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1.
Medwave ; 24(6): e2959, 2024 Jul 30.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-39079097

RESUMO

Introduction: Scientific research promotes the development of essential skills for medical practice. However, student participation in research projects is low, with multiple limitations and students' perceptions of deficient research skills. This study aims to describe the organization of the two medical student conferences held by the Scientific Society of Medical Students of the Universidad de Valparaíso and to analyze the papers presented. Finally, we make recommendations for promoting scientific research among medical students. Methods: An analytical cross-sectional study was conducted, including all the presentations given at the conferences. Results: The conferences comprised four phases: registration, evaluation, selection, and presentation. A total of 399 papers were received. A total of 157 case reports and 12 cross-sectional studies were presented, including 797 authors (56.7% women) from 21 universities. Most of the first authors were women in the internship cycle at public universities. The specialties with the highest representation were internal medicine (32.5%), pediatrics (18.3%) and surgery (13%). In the case reports, the best-evaluated section was the title (6.66 ± 0.76), and the worst-evaluated section was the discussion (6.17 ± 0.84). The case reports from private universities scored significantly higher in six of the eight items assessed. Conclusions: Greater participation was represented by students in their internship cycle presenting case reports. The worst evaluated section was the discussion, which could reflect difficulties in the research process. It is crucial to increase student participation from the first years of the career and encourage their involvement in research. More studies are needed to evaluate student participation and barriers to scientific research.


Introducción: La investigación científica fomenta el desarrollo de competencias esenciales para la práctica médica. Sin embargo, la participación estudiantil en proyectos de investigación es baja, con múltiples limitaciones y percepción de habilidades investigativas deficientes por parte de los estudiantes. Los objetivos de este estudio son describir la organización de las dos jornadas de estudiantes de medicina realizadas por la Sociedad Científica de Estudiantes de Medicina de la Universidad de Valparaíso y caracterizar los trabajos presentados. Finalmente, se realizan recomendaciones para la promoción de la investigación científica en estudiantes de medicina. Métodos: Se realizó un estudio transversal analítico que incluyó todos los trabajos presentados en las jornadas. Resultados: Las jornadas comprendieron cuatro fases: inscripción, evaluación, selección y presentación. Se recibieron 399 trabajos. Se presentaron 157 reportes de caso y 12 estudios transversales, incluyendo 797 autores (56,7% mujeres) de 21 universidades. Mayormente, los primeros autores fueron mujeres cursando el ciclo de internados en universidades estatales. Las especialidades con mayor representación fueron medicina interna (32,5%), pediatría (18,3%) y cirugía (13%). En los reportes de caso, la sección mejor evaluada fue el título (6,66 ± 0,76) y la peor evaluada la discusión (6,17 ± 0,84). Los reportes de caso provenientes de universidades privadas obtuvieron una calificación significativamente mayor en seis de los ocho ítems evaluados. Conclusiones: La mayor participación estuvo representada por estudiantes cursando el ciclo de internados que presentaron reportes de caso. La sección peor evaluada fue la discusión, lo que podría reflejar dificultades en el proceso de investigación. Es crucial aumentar la participación estudiantil desde los primeros años de la carrera y fomentar su involucramiento en investigación. Se requieren más estudios para evaluar la participación y las barreras estudiantiles en investigación científica.


Assuntos
Pesquisa Biomédica , Congressos como Assunto , Educação de Graduação em Medicina , Estudantes de Medicina , Humanos , Estudos Transversais , Feminino , Educação de Graduação em Medicina/métodos , Masculino , Espanha , Universidades , Sociedades Científicas/organização & administração
2.
Adv Physiol Educ ; 48(3): 465-473, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38885323

RESUMO

Student-faculty interaction (SFI) is an important indicator of student engagement that positively associates with academic achievement and retention. Quantitative information regarding the impact of emergency remote teaching (ERT) during COVID-19 on SFI is limited. This retrospective, observational cohort study tests the hypothesis that COVID-19 ERT negatively affected SFI in a gender-dependent manner. Electronic records of office hour (OH) appointments, used to measure SFI, for first-year medical students across three time periods, before, during and after COVID, were obtained and analyzed. A concerning, marked decline in SFI during and after the COVID-19 pandemic is noted. Before COVID, significantly more women (75.20%) made at least one OH appointment compared with men (40.54%). During COVID, the proportion of women making an OH appointment (69.71%) was statistically indistinguishable from women before COVID-19. In contrast, significantly fewer men during COVID (10.34%) than before COVID made an OH appointment. On return to face-to-face teaching, no rebound effect was observed. Compared with before COVID gender-matched peers, fewer men and women after COVID made OH appointments. Discipline-based analyses show that for all three time periods physiology emerged as the content area in which students made most OH appointments. The reduction in SFI observed, combined with the consistency with which the participants in our study indicated a need for assistance with the physiology discipline, emphasizes the importance of active promotion of faculty support and deliberate efforts to reconnect with students in the post-COVID context.NEW & NOTEWORTHY Applying readily available data, we quantify a persistent, negative impact of the shift to emergency remote teaching (ERT) on a measure of student-faculty interaction (SFI) among first-year medical students. A gender-based component to these effects is also discussed. Before, during, and after COVID, physiology emerged as the most engaged-with discipline as measured by office hour (OH) appointment volume.


