Dissertation/Thèse

Clique aqui para acessar os arquivos diretamente da Biblioteca Digital de Teses e Dissertações da UFRN

2024
Thèses
1
  • TERESA RAQUEL BARBOSA ALVES
  • CONSTRUCTION OF A GUIDE FOR ASSESSING NURSING RESIDENTS: A METHODOLOGICAL STUDY

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • GIOVANNA KARINNY PEREIRA CRUZ DE ANDRADE
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • Data: 12 janv. 2024


  • Afficher le Résumé
  • The evaluation of professional training is developed from different methodologies and objectives, and the changes that should be adopted to improve this process from the perspective of graduates and students should be identified, complementing the evaluation system. In practice scenarios, these evaluations performed by the preceptor from the demonstration of the ethical, political, and scientific knowledge of the residents must be very clear and recorded so that the process is continuous and allows feedback between preceptor and nursing resident. The objective is to construct a guide for formative evaluation of nursing residents working in the Adult Intensive Care Unit of the Onofre Lopes University Hospital. This is a methodological study to construct an instrument for the evaluation of nursing residents. It was developed in three stages: 1) Focus Group of Nursing Preceptors; 2) Nursing Residents Focus Group; and 3) Construction of the guide for the evaluation of Nursing Residents. The research was conducted in the General Intensive Care Unit, which is part of the Onofre Lopes University Hospital (HUOL). The focus groups took place from November to December 2022, lasted 90 minutes and were conducted by the moderator. The data were analyzed from thematic analysis, with the support of the IRAMUTEQ software. From the focal syntheses obtained through the focus groups of preceptors and nursing residents who work in the General Intensive Care Unit, with the support of pertinent literature on the subject, a guide for the evaluation of nursing residents was constructed, supported by the Canva tool. The study respected the ethical principles recommended for research conducted with human beings by Resolution No. 466/2012 and No. 510/2016 of the National Health Council. In the focus group of preceptors, all participants are female, aged between 34 and 50 years, with an average of 41 years. As for the time of work in the current activity, the preceptors have been there for seven years (33%) and eight years (67%). The responses of the focus group of preceptors could be categorized into four main themes: evaluation process; role of the preceptor; residents' skills; and changes in evaluation. In the focus group of residents, the participants are 67% female and 33% male, aged between 23 and 27 years, with an average of 25 years. Half of the residents have the area of training in Intensive Care and completed their undergraduate degree less than a year ago and the other half are in the area of training in Cardiology and completed their undergraduate degree two years ago. Their answers could be categorized into five main themes: evaluation process; role of the preceptor; field of practice; needs in evaluation and changes in evaluation. The development of the Evaluation Guide arose from the need to implement other forms of evaluation during the residency period according to the experience of preceptors and residents during the internship in the Intensive Care Unit. The topics that are in the assessment guide refer to what should guide the evaluation process, the role of the preceptor and the resident during the evaluation and how to evaluate using complementary evaluation methods in the residency. It is hoped, with this research, to produce positive results in the evaluation process during the residency, besides subsidizing new investigations related to the theme.

2
  • SÂMARA DALLIANA DE OLIVEIRA LOPES BARROS
  • CONTENT VALIDATION OF THE SERIOUS GAME PROTOTYPE ON INDICATION, INSERTION AND MAINTENANCE OF PERIPHERAL INSERTION CENTRAL CATHETER IN PEDIATRIC

  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • FRANCISCA PATRÍCIA BARRETO DE CARVALHO
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 29 janv. 2024


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  • Introduction: Health technologies are resources that help to qualify work processes and organize hospital services, and can contribute as a tool for health teaching and education. Educational technologies involve several resources to improve the teaching-learning process. The Peripherally Inserted Central Catheter (PICC) is a technological tool that has been included in nursing care over the years to promote longer-lasting and safer vascular access. One of the most widely used technologies in the health sector, especially in nursing, are serious games, which are games that enable the understanding of theoretical and practical contents. Objective: The present study aims to validate the content of a serious game prototype about indication, insertion and maintenance of a Peripherally Inserted Central Catheter in pediatric patients. Method: This is a non-experimental methodological research, of an observational nature, which verified the opinion and agreement of expert judges regarding content validation. The participants/judges were nurses qualified with the PICC course, who met pre-established criteria, whose selection was based on convenience according to the curriculum analysis on Lattes platform. Results: The work was divided into 3 stages. In the first stage – theoretical procedures –, an integrative review was carried out, from November to December 2022, in order to obtain information about the necessary contents for the prototype organization and construction; the construction itself occurred in the months of January to April 2023. The second stage of the research – empirical procedures – took place with the application of the Likert scale as an instrument to verify the Content Validation Index (CVI), using Pasquali's adaptation criteria, which were behavioral standard, objectivity, simplicity, relevance, modality, amplitude, balance and appearance, in each phase of the prototype. In May 2023, the first Delphi round took place where 21 judges participated in the evaluation during the stipulated period, having access to the game content through a link where they were able to play the game. In the third stage of the research – analytical procedures –, which took place from June to July 2023, occurred the data analysis, which pointed a agreement level of 98% with CVI=0.98 after Delphi I, indicating content suitability >80 %, but with adjustments suggested by the judges. From July to August 2023, adjustments were made to the prototype. From August to September 2023, a new Delphi II round was held, with 7 participating judges, this time reaching CVI=1.0 with 100% suitability in the prototype contents, without any suggestions for new adjustments. Conclusion: The serious game prototype, built as a result of this research, obtained a final evaluation of excellence, with pertinent content, being inserted as an educational technological resource developed for nursing, as well as for other professional categories in the health area, as it can impact on the knowledge and use of PICC for care and teaching practices, also contributing to patient safety.

3
  • ALESSANDRA CYNARA SMITH
  • DEVELOPMENT OF A DIGITAL BOOKLET TO SUPPORT PRENATAL CARE IN PRIMARY HEALTH CARE

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • GIOVANNA KARINNY PEREIRA CRUZ DE ANDRADE
  • FLAVIO CESAR BEZERRA DA SILVA
  • JULIANA RAQUEL SILVA SOUZA
  • Data: 28 févr. 2024


  • Afficher le Résumé
  • Considering the importance of prenatal care, as well as the use of educational resources in the health teaching process, the elaboration of a digital booklet that is based on the satisfaction and perception of pregnant women assisted in the Basic Health Units within the scope of Primary Health Care was designed with the aim of improving prenatal care.  to meet the needs of the population regarding the service provided in the Health Units and to enable an autonomous and collective learning of the population as a consequence of the present study. Therefore, the objective is to develop a digital booklet to support prenatal care carried out in the Family Health Strategy Units. This is a methodological research for the development of a digital booklet for pregnant women, in the various stages of pregnancy, with mixed data collection through questionnaires and interviews, carried out in two stages: 1) Mapping of the learning needs of pregnant women; 2) Development of a digital booklet. Eighty-six pregnant women were followed up at the Felipe Camarão II Family Health Unit, on the premises of the Unit, during prenatal consultations. It is worth mentioning that the study complied with the ethical principles recommended for research carried out with human beings by Resolution No. 466/2012 and No. 510/2016 of the National Health Council, whose opinion of the ethics committee was to approve the study, according to Opinion No. 5,444,194 and approval on June 1, 2022. Based on the answers of the pregnant women, it was possible to perceive that the majority presented expectations related to their prenatal care (48%) and that the majority is satisfied with the care offered (50%). A minority did not have previous expectations of prenatal care (28%) and another minority was dissatisfied with the care provided (23%). The pregnant women's answers were used to construct an educational material in the format of a digital booklet. This booklet will serve as support for face-to-face meetings with pregnant women.

4
  • RODOLFO ALVES DA SILVA
  • Construction of a digital educational tool for teaching the urodynamic test in gynecology and obstetric medical residency programs.

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • PAULO JOSE DE MEDEIROS
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • ZSUZSANNA ILONA KATALIN DE JARMY DI BELLA
  • Data: 7 mars 2024


  • Afficher le Résumé
  • Introduction. The urodynamic test is a diagnostic tool that evaluates the storage and emptying functions of the lower urinary tract. The exam is complex, presents precise indications, and requires interpretation and critical analysis of its results. Knowledge of urodynamics and lower urinary tract disorders is among the skills desired for gynecology and obstetrics residents, however, there is no standardization of teaching this topic in many medical residency services. Technology-mediated education is an ally in the development of qualified training for health professionals with an impact on improving the services offered. In medical residency programs, this educational strategy offers opportunities to reinforce the concepts learned and explore others not covered during the training period. Objective: To develop a digital educational tool for teaching urodynamic examination within gynecology and obstetrics medical residency programs. Methods: This is a study of technological production, in which Contextualized Instructional Design was used to guide the process of building digital educational content. Results: Between March 2023 and February 2024, an open and free educational module on urodynamics was developed in the Virtual Learning Environment of the Unified Health System (AVASUS). The module has a total course load of 30 hours and is aimed at resident doctors in gynecology and obstetrics. The educational resources used by the proposed Instructional Design consisted of videos, graphics, illustrations, illustrative clinical cases, complementary texts, targeted questionnaires, and glossaries. Conclusions: The tool appears to be practical, easy to access, and appropriate for learning, with the possibility of expanding teaching about urodynamics in medical residency programs and promoting continuing education in health professions.

5
  • RICARDO CEZAR CARDOZO DE MEDEIROS JUNIOR
  • EVALUATION AND TRAINING IN A SIMULATED ENVIRONMENT OF STUDENTS UFRN MEDICINE ON THE TECHNIQUE OF OROTRACHEAL INTUBATION.

