Ethical and Semiotechnique Skills Gain for Medical Students

an Intensive Course

  • Ana Paula Santos Oliveira Brito
  • Edson Yuzur Yasojima
  • Carolina Ribeiro Mainardi
  • Fabrício Maués Santos Rodrigues
  • Wescley Miguel Pereira da Silva
  • Marcus Vinicius Henriques Brito

Abstract

Aims: To evaluate ethical and semiotechnique skills gain with intensive semiotechnique course to graduate medical students.


Methods: Semiotics course was drawn up to 64 students of four medical courses of Belem, Para, Brazil. The course took place in two stages: the first for 32 students starting the third semester of the medical course, and the second for 32 students that started the internship. The course was taught intensively in two weekends, with didactic material prepared by the researchers. Pre-and post-training assessment was performed for verification of ethical skills needed in the doctor-patient relationship and the practical knowledge and skill in the technical implementation of the physical examination.


Results: The students of 2nd year, in the eight proposed stations, have an average gain of 85.84%, reaching individually in some stations an improvement up to 120% as "Precordium” and “painful maneuvers of the abdomen" stations. The students of the 5th year initial notes average was 6.06, evolving to 9.21, with average percentage of 54.42% gain. For matters of ethical principles in dealing with the patient was observed initial average 5.05 that after the course has evolved to 9.36 to students of 2nd year and 6.16 to 9.60 in fifth year. In the evaluation of performance in implementing the semiotechnique maneuvers were observed initial notes of 4.76 and 5.95 to 8.51 and 8.82 respectively for students of 2nd and 5th year.


Conclusion: The intensive course implemented proved to be effective in semiotechnique skills gain, both in improving ethical attitudes in dealing with the patient, as well as on the playing technique of physical examination.

References

1. Rothberg MB, Class J, Bishop TF, Friderici J, Kleppel R, Lindenauer PK. The Cost of Defensive Medicine on 3 Hospital Medicine Services. JAMA Intern Med. 2014; 174(11):1867-8.
2. Dichi JB, Dichi I. Agonia da história clínica e suas conseqüências para o ensino médico. Rev Bras Educ Méd. 2006;30(2):93-7.
3. Cook C. The lost art of the clinical examination: an overemphasis on clinical special tests. The Journal of Manual & Manipulative Therapy. 2010;18(1):3-4.
4. Franken RA, Franken M. As mãos como instrumentos diagnósticos em medicina: cabe tocar o paciente?. Arq Bras Cardiol. 2013;100(1):e12-3.
5. Benseñor, IJM. A semiologia no século XXI. Simpósio sobre ensino da semiologia. Rio de Janeiro; 2006 [cited dec 2016]. Available from: www.ufrj.br
6. Chehuen Neto JA, Rocha FRS, Pereira FS, Souza CFD, Sirimarco MT. Confiabilidade no médico relacionada ao pedido de exame complementar. HU rev. 2007;33(3):75-80.
7. Silva RMFL, RezendeNL. O ensino de semiologia médica sob a visão dos alunos: implicações para a reforma curricular. Rev. Bras. Educ. Med. 2008;32(1):32-9.
8. Rocha BV, Gazin CC, Pasetto CV, Simões JC. Relação Médico-Paciente. Rev. Med. Res. 2011;13(2):114-8.
9. Kahwage Neto, SG. Aplicabilidade de guia simplificado para realização de exame físico [dissertation]. [Belém]: Universidade do Estado do Pará; 2014. 72 p.
10. Grosseman S, Stoll C. O Ensino-aprendizagem da Relação Médico-paciente: estudo de caso com estudantes do último semestre do curso de Medicina. Rev. Bras. Educ. Med. 2008;32(3):301–8.
11. Vilagra SMBW, Oliveira MFA. Mudanças Pedagógicas no Ensino de Semiologia para Discentes de Medicina. Rev. de Saúde. 2011;2(2) 37-44.
12. Siddiqui FG. Final year MBBS students' perception for observed structured clinical examination. J Coll Physicians Surg Pak. 2013;23(1):20-4.
13. Tormey W. Education, learning and assessment: current trends and best practice for medical educators. Irish Journal of Medical Science (1971-). 2015;184(1):1-12.
14. Breckwoldt J, Svensson J, Lingemann C, Gruber H. Does clinical teacher training always improve teaching effectiveness as opposed to no teacher training? A randomized controlled study. BMC Med Educ. 2014;14(1):6.
15. Longworth MK. An exploration of the perceived factors that affect the learning and transfer of skills taught to student midwives. Midwifery. 2013;29(3):831-7.
Published
2019-09-01
How to Cite
BRITO, Ana Paula Santos Oliveira et al. Ethical and Semiotechnique Skills Gain for Medical Students. International Archives of Medicine, [S.l.], v. 12, sep. 2019. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2896>. Date accessed: 18 sep. 2019. doi: https://doi.org/10.3823/2611.
Section
Medical Education

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