Assuntos
COVID-19 , Estudantes de Medicina , Humanos , COVID-19/epidemiologia , Feminino , Masculino , Estudos Retrospectivos , Docentes de Medicina , Educação a Distância/métodos , SARS-CoV-2 , Pandemias , Educação de Graduação em Medicina/métodos , Estudos de Coortes
3.
BMC Palliat Care ; 23(1): 149, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38872162

RESUMO

BACKGROUND: The number of people suffering from chronic diseases requiring palliative care (PC) is increasing rapidly. Therefore, PC teaching in undergraduate health science programs is necessary to improve primary PC based on international recommendations and available scientific evidence. METHODS: A descriptive cross-sectional study was conducted. Active undergraduate medical and nursing programs that were approved by the Colombian Ministry of Education and integrated PC teaching into their curricula were included in the study. The total sample consisted of 48 programs: 31 nursing and 17 medical programs. RESULTS: PC competencies are distributed throughout the curriculum in 41.67% of programs, in elective courses in 31.25%, and in mandatory courses in 27.08% of the programs. The average PC teaching hours is 81 for nursing and 57.6 for medicine. PC clinical rotations are not offered in 75% of the programs. For undergraduate nursing programs, the most frequent competencies taught are the definition and history of PC and identifying common symptoms associated with advanced disease. In undergraduate medicine, the most common competencies are pharmacological and non-pharmacological pain management and identification of PC needs. CONCLUSIONS: PC teaching in undergraduate health science programs mainly addresses the conceptual and theoretical aspects of PC, which are part of the competencies present throughout the programs' curricula. Low availability of PC clinical rotations was identified. Future studies should assess whether the low availability of clinical rotations in PC limits the ability of students to develop the practical competencies necessary to provide quality PC. TRIAL REGISTRATION: Not applicable.


Assuntos
Currículo , Educação de Graduação em Medicina , Cuidados Paliativos , Estudos Transversais , Colômbia , Humanos , Educação de Graduação em Medicina/métodos , Educação de Graduação em Medicina/normas , Cuidados Paliativos/métodos , Cuidados Paliativos/normas , Currículo/tendências , Currículo/normas , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/normas
4.
Anat Sci Educ ; 17(6): 1229-1238, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38736103

RESUMO

Teaching human histology is part of understanding the tissues of the human body and, therefore, it is part of the training curriculum of all health courses. The increase in technologies and active teaching methodologies has a positive impact on student learning, as it reduces the challenges present in the subject. Therefore, this work aimed to compare the performance of students in the histology discipline, when compared to traditional teaching methodology and its association with game-based learning and a basic histology teaching platform. Three classes of the medical course were selected between the years 2022 and 2023, each of which was separated into a group. One group did not have access to any platform, being called the Traditional Group (TG), a group that used Kahoot!, being called the Kahoot Group (KG), and a group that used the teaching platform, being called the Histoatlas Group (HG). Both KG and HG groups showed greater effectiveness in learning and improved performance, when compared to TG. These improvements in KG and HG were also highlighted as learning aids and easy to use. KG students performed better in the practical test when comparing groups. However, this difference was not observed in the students' averages. However, students pointed out the relevance of trying to improve the traditional teaching methodology. Therefore, this study points out that, even though the traditional teaching methodology is efficient in the student's teaching and learning process, there is a need on the part of students to make the subject more dynamic.


Assuntos
Currículo , Educação de Graduação em Medicina , Avaliação Educacional , Histologia , Estudantes de Medicina , Humanos , Brasil , Histologia/educação , Estudantes de Medicina/estatística & dados numéricos , Estudantes de Medicina/psicologia , Educação de Graduação em Medicina/métodos , Masculino , Feminino , Avaliação Educacional/estatística & dados numéricos , Adulto Jovem , Aprendizagem Baseada em Problemas/métodos , Instrução por Computador/métodos , Ensino , Adulto
5.
Curr Probl Diagn Radiol ; 53(5): 588-595, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38719624