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • JOSE DINIZ JUNIOR
  • LANA LACERDA DE LIMA
  • PAULO JOSE DE MEDEIROS
  • Data: 18 mars 2024


  • Afficher le Résumé
  • INTRODUCTION: Orotracheal intubation (OTI) is characterized by an invasive procedure, exclusive to the medical professional, in which a cannula is introduced into the trachea with the main objective of ensuring a definitive airway. With the emergence of the COVID-19 pandemic, the concern with the adequate mastery of the technique, especially by newly graduated physicians, became more evident. The procedure has numerous inherent risks and complications, which have high morbidity and mortality rates. The main way to reduce the risks associated with the procedure is through adequate and continuous training of medical professionals, improving the technical/practical part, in addition to preparing for the early identification and treatment of potential complications. An important teaching tool for the development of techniques like this is training in simulated environments, through practice stations, with checklists and feedback. OBJECTIVES: To evaluate and compare the theoretical-practical knowledge of the students of the internship of the Medicine course at UFRN about OTI before and after the training in a simulated environment, in addition to proposing a structured training in IoT for the students at the beginning of the internship in Surgery and elaboration of a class guide. METHODS: 69 students from the tenth semester of the medical school at UFRN were evaluated on the OTI technique before and after a simulated training, with a practice station and checklist. A questionnaire was also applied, in the pre and post phases, about the content taught, the importance of the theme and the students' confidence in performing IOT. In the end, each student received individual feedback and the data were analyzed and compared, with statistical analysis. RESULTS AND DISCUSSION: After the training, there was a substantial improvement in the students' performance. In the pre-test, 30.4% of the students were classified as having unsatisfactory performance in the OTI technique against only 1.4% in the post-test. For the result considered higher than expected, this result jumped from 26.1% to 88.4%. In addition, it is inferred that there was a significant change in the pre- and post-test responses in relation to the success in performing the OTI among the students. In the pre-test, 68.2% of the students were successful and 31.8% were not. In the post-test, 89.9% of the students were successful in the technique, while only 10.1% were unsuccessful, with this change being statistically significant (p-value of 0.0013). We can also observe an increase in the confidence of the students to perform the procedure after the period of practice and training. CONCLUSIONS: Simulated practical instruction in the orotracheal intubation (OTI) technique is essential for the training of medical interns. The use of methodological approaches and simulators resulted in a notable increase in students' competence and self-confidence after the intervention. This form of approach, with the integration of simulators, is gaining increasing acceptance in the field of medical education. However, there is still a lack of more robust studies, especially at the national level, that can demonstrate the real advantage of this technique.

     

6
  • KARINY SHEYLA RODRIGUES MARANHAO
  • IMPACT OF EDUCATIONAL INTERVENTION WITH SUPPORT OF EDUCATIONAL MODULE ON PATIENT SAFETY

    IN ANESTHESIOLOGY

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • LUIS ANTONIO DOS SANTOS DIEGO
  • CRISTIANE RIBEIRO DE MELO LINO
  • JOSE DINIZ JUNIOR
  • LANA LACERDA DE LIMA
  • MARISE REIS DE FREITAS
  • Data: 27 mars 2024


  • Afficher le Résumé
  • Introduction: The competency matrix of the Medical Residency

    Programs in Anesthesiology in Brazil has the specific objective of

    “performing anesthesia safely in all its stages”, whose elements for the implementation of a specific curriculum need to be defined. Given this

    scenario, the development and implementation of an educational module on

     patient safety for anesthesiology residents was proposed.

    Objectives: To evaluate the impact of an educational intervention, supported

    by an educational module on patient safety in anesthesiology, on residents' knowledge of the specialty and their degree of satisfaction with the strategy developed.

    Methods: Quasi-experimental study with an interrupted time series design

    with a group, carried out at the Hospital Universitário Onofre Lopes (HUOL),

    of the Federal University of Rio Grande do Norte (UFRN), involving 10

    residents from the first to the third year of the Medical Residency Program of Anesthesiology at the Institution. An educational module was developed, in

    e-book format, and a pedagogical strategy was implemented to mediate the

    learning of residents, in four face-to-face meetings, which took place during practical activities at the hospital. A knowledge assessment was carried out

    with a pre-test, before the first discussion of patient safety content, in the first meeting, and post-test, in the last meeting, and satisfaction assessment using a questionnaire with a Likert scale.

    Results: Pre-test scores ranged between 6.25 and 8.75 (average 7.50), while

    post-test scores ranged from 7.50 to 10.0 (average 9.03). A significant

    difference was found for the values of the median scores in the two moments

    of application of the test, using the Wilcoxon test, at the significance level

    α = 5% (p- value: 0.0199). The consistency of the satisfaction questionnaire

    was assessed using Cronbach's alpha coefficient (alpha of 0.793), being

    considered “Acceptable”. In general, the answers were satisfactory for each

    of the items questioned, with all of them varying between “Agree” and

    “Totally Agree”.

    Conclusion: The development and implementation of an educational module

     to mediate learning, during the training process of anesthesiology residents,

    were effective in promoting knowledge about patient safety for

    anesthesiologists in training, with high levels of satisfaction. Thus, the

    importance of including the topic of Patient Safety in the curricular structure

    of residency courses in anesthesiology is highlighted, with protected space and time for the learning process of these professionals. Furthermore, more studies are needed that can measure the long-term impact of this intervention, its

    influence on the acquisition of skills and whether these educational

    interventions improve outcomes for patients.

7
  • NIVIA JERONIMO BEZERRA SILVA DO NASCIMENTO
  • COMMUNICATION OF BAD NEWS BY GYNECOLOGY AND OBSTETRICS RESIDENTS

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • FERNANDA PATRÍCIA SOARES SOUTO NOVAES
  • MARIA DE LOURDES COSTA DA SILVA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 2 avr. 2024


  • Afficher le Résumé
  • The need for and idea of systematizing the process of communicating bad news comes mainly from the complexity of the task, the difficulty faced by the professionals in charge and the lack of approach to this subject in undergraduate courses and health institutions. Thus, communicating a fetal loss or malformation, as well as a diagnosis of breast or uterine cancer, becomes a delicate task for many doctors, especially obstetrics and gynecology residents. The aim of this study is to explore the perspectives, barriers and practices of residents at a Brazilian Maternity School, located in Rio Grande do Norte, in relation to communicating bad news to patients and their families. This is a cross-sectional study with a qualitative research approach, in which a semi-structured interview was conducted with gynecology and obstetrics residents, using a previously prepared script. The results showed that for residents, the way information is presented and the context in which it is provided tend to be more influential than the content of the information itself. Thus, specialists in obstetrics and gynecology could benefit significantly from training and protocols designed specifically for the nuances of their field. However, the effective implementation of such training still faces challenges, highlighting the lack of concrete data on the most effective methods in this area. 

2023
Thèses
1
  • LIDIANNY MICHELLE DA SILVA
  • Formative assessment in medical internship

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • MARISE REIS DE FREITAS
  • PAULO JOSE DE MEDEIROS
  • IEDA MARIA BARBOSA ALELUIA
  • Data: 14 févr. 2023


  • Afficher le Résumé
  • Introduction: Formative assessment is an active process in professional training, as it involves the appropriation of knowledge, attributing meaning. Objective: To understand the formative evaluation process in the internship of the graduation course in medicine at the Federal University of Rio Grande do Norte. Method: This is an observational research with a quantitative approach. A questionnaire was applied to teachers and another to students, from June to December 2021, with open and closed questions about the use of formative evaluation. Results: A digital narrative containing a checklist on formative assessment was designed, as a product of the master's degree, to guide faculty and students on its use. 27 professors and 79 students participated in the research. Teachers and students have different perceptions about carrying out formative assessment, objectives, methods and instruments used. Teachers have a more positive perception of their students, 51.9% of them attribute a high score (8-10) to the use of formative assessment, while a lot is attributed to 41.7% of 5th year students and 35.5 % of 6th grade students. Likewise in relation to defining the learning objectives, where 70.4% of the teachers attributed a lot, while only 25% and 16.1% respectively of the 5th and 6th year recognize that they are presented to these. Professors and students also have different perceptions in relation to feedback and the use of ICTs in formative assessment, because while 70.4% attributed a lot to the feedback, only 27.1% and 16.1% of the 5th and 6th interns, respectively, scored highly for feedback. The use of ICTs was perceived as reasonable (3-7) by 44.4% of the professors and very much by most students. Discussion of cases was the method most recognized by both. Conclusion: Knowledge about the development path of formative assessment in medical internship makes it possible to improve the process and build new projects. Teachers and students identified opportunities for improvement, which demand teacher training.

2
  • ANNICK BEAUGRAND
  • Medical education at school: the experience of medical students in a new practice setting

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • NIVIA MARIA RODRIGUES ARRAIS
  • MARIA VIVIANE LISBOA DE VASCONCELOS
  • Data: 25 août 2023


  • Afficher le Résumé
  • In the teaching and learning process, experience in professional practice is of strategic importance in the training of medical students. The practical activities within the curricular structure consent the student to have a better understanding of the population's real health needs and stimulates a broad and critical thinking. This work proposes to contribute to the integral formation of medical students through actions of promotion, prevention, and health care of student practice on pediatrics discipline. A qualitative research-action at Federal University of Rio Grande do Norte - UFRN was conducted by undergraduate medical students, integrating the school, with students from a kindergarten, elementary middle, and high school, and evaluating their practice. This work comprised the phases: identification of the problem; recruitment of participants, field preparation workshop; intervention; and evaluation of this intervention. Data were collected through semi-structured interviews and data were analyzed using Bardin's categorical thematic content analysis methods. Among the reports of the interviews with medical students, 5 categories emerge: situational diagnosis of the school environment, school as a space for practical activity, student feelings in the face of the new practice scenario, difficulties with pediatric care and the impact of the experience on the formation of the medical student.  Among the interview reports with the medical students, the importance of a health at school program stands out, inserted, and integrated into the daily life and school culture, to broaden the experiences within a scenario of the everyday life of children and adolescents, for the undergraduate curriculum in medicine area.

