><author-notes><corresp>Correspondence to Luiz Ricardo Albano dos Santos, PhD<email>luiz.ricardo.santos@usp.br</email></corresp><fn fn-type="equal" id="equal-contrib1"><label>*</label><p>all authors contributed equally</p></fn></author-notes><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>4</day><month>4</month><year>2024</year></pub-date><volume>10</volume><elocation-id>e56568</elocation-id><history><date date-type="received"><day>19</day><month>01</month><year>2024</year></date><date date-type="rev-recd"><day>27</day><month>02</month><year>2024</year></date><date date-type="accepted"><day>04</day><month>03</month><year>2024</year></date></history><copyright-statement>&#x00A9; Luiz Ricardo Albano dos Santos, Alan Maicon de Oliveira, Luana Michelly Aparecida Costa dos Santos, Guilherme Jos&#x00E9; Aguilar, Wilbert Dener Lemos Costa, Dantony de Castro Barros Donato, Valdes Roberto Bollela. Originally published in JMIR Medical Education (<ext-link ext-link-type="uri" xlink:href="https://mededu.jmir.org">https://mededu.jmir.org</ext-link>), 4.4.2024. </copyright-statement><copyright-year>2024</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Education, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://mededu.jmir.org/">https://mededu.jmir.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://mededu.jmir.org/2024/1/e56568"/><abstract><p>This study outlines the development of an electronic portfolio (e-portfolio) designed to capture and record the overall academic performance of medical undergraduate students throughout their educational journey. Additionally, it facilitates the capture of narratives on lived experiences and sharing of reflections, fostering collaboration between students and their mentors.</p></abstract><kwd-group><kwd>e-portfolio</kwd><kwd>education</kwd><kwd>health education</kwd><kwd>learning</kwd><kwd>medical students</kwd><kwd>medical school curriculum</kwd><kwd>medical education</kwd><kwd>student support</kwd><kwd>software</kwd></kwd-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><p>The Brazilian curriculum guidelines for medical schools incorporate competencies in information technology, emphasizing students&#x2019; co-responsibility in acquiring soft skills such as leadership, teamwork, and continuous professional development [<xref ref-type="bibr" rid="ref1">1</xref>]. The curriculum experience must foster critical and reflective skills [<xref ref-type="bibr" rid="ref2">2</xref>].</p><p>Ribeir&#x00E3;o Preto Medical School at University of S&#x00E3;o Paulo, Brazil (FMRP-USP), is a 72-year-old traditional institution that initiated a curriculum change in January 2023. In this new proposal, we introduced a longitudinal axis and curricular unit called personal and professional development (PPD). The primary objective of PPD is to foster self-reflection on lived experiences, regular self-assessment, and monitoring of the students&#x2019; progress in curricular and extracurricular activities, with a mentor&#x2019;s support.</p><p>To support the implementation of the PPD curricular unit, we collaboratively developed a software to serve as the electronic portfolio (e-portfolio) and record the overall academic performance of undergraduate medical students throughout their educational journey. An additional expectation is to encourage and guide teachers to provide and register formative assessments in their disciplines and rotations, and to document their experiences and reflections.</p></sec><sec id="s2" sec-type="methods"><title>Methods</title><p>The collaborative development of the system involved developers, health educators, and students, which was crucial to ensure that the e-portfolio meets the needs and expectations of all stakeholders. Developers contributed technical expertise for functionality and accessibility, while educators shaped content based on educational principles. Students, as primary users, provided valuable feedback.</p><p>The main challenge in developing the e-portfolio was to create an initial set of requirements. With various participants bringing different ideas, there was a multitude of perspectives in the initial phase, which brought fundamental enrichment during development but also increased the difficulty of integrating all perspectives.</p><p>These challenges were overcome with Scrum [<xref ref-type="bibr" rid="ref3">3</xref>] integrated with socio-technical research methodology to facilitate the collaborative environment. We implement Scrum practices, such as daily 5-minute meetings and biweekly 30-minute sprint reviews, ensuring incremental and continuous deliveries and communication between the development team and stakeholders, mainly regarding system development. Additionally, we integrated the socio-technical research methodology [<xref ref-type="bibr" rid="ref4">4</xref>] into SCRUM, aiming to understand the software requirements as well as the various social and technological factors involved.</p><p>Regarding software development technologies, we used HTML, CSS, PHP, and the MySQL database management system.</p></sec><sec id="s3"><title>Ethics Approval</title><p>The study received approval from the research ethics committee of the Clinical Hospital of FMRP-USP (CAAE: 67577523.1.0000.5440).</p></sec><sec id="s4" sec-type="results"><title>Results</title><p>The e-portfolio utilizes a web application architecture (<xref ref-type="fig" rid="figure1">Figure 1</xref>). Initially, we developed a structure to manage the registration of all the programs within the medical school, different curricular units, and offerings. We created a registration module for students and faculty members, allowing those to act as mentors, teachers, and discipline coordinators. Additionally, e-portfolio enables the recording of direct observed assessments in clinical settings, using preregistered forms based on methods such as mini-clinical evaluation exercise (Mini-CEx) [<xref ref-type="bibr" rid="ref5">5</xref>], 360-degree assessment [<xref ref-type="bibr" rid="ref6">6</xref>], One-Minute Preceptor, direct observation of procedural skills (DOPS), and case-based discussion/chart-stimulated recall (CBD/CSR) [<xref ref-type="bibr" rid="ref7">7</xref>].