RESUMO

RATIONALE AND OBJECTIVES: Although PBL is widely used in several countries, especially in medicine courses, its application in teaching other higher education courses, which involve fundamentals applied to radiology, is still little explored. Therefore, we aim to evaluate the implementation of Problem-Based Learning (PBL) in a higher education institution's radiology and biomedicine technologist course, focusing on specific radiology-related disciplines. MATERIALS AND METHODS: An interventional study was developed with 78 students. An active methodology model was created and implemented for one of the groups of participants. At the beginning of each semester, students of both groups were evaluated with pre-tests. At the end of the semesters, the students performed a post-test and a validated evaluation of the discipline methodology. Repeated measures generalized linear regressive models with robust error estimators were used to evaluate test outcomes. RESULTS: A significant interaction among the methodologies was found (p=0.020), with better results from students exposed to the active methodology (initial and final grades were 7.18 and 7.57 in the active methodology, respectively, and 7.45 and 6.89 in the traditional methodology, respectively). In addition, students' evaluation regarding the quality of the methodology was favorable to the active methodology with statistical significance (p<0.05) in 16 of the 22 items evaluated. CONCLUSIONS: The students' positive response and performance were attributed to the interaction and innovation of the methodology compared to conventional methods, highlighting the effectiveness of PBL in higher education in radiology and its potential for more participatory and contextualized learning.


Assuntos
Educação de Graduação em Medicina , Avaliação Educacional , Aprendizagem Baseada em Problemas , Radiologia , Humanos , Radiologia/educação , Aprendizagem Baseada em Problemas/métodos , Educação de Graduação em Medicina/métodos , Estudantes de Medicina , Masculino , Feminino , Currículo
6.
J Bras Pneumol ; 50(2): e20230382, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38808827

RESUMO

OBJECTIVE: To evaluate cognitive learning, ability to perform and interpret lung ultrasound exams, and self-perception of learning among medical students after a short pedagogical intervention at a medical school in Brazil. METHODS: An experimental pilot study was conducted with medical students at different stages of their education (basic cycle, clinical cycle, and medical internship). The participants underwent a cognitive test before and after the intervention, a practical test, a test to recognize lung ultrasound pathologies, and a qualitative evaluation test at the end of the intervention. Statistical analysis was performed using a significance level of p < 0.05. RESULTS: A total of 42 students were included in the study, with a median age of 23 years and a predominance of males. The mean score of the pre-intervention cognitive test was 2.97 ± 0.87, and that of the post-intervention test was 6.57 ± 1.41, showing significant improvement (p < 0.001). The score of the practical test and that of the recognition of pathologies test also showed significant improvement after the intervention. There was no significant difference in execution time between the groups. Students in the clinical cycle had a better self-perception of learning. CONCLUSIONS: Theoretical teaching and practical training of lung ultrasound in a short pedagogical intervention can improve cognitive performance, practical skills, and interpretation of the exam. The level of learning achievement was higher among more advanced students in medical education. Additionally, the students in the clinical cycle had a better perception of their learning.


Assuntos
Pulmão , Estudantes de Medicina , Ultrassonografia , Humanos , Projetos Piloto , Masculino , Brasil , Feminino , Adulto Jovem , Adulto , Pulmão/diagnóstico por imagem , Competência Clínica , Faculdades de Medicina , Avaliação Educacional , Educação de Graduação em Medicina/métodos , Educação Médica/métodos , Cognição/fisiologia , Aprendizagem
7.
Fam Med ; 56(7): 409-413, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38805636

RESUMO

BACKGROUND AND OBJECTIVES: The delivery of population health education in medical school can be challenging. We developed a patient outreach activity for third-year students to teach them the role of population panel management in primary care. METHODS: The family medicine undergraduate medical education and population health teams collaborated to develop an educational patient outreach toolkit. After an orientation, family medicine clerkship students were assigned to call patients on their faculty adviser's patient panel to discuss care gaps and identify barriers and potential strategies to improve care. After the experience, students completed reflection questions, which we analyzed. RESULTS: From February to August 2022, 82 third-year medical students participated in the patient outreach activity during their 6-week clerkship. Of the 1,235 total attempted calls, 24% of the patients scheduled their appointments afterward. After analyzing the reflective student feedback, we identified six main takeaways, which focused on the importance of population health, the identification of barriers to care, positive and negative feelings that students experienced when making calls, student self-identified areas of growth, and the fragmentation/inefficiency of the health care system. CONCLUSIONS: An opportunity exists to continue to teach students about how to communicate with patients about their health and how to address and improve social determinants of health. This curricular activity can be a step toward efforts to align population health and clinical practice and a way for medical students to add value by educating patients.