3
  • JÉSSICA CRISTIANE MENDES DA SILVA
  • NON-VIOLENT COMMUNICATION: DEVELOPING COMMUNICATION SKILLS IN A UNIVERSITY HOSPITAL

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • MARCELO VIANA DA COSTA
  • FERNANDA PATRÍCIA SOARES SOUTO NOVAES
  • Data: 28 sept. 2023


  • Afficher le Résumé
  • Health communication is a nuanced and intricate process, intricately woven with a multitude of participants and components. Beyond the mere exchange of information, it encompasses a skill set that extends to active listening and mediation. Regrettably, academic training often falls short in equipping individuals with the necessary communicative prowess, potentially contributing to the challenges encountered in the realm of health communication.Hence, the objective of this study is to enrich the realm of communication skills among residents, preceptors, and mentors within the intricate tapestry of healthcare education, particularly within the dynamic setting of a university hospital. Employing a qualitative approach, we embark on an educational action research endeavor, engaging residents, mentors, and preceptors from the multifaceted residency program at the esteemed Onofre Lopes University Hospital (HUOL). Our participants underwent an initial semi-structured interview to unravel their perception of health communication and their grasp of the art of nonviolent communication (NVC). Furthermore, our inquiry delved into the communication dynamics between mentors/preceptors and residents within the institution, examining the profound impact of such interactions on the pedagogical journey and patient well-being. Driven by the belief that the principles of nonviolent communication hold potential to enhance the exchange between residents, mentors, and preceptors, a collaborative workshop was meticulously crafted to facilitate a profound discourse on this subject. Esteemed contributors from the institution's multifaceted residency program were fervently engaged in this enlightening session. Post-workshop, participants, who identified themselves as mentors, preceptors, or residents, were graciously invited to evaluate the tangible effects of our intervention and the pragmatic feasibility of integrating NVC within the dynamic milieu of a teaching hospital. Analyzing the rich narratives that emerged from interviews demanded the deft application of the thematic categorical content analysis technique, culminating in the emergence of distinct categories. These include Communication within the Pedagogical Odyssey, The Nexus of Communication and Healthcare, Charting the Territory of Nonviolent Communication, NVC in Practice: A Perceptive Appraisal, and NVC: A Pathway to the Cultivation of Profound Communication Skills. In summation, our findings suggest that nurturing wholesome connections through communication, firmly rooted in the principles of NVC, serves as a potent catalyst in the realm of pedagogy, thereby unequivocally enriching the healthcare landscape. Our study advocates for the seamless infusion of strategies and tools that hone communication acumen, seamlessly integrated into the theoretical and practical facets of education. The innovative forum of the nonviolent communication workshop stands as an exemplar of such strategies, poised to flourish as a cornerstone of residency and enduring education. 

4
  • RAFAEL ALVES DA SILVA
  • CORE COMPETENCIES DEFINITIONS FOR CARDIO-ONCOLOGY TRAINING IN THE MEDICAL RESIDENCY IN CARDIOLOGY.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • CLÉBER DE MESQUITA ANDRADE
  • MARIA JOSE PEREIRA VILAR
  • MARTA SILVA MENEZES
  • PAULO JOSE DE MEDEIROS
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 13 nov. 2023


  • Afficher le Résumé
  • The teaching of Cardio-oncology is essential for the training of professionals capable of dealing with cardiovascular diseases in patients with a current or previous history of cancer, considering the increasing prevalence and potential morbidity and mortality of both. This study aims to propose the matrix of essential competencies in Cardio-oncology in cardiology medical residency and understand the perception of cardiology residents during Cardio-oncology training. The study was exploratory, prospective and descriptive, involving preceptors and professors of the Medical Residency Program (PRM) in Cardiology at two Public Institutions, and Cardiology medical residents at Hospital Universitário Onofre Lopes (HUOL). To develop the skills matrix, the Delphi method was used. Residents' perception used a semi-structured questionnaire. It had ethical approval by the Research Ethics Committee (CEP-HUOL) under CAEE number 54993422.6.0000.5292. The panel of experts was composed of 9 preceptors and 1 professor, with consensus being reached in the first round of the Delphi method. The final matrix addresses competencies in the following domains: patient care; health management; practical performance; interpersonal and multidisciplinary relationship; medical education. All medical residents from 2020 to 2023 responded to the questionnaire (N=14). A high degree of agreement was observed between the items evaluated, especially in topics related to medical education (presentation and discussion of a scientific article contributing to the understanding of cases (92%); feedback from the preceptorship contributing to improving care (92%); contact with other students, improving knowledge in the area of Cardio-oncology (68%). Therefore, the inclusion of core competencies for training in Cardio-oncology in the PRM in Cardiology represents a strategy to improve training, thus allowing better assistance in health to this patient profile.

5
  • RAFAEL GÓIS CAMPOS
  • Case-based learning: facilitating learning in psychiatry through video clinical cases.

  • Leader : ELAINE LIRA MEDEIROS
  • MEMBRES DE LA BANQUE :
  • ELAINE LIRA MEDEIROS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • EDMÉA FONTES DE OLIVA COSTA
  • Data: 30 nov. 2023


  • Afficher le Résumé
  • Introduction: The teaching of psychiatry for medicine requires more than learning from books, requires developing attitudes and observation of behavior, besides reducing prejudices. Case-based learning is a new teaching methodology, which seems to be effective, improving students' attention and participation. Objective: To implement a new teaching method in psychiatry, with case-based learning (CBL), video cases and the use of technological resources in a medical school in Brazil. Methodology: Construction of a clinical case, which was recorded in 5 videos with the help of an actress, showing a depressive condition with a maniac turn. The case was presented in 2 face-to-face classes, using interactive surveys during classes, in August 2022. In the interval between these two classes, virtual activities were also carried out. The students' participation, the level of satisfaction with the methodology, the students' self-confidence with the themes and the performance in tests were evaluated. Results: Twenty-one out of fifty students answered the questionnaire and 100% thought that the class methodology was better than a traditional one, 100% considered that the teaching methods used were useful and effective, 95.3% felt confident with the simulation and 100% felt that the teacher used useful resources. The main complaint of students was that they wanted more class time. The students had an average performance in the test of 88%. Conclusion: The results of the research indicated that case-based learning using recorded video cases in psychiatry education had a positive impact on students' levels of engagement, satisfaction, self-confidence and performance.

6
  • IRAN SIQUEIRA PEREIRA
  • SERIOUS GAME DEVELOPMENT TO SUPPORT ONGOING EDUCATION ON LINGUAL PHRENOTOMY

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • FRANKLIN DELANO SOARES FORTE
  • JOSE DINIZ JUNIOR
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 30 nov. 2023


  • Afficher le Résumé
  • Introduction: the interprofessional team at the Ana Bezerra University Hospital (Huab) works together to work on the frenotomy (FC) surgery process, with the dental team being directly responsible for this procedure in newborns, when ankyloglossia (tongue-tie) is detected). However, these professionals do not provide an online educational product that supports, directs and facilitates their teaching-learning process regarding this procedure. Objective: to build an online educational technology, of a serious game type, to support ongoing education on lingual frenotomy. Methodology: methodological study of creating educational technology, developed between August 2022 and March 2023, in a Federal public hospital linked to the EBSERH network, Brazil. It was carried out in three stages. Results: the educational technology was named QUIZ-FRENOTOMY and is available on a website so that hospital teams can use it as a way of teaching and learning about the CF process in newborns. Regarding satisfaction, it was observed that 100% were in favor of the inclusion of the game as an instrument to support learning; 88% considered that it facilitated the CF theoretical learning process; 99% considered that the content was suitable for the PA learning process; 99% considered it important to have an instrument to support PA learning like the game used; 100% agreed that the game covered the stages of the frenotomy process – and 100% also responded that they would recommend the game to other Dentistry teams who were going to perform frenotomy. As for suggestions for improvement, they ranged from the insertion of new question topics to the insertion of videos, however, without harming the purpose of the game. Final considerations: the game proved to be very effective for use in the CF theoretical teaching-learning process by the target audience and can contribute to educational interventions within hospital institutions that have the same profile as Huab.

7
  • ISIS NOBRE DANTAS
  • COMPETENCY MATRIX IN THE AREA OF ULTRASONOGRAPHY FOR A MEDICAL RESIDENCY PROGRAM IN RADIOLOGY AND IMAGING DIAGNOSIS

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • FRANKLIN DE FREITAS TERTULINO
  • JOSE DINIZ JUNIOR
  • MARIA JOSE PEREIRA VILAR
  • Data: 12 déc. 2023


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  • The medical training process in Brazil and around the world has been improving in recent decades, mainly due to changes in the structure of medical curriculum. Competency-based education has been the main focus of curricular changes, both at undergraduate and postgraduate levels, as it strives for quality training results. These are the objectives that every student must achieve at the end of the course, with the preceptor as an indispensable agent in this process when taking on the challenge of combining teaching with care work. To standardize the training process in these environments, there is a need to develop competency matrices for each specialty. The Medical Residency Programs in Radiology and Imaging Diagnosis (PRM-RDI) encompass several subspecialties, including Ultrasonography, which has peculiar characteristics. In this context, there is a lack of clarity regarding specific skills for Ultrasonography. This study sought to determine the Ultrasonography Competency Matrix for the PRM-RDI of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte. It is an exploratory and descriptive study that had the participation of nine preceptors and was developed in two stages: 1) documentary analysis of protocols and guidelines for the preparation of the initial semi-structured competency matrix; 2) the collective construction of the final skills matrix using the Delphi method. After three rounds of interactive questionnaires between November 2022 and April 2023, with closed and open questions, a consensus of participants' opinions was reached and the final competency matrix was obtained. Coherence was observed between the quantitative aspect of the answers to the closed questions and the opinions of the participants in the open questions. The highest rate of agreement occurred between general skills, teaching methods, specific skills in the medical areas that are most developed by preceptors, and skills for the first year of residency. The highest rate of disagreement occurred between assessment methods and in some activities with little or no training opportunities. The final competency matrix was constructed respecting the requirements of official guidelines established in the area of diagnostic imaging and the particularities of practice scenarios, valuing the actors involved.