</p><p>For narratives in medicine [<xref ref-type="bibr" rid="ref8">8</xref>], there is a specific form to guide students on how to report a lived experience followed by a meaningful reflection, based on the REFLECT rubric for assessing reflective writing [<xref ref-type="bibr" rid="ref9">9</xref>] (<xref ref-type="fig" rid="figure2">Figure 2</xref>).</p><p>Students are allowed to fill in data in their private profile (<xref ref-type="fig" rid="figure1">Figure 1</xref>), access their disciplines and received assessments, respond to formative assessments, record significant events for their education, check and compare their performance with their cohort, register extracurricular activities, and consult critical incidents recorded.</p><p>e-Portfolio enables students, discipline coordinators, and members of the student assessment committee to track assessments and feedback received, providing a longitudinal and progressive view of the student&#x2019;s cognitive, psychomotor (skills), and attitudinal development (<xref ref-type="fig" rid="figure1">Figures 1</xref> and <xref ref-type="fig" rid="figure2">2</xref>).</p><fig position="float" id="figure1"><label>Figure 1.</label><caption><p>Profile and performance report of the medical student in the electronic portfolio (e-portfolio). (A) Profile created by the student in the e-portfolio. (B) Student&#x2019;s performance in various subjects is presented in relation to the radar chart: the blue line represents a comparison with the cohort mean (depicted by the gray area).</p></caption><graphic alt-version="no" mimetype="image" position="float" xlink:type="simple" xlink:href="mededu_v10i1e56568_fig01.png"/></fig><fig position="float" id="figure2"><label>Figure 2.</label><caption><p>Evaluation form in the electronic portfolio (e-portfolio) with narratives and the adapted REFLECT rubric to guide the medical student and the mentor.</p></caption><graphic alt-version="no" mimetype="image" position="float" xlink:type="simple" xlink:href="mededu_v10i1e56568_fig02.png"/></fig></sec><sec id="s5" sec-type="discussion"><title>Discussion</title><p>This work presents the successful development of an e-portfolio at FMRP-USP. The e-portfolio is continuously enhanced and updated, and it is currently in a state suitable for use in a pilot study. The use of similar tools has been recognized for stimulating personal reflection, fostering collaboration, and strengthening digital literacy among students, encouraging active participation in the learning process [<xref ref-type="bibr" rid="ref10">10</xref>].</p><p>The application of Scrum offered an adaptable framework, promoting efficient collaboration among stakeholders. Additionally, socio-technical research methods, such as qualitative interviews involving in-depth conversations with individuals or groups to explore their experiences related to technology, provided valuable insights into the needs and dynamics of end users in the educational context. The use of Scrum with socio-technical research methods enables a more integrated, collaborative, and reflective approach during development.</p><sec id="s5-1"><title>Future Steps</title><p>We intend to evaluate e-portfolio usability, effectiveness, acceptance, and satisfaction in practical contexts with the objective of consistently enhancing the system and its outcomes.</p></sec></sec></body><back><ack><p>We would like to express our gratitude to the Ribeir&#x00E3;o Preto Medical School, University of S&#x00E3;o Paulo, and the startup Intersection (Ribeir&#x00E3;o Preto, Brazil) for their partnership in software development. We would like to thank Prof Francisco S Guimar&#x00E3;es for all the support and follow-up with the medical students and mentors. Additionally, we extend our appreciation to the Conselho Nacional de Desenvolvimento Cient&#x00ED;fico e Tecnol&#x00F3;gico &#x2013; Brasil (CNPq). This study was financed in part by CNPq (process no.: 001). Furthermore, this study was financed in part by the Coordena&#x00E7;&#x00E3;o de Aperfei&#x00E7;oamento de Pessoal de N&#x00ED;vel Superior &#x2013; Brasil (CAPES) &#x2013; Finance Code 001.</p></ack><fn-group><fn fn-type="con"><p>LRAS and VRB contributed to the study concept and design, data acquisition, analysis, interpretation, and manuscript writing. AMO, LMACS, GJA, WDLC, and DCBD contributed to the interpretation, manuscript writing, and critical review of the manuscript for important intellectual content. All authors read and approved the final manuscript.</p></fn><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><glossary><title>Abbreviations</title><def-list><def-item><term id="abb1">CAPES</term><def><p>Coordena&#x00E7;&#x00E3;o de Aperfei&#x00E7;oamento de Pessoal de N&#x00ED;vel Superior (Coordination for the Improvement of Higher Education Personnel)</p></def></def-item><def-item><term id="abb2">CBD/CSR</term><def><p>case-based discussion/chart-stimulated recall</p></def></def-item><def-item><term id="abb3">CNPq</term><def><p>Conselho Nacional de Desenvolvimento Cient&#x00ED;fico e Tecnol&#x00F3;gico (National Council for Scientific and Technological Development)</p></def></def-item><def-item><term id="abb4">DOPS</term><def><p>direct observation of procedural skills</p></def></def-item><def-item><term id="abb5">e-portfolio</term><def><p>electronic portfolio</p></def></def-item><def-item><term id="abb6">FMRP-USP</term><def><p>Ribeir&#x00E3;o Preto Medical School, 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