Assuntos
Estágio Clínico , Educação de Graduação em Medicina , Medicina de Família e Comunidade , Estudantes de Medicina , Humanos , Medicina de Família e Comunidade/educação , Educação de Graduação em Medicina/métodos , Estudantes de Medicina/psicologia , Atenção Primária à Saúde , Currículo
8.
Einstein (Sao Paulo) ; 22: RW0792, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38695476

RESUMO

OBJECTIVE: To identify, synthesize, and analyze the scientific knowledge produced regarding the implications of using clinical simulation for undergraduate nursing or medical students' motivation for learning. METHODS: The search for articles was conducted between July 28 and August 3, 2022, on the PubMed/MEDLINE, Scopus, Web of Science, and SciELO databases. The following was used for the search: P - undergraduate students attending Nursing or Medicine courses; C - motivation for learning, and C - skills and clinical simulation laboratory. The following research question guided the study: "What are the implications of clinical simulation on the motivation for learning of undergraduate students of nursing and medicine?" Of the 1,783 articles found, 13 were included in the sample for analysis. All stages of the selection process were carried out by two independent evaluators. The results were presented as charts and a discursive report. RESULTS: The studies analyzed indicated the beneficial effects of clinical simulation on students' motivation, in addition to other gains such as competencies, technical and non-technical skills, knowledge, belonging, autonomy, clinical judgment, critical and reflective thinking, self-efficacy and decreased anxiety, self-management, and improvements in learning and learning climate. CONCLUSION: Clinical simulation provides a positive learning environment favorable to the development of technical and interpersonal skills and competencies, and raising the level of motivational qualities.


Assuntos
Competência Clínica , Aprendizagem , Motivação , Humanos , Educação de Graduação em Medicina/métodos , Treinamento por Simulação/métodos , Estudantes de Medicina/psicologia , Estudantes de Enfermagem/psicologia
9.
S Afr Fam Pract (2004) ; 66(1): e1-e5, 2024 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-38708755

RESUMO

The Nelson Mandela Fidel Castro (NMFC) programme, a government initiative to address healthcare inequities in South Africa, focuses on the training of indigenous students to become competent healthcare practitioners. A collaboration combining training in a Cuban primary care, preventative system with integration in a South African institution within a quadruple disease burdened healthcare system. This article reflects on integration experience at the University of Witwatersrand, a programme pedagogically positioned within a workplace-based, situated learning framework. Since 2022, community-oriented primary care (COPC) projects became part of the integrated primary care and family medicine learning objectives. This article summarises the experience of the 2021-2022 cohort and calls for the strengthening of undergraduate medical education curricula with learning objectives reflective of social accountability.Contribution: This article spotlights work in the undergraduate space around teaching and experiential learning of community-oriented primary care in line with the journal's scope.


Assuntos
Currículo , Educação de Graduação em Medicina , Atenção Primária à Saúde , Humanos , África do Sul , Educação de Graduação em Medicina/métodos , Serviços de Saúde Comunitária , Cuba , Aprendizagem Baseada em Problemas
10.
J Pediatr (Rio J) ; 100(4): 422-429, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38608720

RESUMO

OBJECTIVE: To evaluate the effect of high-fidelity simulation of pediatric emergencies compared to case-based discussion on the development of self-confidence, theoretical knowledge, clinical reasoning, communication, attitude, and leadership in undergraduate medical students. METHODS: 33 medical students were allocated to two teaching methods: high-fidelity simulation (HFS, n = 18) or case-based discussion (CBD, n = 15). Self-confidence and knowledge tests were applied before and after the interventions and the effect of HFS on both outcomes was estimated with mixed-effect models. An Objective Structured Clinical Examination activity was conducted after the interventions, while two independent raters used specific simulation checklists to assess clinical reasoning, communication, attitude, and leadership. The effect of HFS on these outcomes was estimated with linear and logistic regressions. The effect size was estimated with the Hedge's g. RESULTS: Both groups had an increase in self-confidence (HFS 59.1 × 93.6, p < 0.001; CDB 50.5 × 88.2, p < 0.001) and knowledge scores over time (HFS 45.1 × 63.2, p = 0.001; CDB 43.5 × 56.7, p-value < 0.01), but no difference was observed between groups (group*time effect in the mixed effect models adjusted for the student ranking) for both tests (p = 0.6565 and p = 0.3331, respectively). The simulation checklist scores of the HFS group were higher than those of the CBD group, with large effect sizes in all domains (Hedges g 1.15 to 2.20). CONCLUSION: HFS performed better than CBD in developing clinical reasoning, communication, attitude, and leadership in undergraduate medical students in pediatric emergency care, but no significant difference was observed in self-confidence and theoretical knowledge.


Assuntos
Competência Clínica , Educação de Graduação em Medicina , Estudantes de Medicina , Humanos , Educação de Graduação em Medicina/métodos , Feminino , Masculino , Emergências , Pediatria/educação , Treinamento com Simulação de Alta Fidelidade/métodos , Comunicação , Avaliação Educacional , Adulto Jovem , Autoimagem , Raciocínio Clínico
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