2022
Thèses
1
  • MAÍRA MELO DO VALE LIRA
  • PERCEPTION OF PATIENTS WITH PARKINSON'S DISEASE: CONTRIBUTIONS TO COMPREHENSIVE HEALTH EDUCATION

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • RODRIGO DA SILVA MAIA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • SYMONE FERNANDES DE MELO
  • Data: 22 févr. 2022


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  • Parkinson's disease (PD) is a chronic neurodegenerative disease characterized by the manifestation of motor symptoms, the main ones being: bradykinesia, muscle rigidity and resting tremor; as well as non-motor symptoms, such as depression, pain, sleep disturbance and cognitive impairment. Symptoms that have a psychosocial impact on the lives of patients with PD. Most health actions are based on the biomedical model, which overvalues the disease and its symptoms, and in the case of PD, it focuses especially on motor symptoms and their treatment. It is important to give voice to the chronically ill based on their weaknesses and needs and thus foster possibilities of intervention in the health-disease-care processes. This work aims to promote comprehensive health education based on the perception of PD patients about their disease process and treatment. This is a qualitative, descriptive and analytical research based on the Phenomenological Method. Research data were collected through individual interviews using the semi-structured interview script McGill MINI – Narrative of illness. The participants were 7 patients aged between 48 and 73 years, treated at the Movement Disorder Outpatient Clinic of the Onofre Lopes University Hospital, Natal, Rio Grande do Norte. From the reports obtained, three thematic nuclei emerged that concern the patient before his diagnosis, living with the signs and symptoms of the disease and its treatment and the psychosocial impact of the disease and health care. Patients report psychological suffering with an impact on their daily lives and on their social and work relationships, which, in general, can harm their relationship with the illness itself. It brings reflection on the importance of teamwork and a broad view of the subject, as well as the strengthening of health education from the perspective of comprehensive health care.

2
  • JOSE REBBERTY RODRIGO HOLANDA
  • DIGITAL EDUCATIONAL TECHNOLOGY TOOL FOR THE CARE OF PEOPLE 
    WITH POST-COVID-19 SEQUELATIONS: A PROPOSAL AIMED AT COMMUNITY HEALTH AGENTS
  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • AUREAN DECA JÚNIOR
  • Data: 25 mars 2022


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  • The pandemic caused by COVID-19 constitutes a public health emergency of international importance, due to the high speed of transmission, increasing number of cases and deaths worldwide. Control measures such as social distancing, hygiene practices, mask use and vaccination are important to reduce its transmissibility. In addition, after improvement of the classic symptoms of this disease, and even after hospital discharge, the individual may have sequelae. The dissemination of clear, consistent and evidence-based information is essential for the control of sequelae caused by this disease. Thus, the research aimed to build digital educational material on guidelines for the care of post-COVID-19 sequelae. This is a methodological research with a qualitative approach. The construction of the material took place through a literature review carried out in electronic databases, in addition to bulletins and ordinances published by the Brazilian Ministry of Health and on the World Health Organization (WHO) portal. Guidelines on fatigue and dyspnea on exertion were included; sadness; joint mobility and cardiovascular function; neurological and cognitive impairment; dysphagia and decreased odor and taste of food. The research allowed us to summarize a range of knowledge about care with possible sequelae resulting from COVID-19. It is expected that the material will be accessible to the population and contribute to better adherence to care measures in the face of sequelae, impacting on improving the population's quality of life.

3
  • FERDINAND GILBERT SARAIVA DA SILVA MAIA
  • EVIDENCE-BASED MEDICINE TEACHING-LEARNING: COMPARATIVE ESSAY BETWEEN THE JOURNAL CLUB, CLINICAL CASES SESSION AND EXHIBITION CLASS

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ROSIANE VIANA ZUZA DINIZ
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • THIAGO GOMES DA TRINDADE
  • AECIO FLAVIO TEIXEIRA DE GOIS
  • CLÉBER DE MESQUITA ANDRADE
  • Data: 28 mars 2022


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  • Background: The incorporation of Evidence-based Medicine (EBM) in medical school curriculum is challenging. There are few comparative studies on teaching methods, and assessment methods need national adaptation and validation. Aims: To compare the competencies development for EBM among the strategies Journal Club (JC), Clinical Case Sessions (CCS) and Expositive Class (EC), using a Brazilian version of the ACE Tool questionnaire.  Methods: The study was conducted in two steps: translation for Brazilian Portuguese, adaptation and validation of the ACE Tool with students and professionals; and assessment of competencies development for EBM through comparison of mean pre and post-test scores on ACE Tool. Results: We recruited 88 participants: 20 students in JC group; 20 students in CCS; 36 students in EC and 12 invited professors/preceptors. The Brazilian version of ACE Tool has adequate internal consistency (Cronbach’s alfa 0.610) and reliability (item-to-total correlation ≥ 0.15 in 14 of 15 itens). Professors/preceptors mean scores were significantly higher than students’ on pre-test (10.25±1.71 vs 8.73±1.80, mean difference 1.52, 95% CI 0.47-2.57, p=0.005). There was no difference between JC and CCS scores compared to EC (JC vs EC: 9.15 ± 1.42 vs 9.11 ± 1.58, 95% CI -0.77,0.85, p=0.92; CCS vs EC: 9.4 ± 1.93 vs 9.11 ± 1.58, 95% CI -0.7,1.28, p=0.57). Conclusion: The Brazilian version of ACE Tool had discriminatory capacity for different levels of expertise and adequate internal consistency and reliability. In EBM-novice students, post-test results were equivalent among JC, CCS e EC groups.

4
  • FRANCISCA DAS CHAGAS SOARES PEREIRA
  • Evaluation of the effectiveness of serious games as an educational resource for professionals in a child-friendly hospital

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • GIOVANNA KARINNY PEREIRA CRUZ DE ANDRADE
  • KISNA YASMIN ANDRADE ALVES
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 31 mars 2022


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  • Introduction: the evaluation of educational resources is of great importance as a means of providing evidence based on the practices of professionals and important data for the evaluation of the action, in order to subsidize its continuity or revision, an aspect that constitutes a fundamental stage of the process of continuing education. Serious Games as a pedagogical resource have gained prominence, since they provide the development of practices and skills from the simulation of critical situations that involve some risk or require decision-making, in addition to having characteristics that corroborate the profile of the current student. This dissertation highlights an educational intervention using a Serious Game on breastfeeding with professionals from the Ana Bezerra University Hospital. Objective: to evaluate the effectiveness of a Serious Game on breastfeeding as an educational resource for professionals at a Baby-Friendly Hospital. Method: quasi-experimental, single-group, before-and-after, non-randomized research carried out in four stages: 1) Construction of a pre- and post-test instrument; 2) Application of pre-test instrument; 3) Educational intervention (Serious Game); 4) Assessment of satisfaction and effectiveness of the intervention. The study respected the ethical principles recommended for research carried out with human beings by Resolution No. 466/2012 and No. 510/2016 of the National Health Council. Results: the pre- and post-test instrument consists of 10 multiple-choice questions, prepared according to the guidelines of the National Board of Medical Examiners (NBME) and systematized according to the contents that make up the game. The instrument was developed from a methodological framework adapted from Pasquali's psychometry. The evaluation of the pre and post-test instrument took place with the submission of seven electronic forms through the Google Forms tool, with the acceptance of six judges, from two Delphi Stages. The judges were selected considering their professional performance in assistance or teaching related to breastfeeding. After the modifications suggested after the first stage (Delphi 1) were carried out, the instrument was submitted to the new evaluation stage (Delphi 2). After the new evaluation, all the questions obtained an agreement greater than 80% and CVC>0.8, being considered valid in their content. As for the evaluation of the content validation criteria of the instrument as a whole, after Delphi Stage 2 the instrument obtained a total CVC of 0.99. The educational intervention was carried out with 43 professionals from eight categories. In addition to the pre and post-test, an instrument to assess satisfaction with the game was applied. Regarding the evaluation of effectiveness, the results were statistically significant with post-test scores higher than the pre-test (P< 0.05). The analysis of the satisfaction assessment revealed that, of the 19 items evaluated, only one referring to the illustration category was rated as not adequate by a participant. The other items had an evaluation of more than 85% as excellent. Conclusion: AleitaGame is an innovative teaching resource in the area of breastfeeding and presents itself as an educational tool that follows the paradigm shift in health education. The game presents itself as a relevant tool, capable of transmitting knowledge through dynamic and motivating digital media, which favors clinical reasoning and decision making. It fulfills the role of going beyond mere entertainment, being able to provide the development of practices, skills and abilities.

5
  • ANA ZELIA PRISTO DE MEDEIROS OLIVEIRA
  • CONSTRUCTION OF DIGITAL PRIMER TO SUPPORT HEALTH EDUCATION OF HUMAN MILK DONORS

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • GIOVANNA KARINNY PEREIRA CRUZ DE ANDRADE
  • KISNA YASMIN ANDRADE ALVES
  • MONICA BARROS DE PONTES
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 23 sept. 2022


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  • Breastfeeding is a common action for all women who have undergone a gestational process and have had their children and is the main factor for child growth and development in early childhood. Many puerpery women produce milk in addition to what their babies need and, if saldable this milk can be given. This hand-dealist milk can be used in intensive care units, hospitalization units and feed children that their mothers cannot breastfeed for little or no milk production. The incentive to give milk should be performed by all health professionals involved in the gestational process, from prenatal care to the puerperal period. However, the reality experienced in health services does not seem to be compatible with the reach and promotion of benefits, and it is necessary to know and intervene on the multiple factors that determine this phenomenon, considered simultaneously as a biological and social act, impregnated with ideologies and market interests. In this context, it is important to think about ways that can facilitate and contribute to increase the uptake of human milk donation. In this scenario, health education has been shown to be the main causative factor of the adhering. Therefore, the present work aimed to build educational material to support the health education of human milk donors. This is a methodological study focused on the description of the process of elaboration of educational technology for learning the process of donation of breast milk to the human milk bank. During the pandemic, all care related to breastfeeding and human milk donation and also related to human milk processing were updated and all professionals were trained to act assertively with all changes and this whole process was challenging for all. During this process, a channel was made available via WhatsApp so that women could answer their doubts about human milk donation and breastfeeding. To carry out the present work, a survey of the most frequent doubts was carried out and then a booklet was constructed with the necessary answers obtained in official documents and scientific articles. Thus, the present study may contribute positively to the dissemination of knowledge about breastfeeding and the donation of human milk, thus resulting in the increase in their support.

6
  • CHRISTOPHE BEZERRA ANSELMO
  • DEVELOPMENT AND VALIDATION OF FACE AND CONTENT OF A REALISTIC SIMULATOR FOR SUPRAPUBIC CYSTOSTOMY TRAINING

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • LUIZ HENRIQUE DE ANDRADE ARAÚJO
  • ARIANO JOSE FREITAS DE OLIVEIRA
  • PAULO JOSE DE MEDEIROS
  • Data: 11 oct. 2022


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  • Performing a suprapubic cystostomy should be a basic competence of every urologist and general surgeon. It is necessary that physicians in training have access to adequate training for learning the surgical technique. Simulation training emerges as a safe, risk-free alternative for patients and resident physicians. We propose the creation of a realistic simulator for the training of suprapubic cystostomy and its face and content validation by urologists. The procedure was performed in the simulator by 21 urologists and a semi-structured questionnaire. The internal consistency of the questionnaire was assessed by Cronbach's alpha. Anatomical realism and the usefulness of the simulator as a teaching and training tool were evaluated. Data analysis showed a good evaluation of the simulator, both in terms of anatomical realism and utility. The developed simulator is important for the practical teaching of puncture cystostomy, and can be incorporated into the training curricula of resident physicians, especially in general surgery and urology.

7
  • ANDRE LUIZ BARROS ALMEIDA
  • PEDIATRIC SKILLS: Proposal for the creation of the Pediatric Skills discipline to be integrated into the Medical Residency Program in Pediatrics - UFRN/HUAB

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • CLAUDIO ORESTES BRITTO FILHO
  • GEORGE DANTAS DE AZEVEDO
  • ISABELLA BARROS ALMEIDA SAMPAIO
  • Data: 25 oct. 2022


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  • The new demands from pediatric hospital and pediatric care invite us to rethink and incoporate new teaching methodologies in the training of medical residentes. The use of technology emerges as na importante tool for teachers and studentes who will provide services in health centers, hospitals and in the Unidades Básicas de Saúde across the Brazil. With the objective of associating the traid teaching, service and Community, this work intends to create the discipline of Pediatric Habilities, in the Hospital Universitário Ana Bezerra (HUAB – Santa Cruz/RN). Therefore, we carried out a systematic review of techniques in clinical simulations, following PRISMA’s recommendations and requisits, both during the selection process and during the analysis of scientific papers there are online. In addition, we created training stations to composse plan for this discipline. Finally, it was verified that medicine teaching can and should be encouraged through anatomical models, as it provides training and, consequently, more security for these professionals performace as futures pediatricians.

8
  • MARIA DE FÁTIMA DE SOUZA
  • Knowledge and practices of Primary Health Care professionals in the care of people with Spinal Cord Injury
  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • SUELLEN MARY MARINHO DOS SANTOS ANDRADE
  • Data: 12 déc. 2022


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  • The spinal cord injury appears as a challenge for public health at a global level, since such a problem has had a great impact on the biopsychosocial context of the people who have such injuries, as well as their families, who require multidisciplinary care and at different levels of attention and complexity. Thus, the objective of this study is to understand the knowledge and practices of Primary Health Care professionals upon the care of people who live with spinal cord injury. This is a descriptive, exploratory study with a qualitative approach, which was carried out between November and December of 2020 with 12 professionals who worked in a Family Health Care Unit in Aparecida, located in the city of Natal, Rio Grande do Norte. For data collection, the Focus Group was used, and the data analysis took place under the light of Bardin's Content Analysis. This research was submitted and approved by the Ethics and Research Committee of the Federal University of Rio Grande do Norte. It was identified that the knowledge upon the care demands of people with spinal cord trauma is scarce, which results in fragmented care that falls short of the needs that such individuals have. It is suggested that permanent education actions on the topic should be carried out with professionals included in the context of Primary Health Care.

9
  • RODRIGO ALENCAR E SILVA
  • Development of a facial simulator model for motor skill acquisition in the application of botulinum toxin in hemifacial spasm and blepharospasm

  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • FLAVIO MOURA RESENDE FILHO
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • JOSE DINIZ JUNIOR
  • Data: 12 déc. 2022


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  • Objective: This research project was focused on the development and evaluation of a facial simulator model for motor skill acquisition for doctors in the application of botulinum toxin in hemifacial spasm and blepharospasm. Methodology: The project consisted of the development of a facial simulator made of layers of elastomer, among them silicone, which resembles human anatomy. Connected to this model, in a non-fixed way, there was an acrylic base to simulate the position of the face as it was in the dorsal decubitus or a sitting position. Doctors experienced in botulinum toxin application on these illnesses were selected and applied an Instrument of Evaluation of Learning Objects – LORI. Results: Produced a facial simulator and evaluated by eight doctors with expertise in application technique of botulinum toxin, the feasibility in the model in the process of learning and improving the motor skill.  Conclusion: An effective facial simulator model was developed to obtain the competence of the botulinum toxin application technique in hemifacial spasm and blepharospasm.

10
  • SANIELY TARGINO DE OLIVEIRA DUTRA
  • Educational technology and patient safety: prototype of a serious game
  • Leader : ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • IRISMAR KARLA SARMENTO DE PAIVA
  • Data: 19 déc. 2022


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  • Patient safety is essential for the provision of health care in all its environments. Therefore, strategies have been sought to be increasingly empowering professionals in order to make them more alert and closer ly to patient safety, thus ensuring the quality of care and a shorter in-hospital period for them. Thus, the present study aimed to develop the prototype of serious game to support permanent education on the priority goals of patient safety.  Thus, to achieve the objective, applied research was carried out with quantitative approach and transversal character through the application of the methodological framework of Benitti, Seara and Schlindwen, which describes the process in four stages, the first is conception where an integrative review was carried out to identify in the literature the scenarios in which most adverse events are reported to be used in the second stage. The second stage is the elaboration, where the Game Design Document was elaborated for the construction of the prototype proposal using the scenarios identified in the design stage. For the third stage of completion, it is necessary the collaboration of a professional specialized in technology creation, and the fourth stage, the feasibility, requires a preliminary validation with professionals who specialize in patient safety.  However, due to the time bias it was only possible to perform the first two stages. The construction of the integrative review identified the care sectors in which the most patients suffer incidents or adverse events, the types of events that occur and the professionals involved.  Regarding the sectors, we had: Intensive Care Unit (adult and pediatric); medical and surgical wards; obstetrics sector; outpatient examination sector; emergency and emergency care units and surgical sector. The types of events were prescription error; administration error; distribution error. As for the professional classes involved, there were: physicians, nurses and nursing staff, and pharmacists. Based on the information found in the design stage, two scripts for the game are constructed: 1) for the nurse/nursing technician player; 2) for the doctor player. In the development phase of the prototype proposal was elaborated the Game Design Document, a document that defines the theme, objective, target audience and mechanics of the game, describes the scenarios, characters, scripts, interface of the home screen, as well as the sequence, rules and score, and the form of evaluation of the player. The game was designed to make the professional's involvement in the choice of conducts and procedures that may result in different outcomes for the patient. And, with this association, it is expected to improve care practices and reduce the errors and harm caused to patients.

2021
Thèses
1
  • CANDYCE DE LIMA E SILVA
  • Training for interprofessional practices in multiprofessional health residences in hospitals at the Federal University of Rio Grande do Norte

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • EUDES EULER DE SOUZA LUCENA
  • RENEIDE MUNIZ DA SILVA
  • Data: 1 févr. 2021


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  • The integral health care, essential for quality assistance, is one of the principles of the Sistema Único de Saúde (SUS) in Brazil. To meet this demand, compete to SUS ongoing training of its human resources. In this sense, Interprofessional Education (IE) is currently one of the central training axes of health education. Our goal is to examine a proposal for the IE at Multi-professional Residency Programs in Health (MRPH) of theFederal University of Rio Grande do Norte, linked to hospitals, as well as the perception of their residents about the training that they are receiving for interprofessional work. This research is qualitative with an exploratory nature. The corpus of the research is the Pedagogical Projects (PP) of the transcribed courses and semi-directed interviews, carried out with the residents. We analyzed the PP and 29 interviews through document analysis and content analysis ( framework approach ), respectively. The results show us that all programs propose a change from traditional health teaching practices, with the central formative objective of collaborative practice in their PPs, the projects have the same matrixes and evoluation system and all cite active methodologies as a tool for learning. Residents have a good understanding of IPE, which corroborates the definition presented in the literature and recognize the importance of teamwork. We observed a dissonance between the IE foreseen in the PP and that that perceived by residents who consider PRMS a fertile setting for IE. But they report that graduate students are threat to IE; The biomedical model is still hegemonic within hospitals causing a distance from other professions within medical school. The total separation of medical and multi-professional residency weakens the collaboration. The creation of interprofessional thinking is a challenge within health education. However will only be promoted if we expand the training activities within the PRMS that they produce solidary and collaborative interactions.

2
  • ANA NEILMA PINHEIRO DAS NEVES
  • PROPOSAL FOR TRAINING ORIENTED BY COMPETENCE AND ASSESSMENT OF LEARNING FOR MULTIPROFESSIONAL RESIDENCE IN HEALTH.

  • Leader : JANETE LIMA DE CASTRO
  • MEMBRES DE LA BANQUE :
  • ANTONIO DE LISBOA LOPES COSTA
  • CLAUDIO ORESTES BRITTO FILHO
  • JANETE LIMA DE CASTRO
  • QUENIA CAMILLE SOARES MARTINS
  • Data: 25 févr. 2021


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  • Introduction: the teaching in the health field has undergone important changes and the advent of Medical and Multiprofessional Residency programs in Brazil has enabled health service professionals to discuss and reflect on SUS principles and guidelines. Bearing in mind that training specialists for the Unified Health System requires the acquisition and / or improvement of skills, attitudes and knowledge within their area of expertise, it is essential to guide training through relevant assessments. Objective: To elaborate a skills matrix and an evaluation tool for the performance of Residents of the Multiprofessional Residence in Maternal and Child Care at the Ana Bezerra University Hospital. Methodology: Qualitative study of the interventional type, with participants from the Residents of the first year of 2019, tutors and the coordinator of the Residence. The data collection of the study was developed in two stages: The first, consisted of a workshop with Residents and tutors to discuss and elaborate a proposal for a skills matrix and a new evaluation instrument for the Residence. The second stage, which also took place in the form of a workshop, counted on the participation of tutors and the coordinator of the Residence to adjust the proposed instruments. The speeches of the participants of the first workshop were transcribed and analyzed using Bardin (2011) as a reference. Results: This work results in the construction of two instruments. The first is called the Competency Matrix and the second is called Competence Assessment Instrument. The discussions held in the workshops revealed the residents' difficulties in preparing these two instruments, as well as the need to develop an instrument capable of assessing their competence.

3
  • FRANCISCO PIRES NEGROMONTE DE MACÊDO
  • Elaboration and implementation of a new instrument for the evaluation of residents in the 
    medical residency program in radiology and diagnostic imaging at 
    Hospital Universitário Onofre Lopes - HUOL - UFRN
  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • MARIA JOSE PEREIRA VILAR
  • ROSIANE VIANA ZUZA DINIZ
  • RUBENS CHOJNIAK
  • Data: 11 juin 2021


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  • Introduction: Medical Residency is a post-graduate modality with a specialization level, based on in-service training. There has been a growing interest in the use of Competency-Based Medical Education in the last few decades, whose focus is on educational outcomes. Assessment is one of its central pillars, and it should be formative and provide feedback. Competency-Based Medical Education has been implemented in some countries, with different structures. In Brazil, the National Medical Residency Commission took the first steps in this direction, defining the educational objectives for various specialties, including Diagnostic Radiology. The systematization of competency assessment methods involves multiple variables. The literature lacks specific assessment tools for Radiology, especially in Brazil. Objectives: Develop and implement a formative assessment tool for the Diagnostic Radiology Residency Program at Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte. Method: It is a study with a descriptive, exploratory and intervention approach, with three stages. The first two consisted of workshops with residents and preceptors, one for training in competency assessment, and the other for the collective construction of an assessment tool suitable for Radiology. In the third stage, the researchers followed the initial application of the instrument by the preceptors. Results: The two workshops were attended by the three researchers, sixteen preceptors and five residents. The resulting assessment tool includes seven competencies that must be assessed against what is expected at the resident level, and an overall scale of the evaluation. The instrument was applied 33 times in practice scenarios, over a period of six months. Conclusion: The realization of the training workshops for preceptors, with the introduction of a new culture of assessment, was fundamental for the construction and initial experience in the application of the assessment tool. This tool presented viability, low cost and had good acceptability between preceptors and residents.

4
  • ÂNGELA GONÇALVES COSTA
  • MEDICAL RESIDENCE: EMOTIONAL FACTORS AND BURNOUT SYNDROME

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • LUCIANA CARLA BARBOSA DE OLIVEIRA
  • PAULO JOSE DE MEDEIROS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 22 juin 2021


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  • Medical residency is a post-graduate modality, which aims to offer the resident in-service training, with a high degree of demand and high workload. This context can compromise the resident's well-being, causing psychological distress and even mental illness. Therefore, this study aimed to estimate the prevalence of stress, depression and Burnout syndrome among residents and tutors of the Medical Clinic service at Hospital Universitário Onofre Lopes. A quantitative, epidemiological, cross-sectional study was carried out. The first and second year resident physicians enrolled in the Medical Clinic program at Hospital Universitário Onofre Lopes and preceptors of this service participated in the study. This study was approved by the UFRN Research Ethics Committee (Opinion No. 3,558,898) and all volunteers signed the Free and Informed Consent Form (ICF), after being informed about the research objectives. For data collection, the following instruments were used: identification form, Lipp's Stress Symptom Inventory (ISSL), Beck's Depression Inventory and the Maslach Burnout Inventory - Human Services Survey. Regarding the participants, 13 (25%) were residents of the 1st year of Clinical Medicine, 15 (28.8%) of the 2nd year and 24 (46.2%) preceptors of the Medical Clinic program, totaling 52 doctors. According to ISSL, 29 participants (55.7%) had stress, with a predominance of 2nd year residents, 12 (41.4%). Most doctors with stress were in the resistance phase, 28 participants (53.8%), with a predominance of psychological symptoms 19 (36.5%). The symptoms of depression were present in 7 (13.5%) of the participants, being more prevalent also in the residents of the 2nd year: 4 (57.1%). Of the group surveyed, 3 (5.8%) had Burnout Syndrome and all were resident physicians in the 2nd year. Thus, it is necessary to reflect on mental health in the context of medical residences, in order to contribute to the development of positive strategies for coping with stress, favoring self-care and the prevention of psychological symptoms.

5
  • ANA GERMANA LEITE
  • Contributions to the construction of a Collaborative Skills Matrix for the Multiprofessional 
    Residency of a School Maternity Hospital
  • Leader : JANETE LIMA DE CASTRO
  • MEMBRES DE LA BANQUE :
  • ANA CLAUDIA CAVALCANTI PEIXOTO DE VASCONCELOS
  • ANTONIO DE LISBOA LOPES COSTA
  • JANETE LIMA DE CASTRO
  • Data: 19 juil. 2021


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  • Interprofessionality is currently presented as fundamental for the training of health professionals who aim at truly comprehensive care for patients and teamwork. In this sense, the development of collaborative skills comes to help teachers and students to achieve this goal. Interprofessional Education recognizes and respects the specific assumptions of each profession and protects its identity. By dealing with the difference, it works towards achieving competency-based outcomes within a common framework. The general objective of this master's conclusion work is to propose elements for the construction of a matrix of collaborative competences for the Multiprofessional Residency Program in Health with Area of Concentration in Neonatal Intensive Care of a teaching maternity hospital. The proposal presented in this work was designed from the perspective of guiding the training and training process of residents, with regard to collaborative skills. This is a qualitative secondary study, of the bibliographic review and document analysis type, carried out at the Maternity School Januário Cicco (MEJC), Natal, Rio Grande do Norte. The sources of investigation were the Political Pedagogical Project (PPP) of the Multiprofessional Residency in Health with Area of Concentration in Neonatal Intensive Care of the aforementioned maternity hospital and competency matrices found in the literature. The study was carried out in two stages. The first consisted of a bibliographic survey about the collaborative skills necessary for the training of health professionals in reading the PPP and other matrices. The second stage aimed to build a matrix proposal that was developed based on four axes: interpersonal relationships and communication; professionalism and ethics; sense of responsibility and proactivity; person, family and community centered approach. Each axis presents the competences desired by the graduate of the Multiprofessional Residency in Health with a Concentration Area in Neonatal Intensive Care at MEJC. The purpose is that the proposal presented here provides elements for the elaboration of an instrument to assess the collaborative skills of the program's residents. It is believed that it comes at an opportune moment, when teaching at MEJC takes on greater proportions and rises to a new level, that of the professionalization of teaching. It is the moment when the vast majority of preceptors and tutors have already been trained for teaching and the need to improve practical processes, such as the evaluation of residents, arises.

6
  • ARACELI MARIA DE LIMA SANTOS
  • DEVELOPMENT OF A SMARTPHONE APPLICATION AS A TOOL TO ASSIST A SAFE PRESCRIPTION

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • MARISE REIS DE FREITAS
  • PAULO JOSE DE MEDEIROS
  • IZABEL CRISTINA MEISTER MARTINS COELHO
  • Data: 23 août 2021


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  • The safe use of drugs is the third global goal proposed by the World Health Organization. Adverse drug events occur due to errors in prescribing, dispensing or administering drugs. Prescription preparation is the most common task in medical practice, however, preparing a physician in training to do so is a great challenge. In this sense, using an m-learning tool, such as a smartphone application, will help in this process, due to its availability and ease of access, serving as a search tool for active learning. The research objectives were to develop and make available a smartphone application with information about medications to assist medical residents in the elaboration of a safe prescription in an educational institution, serving as a tool for self-directed study, with reliable information. Methods: An action research was carried out in 4 stages: phase 01 - exploratory, in which the need for a new intervention to improve safety in medical prescription was observed; phase 02 - planning, with the agreement, with the teams of the Hospital's Patient Safety Center and the Hospital Pharmacy, about the content of the application; phase 03 - content development with the cataloging of drugs using the platforms UpToDate®, Micromedex® Drug Info and the leaflets available on the ANVISA website; and application development; phase 04 – use and evaluation of the tool, through a structured questionnaire. Results: A free smartphone app was developed for institutional use, with basic information related to 72 highly surveillance drugs standardized in this teaching hospital, in addition to an e-book with the same information. A pilot evaluation was carried out to obtain the opinion of potential users about the usefulness of the tool after using it for about 15 days. Of the 73 invited to evaluate the tool, 35% (26) completed all stages of the research, of these 84% (16) considered the application useful, 53% (10) were very satisfied with the tool, 89% (17) considered it useful as a learning tool and 100% agreed that the institution should expand the tool to include all standardized drugs. Conclusion: The tool was well accepted among potential users, and will serve to facilitate access to secure information during the preparation of medical prescriptions, contributing to the reduction of inadequacies in them.

7
  • IRACY LUANNA DE ALBUQUERQUE SILVA
  • Perception of undergraduate preceptors regarding their role in the training of critical and reflective health professionals

  • Leader : ANTONIO DE LISBOA LOPES COSTA
  • MEMBRES DE LA BANQUE :
  • ANTONIO DE LISBOA LOPES COSTA
  • RODRIGO DOS SANTOS DINIZ
  • YONARA MONIQUE DA COSTA OLIVEIRA
  • Data: 27 août 2021


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  • CONTEXT: Due to the need for changes in the formation of courses in the health field, the resolution number 569 of December 8, 2017 reiterates Art. 200 of the 1988 Constitution and approves principles to be incorporated in the National Curriculum Guidelines for Health Courses, as requirements to be taken into account when adapting and building new curricula. OBJECTIVE: The present study aimed to understand how the graduate tutors at the Pediatric Hospital Maria Alice Fernandes understand their role in the formation of critical and reflective health professionals. METHODOLOGY: Descriptive-exploratory study, with a qualitative approach, with an intentional, non-probabilistic choice, carried out with undergraduate preceptors from multiple areas at the Pediatric Hospital Maria Alice Fernandes. The sample consisted of 08 undergraduate preceptors invited to the discussion in 1 (one) focus group (FG) and 3 undergraduate preceptors interviewed individually, having as a thematic axis the “understanding of undergraduate preceptors as to their role in the training of critical and reflective health professionals”. The FG discussion and individuals interviews were guided through a semi-structured script, previously prepared with 5 opens questions, with the researcher as a mediator. RESULTS: The results obtained through this research generated a product in the form of a report, to be disclosed to the Institution's Management together with the NEP (Continuing Education Center) where this document is able to provide subsidies to understand the perception of preceptors regarding the knowledge of new health curricula, development of critical-reflective skills in undergraduates and their role in the training of critical and reflective professionals, use of active methodologies for the development of such skills and the strengths and weaknesses in the exercise of preceptorship for the development of these skills in undergraduates.

8
  • DANIEL CAMARA ALVES DE MEDEIROS
  • Implementation and analysis of a procedure-based assessment strategy (PBA) in the Medical Residency of Urology at Hospital Universitário Onofre Lopes

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • RODOLFO BORGES DOS REIS
  • ELAINE LIRA MEDEIROS
  • PAULO JOSE DE MEDEIROS
  • Data: 30 août 2021


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  • Changes in society and in the practices of Medicine have demanded improvements in the surgical teaching process in Medical Residencies worldwide, leading to the emergence of new teaching-learning and assessment competency-based models.  In this process, the Procedure Based Assessment (PBA) stands out as an assessment tool in the work environment, with summative and formative characteristics, supported by competency-based assessment and structured feedback.  This research aimed at the elaboration, implantation and analysis of the PBA in the Urology Medical Residency Program of the Hospital UniversitárioOnofre Lopes (PRMUro-HUOL), through an exploratory, prospective, research-action type study, involving residents and preceptors of the Program in the years 2019 and 2020.  The stages of the study involved the training of participants, the preparation of the PBA by group consensus, the assessments’ application and the capture of the group's perception through a questionnaire.  In the results, there was the participation of 13 preceptors and 6 residents, contributing to the creation of 06 models of PBAs. Thirty four assessments were applied.  In the individual performance analysis, the tool was able to capture a tendency to improve competencies in all surgeries and for all residents. Structured feedback was considered an important strategy in the teaching-learning process by preceptors and residents.  In the group's perception, the PBA is able to certify surgical competence, evaluate the development of these competencies and improve the learning curve, crediting good educational value to it. Difficulties and negative points were raised, such as inexperience with the method, lack of adequate time within the institutional routine, lack of engagement by some tutors, doubts about the accuracy and quality of the feedback offered.  Suggestions were made in the sense of systematizing evaluations, continued training and institutional encouragement. All participants were in favor of the regular use of PBA in PRMUro-HUOL. The study concluded that the group's experience with PBA was positive, with good acceptance and perception of several benefits from a pedagogical point of view, so that the routine adoption of the tool at PRMUro-HUOL is promising.

9
  • FELIPE LEITE GUEDES
  • DEVELOPMENT AND EVALUATION OF AN ONLINE ATLAS OF RENAL PATHOLOGY TO SUPPORT THE TEACHING OF GLOMERULOPATHIES

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • ANNA GISELLE CAMARA DANTAS RIBEIRO RODRIGUES
  • EDNA REGINA SILVA PEREIRA
  • JOSE DINIZ JUNIOR
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 2 sept. 2021


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  • OBJECTIVES: The project's objectives are to develop and publish a virtual platform in Renal Pathology for the teaching of Glomerulopathies and to evaluate how resident physicians reacted to the way of learning using the developed educational technology. METHODOLOGY: The work was divided into two parts. The first was related to the construction of an online platform for teaching glomerulopathies, NefroAtlas. The development of the platform was carried out through the collaboration of the Nephrology services of HUOL-UFRN,  LIME-UFMA and IMD-UFRN. For the presentation of the development of the platform, the instructional design model “ADDIE” was presented. The second part of the research included a qualitative research, in which 8 medical residents, who used the Atlas for a period of fifteen days, gave their opinions on their learning process through a focus group. A thematic analysis of the material obtained through recording was carried out.RESULTS:The teaching platform was developed and published in website format. It has three sections: Modules, Exams and Reports. The Modules include: two main themes (Normal Kidney and Lupus Nephritis, the main pathology diagnosed by renal biopsy at HUOL). As didactic resources, the following were included: clinical cases, directions and motivating questions, explanatory texts, highlighted images of renal pathology and tests aimed at the student's self-assessment. The evaluation of the residents showed that the project was favorable to the acquisition of new knowledge and presented positive points related to the motivation to use the technological resource, but also the way in which the content was presented. The group of residents also suggested points of changes.CONCLUSIONS:The project can be expanded using the collaborations obtained through the focus group. Teaching platforms can be inserted through the Blended Learning to support the learning of the post and undergraduated medical students. 

10
  • ANA TERESA LEIROS DE AZEVÊDO
  • Anxiety, Depression and Stress in Multiprofessional Residents of Hospital Universitário Onofre Lopes

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • MARLOS ALVES BEZERRA
  • RODRIGO DA SILVA MAIA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 24 sept. 2021


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  • Multiprofessional residency programs in Brazil seek to integrate teaching-service-community, aiming to favor the qualified insertion of health professionals in the labor market, preferably recent graduates, particularly for the SUS. As this is a teaching model that is different from the traditional one, the resident needs to deal not only with difficulties that are typical of the teaching-learning process, but also with the demands required of a professional working in the labor market. Therefore, this study aims to estimate the prevalence of stress, anxiety and depression in multidisciplinary residents of the University Hospital Onofre Lopes. This is a study with a quantitative, transversal and descriptive approach. For data collection, the following instruments were used: Identification Form, Lipp's Stress Symptoms Inventory for Adults (ISSL) and the Anxiety (BAI) and Beck Depression (BDI) scales. The sample consisted of 75 residents, from different areas of health (nurses, physiotherapists, pharmacists, nutritionists, dentists, psychologists and social workers) and different programs (child health care, intensive care unit, cardiology and psychosocial care). The results obtained showed that 34.70% of the participants presented symptoms of stress, with the majority in the resistance phase (30.7%); 57% of residents had some degree of anxiety (mild, moderate and severe) and 20% had depressive symptoms and dysphoria. These results highlight the need to value the mental health of multiprofessional residents, in order to develop, in the residency programs, spaces for reflection and acceptance of these residents' emotional issues.

11
  • SEVERINO ALVES DE MOURA FILHO
  • PROPOSAL OF DISTANCE COURSE ON ACTIVE TEACHING METHODOLOGIES FOR PRECEPTORS OF GRADUATION IN PHARMACY

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • KISNA YASMIN ANDRADE ALVES
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 24 sept. 2021


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  • Considering the importance of training and continuing education for preceptor pharmacists, as fundamental strategies in the construction of a dynamic and effective teaching-learning model, in compliance with the National Curriculum Guidelines for the undergraduate course in Pharmacy and its pedagogical proposal, a distance training program was created. for the preceptors of the Pharmacy Course at the Federal University of Rio Grande do Norte on active teaching methodologies in health, in order to raise awareness and encourage the implementation of these methodologies during practical activities in the various scenarios of pharmaceutical teaching. This is a methodological research carried out in three stages: 1) Situational Diagnosis; 2) Literature review study; and 3) Construction of the training course for preceptors. The survey included the submission of 104 electronic forms through Google forms, with the acceptance of 43 preceptors to participate in the survey, these mostly female (72.1%) and with a specialist title (46.6%), average age of 38.1 years and with professional experience between 11 to 20 years (51.2%). With regard to training to exercise preceptorship, 36 (83.7%) never received training and in 100% of the cases the insertion as preceptors occurred casually, due to the professional working in environments that are part of the internship field of the pharmacy course. In the analysis of the preceptors' difficulties and potentials, the taste for teaching, motivation for student learning was pointed out as positive points. Among the difficulties are the work overload (time), physical space, moments to exchange knowledge and lack of training. These findings corroborate the literature review stage, which revealed that the theme of teaching methodologies in preceptorship in Pharmacy is still a gap to be explored. Therefore, a proposal for a distance course on active health teaching methodologies was elaborated in order to present various available methods that preceptors can use with students during practice, in different scenarios. Contributing to adequate pedagogical skills and teaching-learning that promotes the development of critical-reflective training for students.

12
  • SAYONARA COSTA DO NASCIMENTO

  • AN EXPERIENCE WITH CONCEPT MAP IN THE SUBJECT OF PHYSIOTHERAPY UROGYNECOLOGICAL AND OBSTETRIC - UFRN

  • Leader : TECIA MARIA DE OLIVEIRA MARANHAO
  • MEMBRES DE LA BANQUE :
  • TECIA MARIA DE OLIVEIRA MARANHAO
  • MARIA JOSE PEREIRA VILAR
  • CLÉBER DE MESQUITA ANDRADE
  • Data: 27 déc. 2021


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  • Meaningful learning is a starting point for the construction of new teaching-learning methods. In this regard, the concept map appears as an active methodology on which the student builds their learning in a dynamic, illustrative, creative, and reflective form, through a graphical representation of concepts that relate to each other by forming propositions. In turn, these propositions are formed by an initial concept, a final concept, and a linking term that expresses the existing conceptual relationship. In this teaching process, the professor is the student’s mediator and supporter. Objective: This study aims to evaluate the construction of concept maps and the students’ perception regarding the potentialities of how to use the concept map as a teaching-learning strategy in the Urogynecology and Obstetrics Discipline of the Physiotherapy College at the Federal University of Rio Grande do Norte. Methodology: The study is exploratory and descriptive, in which the data were collected from concept maps made by the students, from a scale of established criteria, having as reference the study of Bhusnurmath et al. (2017). The analysis of the concept maps followed a twenty-point scale, containing the following criteria: (1) organization; (2) interconnectivity; (3) clarity and understanding; (4) accuracy of information; and (5) layout. A number of twenty students enrolled in the Urogynecology and Obstetrics discipline participated in this research. This methodology was included as an assessment method in this compulsory course in the second semester of 2020. The concept maps of the twenty students who signed the Free and Informed Consent Term (FICT) were analyzed. A total of ninety-four maps were made by the students, fifty-six of them followed the standards of concept maps, and thirty-eight did not belong to the established criteria. Students who signed the FICT were included in the study. Mind maps and diagrams prepared by the students were excluded. Cmap Tools software, developed and freely released by the Institute for Human & Machine Cognition (IHMC), was used by 100% of the participating students. Results: The elaborations of the concept maps achieved variable construction forms. It is observed that thirteen (23,2%) of them fulfilled all the prerequisites; thirty-three (58,9%) did not have cross-links, which favor creativity and the communication with more distant concepts in the map; the connecting phrases were not used by three (7,3%) of the students - once they help to understand better what the author’s map wants to convey; one (1,7%) did not elaborate the map in an organized form and did not utilize the cross-links (unreadable); and six (10,7%) did not use connecting phrases and cross-links. Conclusion: Concept maps can collaborate in learning, providing the organization of ideas upon the studied knowledge.

2020
Thèses
1
  • LAÍS IZABEL MAIA MELO CRISANTO
  • DEVELOPMENT OF COMPETENCES IN FAMILY PRACTICE: STRENGTHS AND DIFFICULTIES IN A MEDICAL RESIDENCE PROGRAM FROM THE PERSPECTIVE OF THE RESIDENT EGRESS

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • KARLA PATRICIA CARDOSO AMORIM
  • MAGDA MOURA DE ALMEIDA PORTO
  • MARIA JOSE PEREIRA VILAR
  • Data: 14 févr. 2020


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  • Introduction: Training in Family Practice (FP) involves a complex set of skills. The Brazilian Society of Family and Community Medicine (SBMFC) developed a Competency-Based Curriculum (CBC) in view of the scenario of expansion of FP residency programs in Brazil, in order to guide the training of young family physicians. This work aims to analyze the facilitating and limiting factors in the development of competences during residency in MFC. Methods: This is a qualitative, observational and analytical study, developed with graduates from the Residency Program in Family Practice at Hospital Universitário Onofre Lopes (RPFP/HUOL) from 2016. Two strategies were used: a virtual questionnaire, on socio-demographic data of the graduates and the RPFP/HUOL, with subsequent descriptive analysis of them; and individual interviews with graduates, in order to deepen the understanding of the competences to be developed and how this process took place at the Medical Residency (MR). To assess the material of the interviews, thematic content analysis, based on Bardin, was used, with 3 a priori categories being defined: FP competences to be addressed during MR; Factors that influenced the development of FP competences; Development of competences in communication skills and clinical reasoning at RPFP/HUOL. Results: 7 graduates were interviewed, and 9 responded to the virtual questionnaire, corresponding to a significant part of the 11 residents who closed the RPFP/HUOL in the years 2016 to 2019. In addition to the 3 a priori categories already established, an a posteriori category emerged: Analysis proposal on training for FP. As for the SBMFC’s CBC, it was perceived by the graduates as a document known and applied by the FPRP/HUOL, so much so that the competences mentioned in the interviews are in line with the categories found in the aforementioned curriculum. The contact with the preceptorship and the importance of the preceptor in the development of these competences were very recurrent speeches in all interviews, being denoted as an important facilitator for the development of the resident during the Program. The resident's autonomy was also frequently cited in the sense of being a fundamental requirement for the development of skills and better use of MR, which corroborates with adult learning and brings challenges to the preceptorship and to the planning of the theoretical-practical spaces and evaluative, in addition to the practice scenarios. Conclusions: RPFP/HUOL graduates are, in general, young doctors, graduated from institutions whose curriculum has complied with the National Curriculum Guidelines, and are motivated by the diversity of skills in the specialty. Preceptorship was perceived as a fundamental factor for the development of FP competences. The curricular reorientation of the RPFP/HUOL associated with better structuring of the Health Care Network and teaching-service dialogue, valuing preceptorship, may bring benefits and new challenges to the health system of the municipality of Natal.

2
  • ALDENISIA ALVES ALBUQUERQUE BARBOSA
  • INTERVENTION PROJECT IMPLEMENTATION: A VISION OF ACTORS INVOLVED IN THE INTERNSHIP OF HEALTH COLLECTIVE OF MEDICINE COURSE OF UFRN IN THE MUNICIPALITY OF SÃO GONÇALO DO AMARANTE - RN 

  • Leader : ANTONIO DE LISBOA LOPES COSTA
  • MEMBRES DE LA BANQUE :
  • ANTONIO DE LISBOA LOPES COSTA
  • JANETE LIMA DE CASTRO
  • LYANE RAMALHO CORTEZ
  • GEORGIA COSTA DE ARAUJO SOUZA
  • Data: 20 févr. 2020


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  • Intervention projects are frequently utilized as methodological resource for senior thesis in the health realm, whether graduation or in post graduation. The intervention projects pursuit to manage a combined of purposes that search resolve and/or minimize a problematic observed for students in the territory that are the pract realm. in the perspective of carry the students to live the daily routine of the Basic Health Units (BHU), Collective Health Internship (CHI) of medicine course in UFRN offer this experience in search of contemplate a integration of teaching-service-community too. The follow-up of the students of CHI are responsibility of the perceptors that are the health professionals of the Family Health Strategy Team of BHU of the municipality. for the finalization of every circle is required a presentation of a intervention project that is originally of a local health problematic observed for the students. the present research analyzed a perception of the actors involved in the CHI/UFRN as the importance of the implementation of the intervention projects in the municipality of São Gonçalo do Amarante/RN. Come to an analytical study of qualitative approach utilizing a case study. The data were collected through a semi-structured questionnaire, having as participants 10 health professionals ( 06 nurses, 02 dental surgeon, 02 doctors), students perceptions and 02 Municipal Health Secretary techniques (01 speech therapist and 01 nutritionist) professionals of the gestor team responsible for the CHI organization in the municipality. Th  data obtained were submetedto an analyze pf content of Bardin. The analysis of the content enabled the aggregation of results in four theme categories: fragility, potentiality, preceptor role/ gestor team and the effectivity of the intervention projects. The perception of the actors involved in the Collective Health Internship of the Medicine Course of UFRN as the importance of the intervention project implementation in the municipality of São Gonçalo do Amarante-RN, pass mostly by for the understanding that would be necessary a bigger orientation through the training process for them to understand the nuance and the peculiarity of many factors that involve the to do, what to and to whom do the intervention projects. As well as they can understand the benefits that can be reached by infer in a local problematic resulting or minimizing it. in order to attend this necessities it was suggested as a pedagogical formation course for preceptors of Health Primary Attention. Through the exposed, is expected that this research can contribute to raise more discussion about the implementation of the intervention project considering the interaction of teaching-service-community.

3
  • Priscila Pereira Machado Guimarães
  • Team-based learning as a breastfeeding continuing education strategy 

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • THAIZ MATTOS SUREIRA
  • JOSÉ RODRIGUES FREIRE FILHO
  • Data: 20 févr. 2020


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  • The history of professional health education shows us that policies in this field were developed from the perspective of connecting workers' education with the reality of services. In the context of maternities, training in the area of breastfeeding promotion is fundamental for good practice, specially for professionals who provide care to pregnant women and mothers. However, the educational context based on traditional methodologies prevents health professionals from operating in ways that transform health practices and organize services. In this scenario, active methodologies present themselves as a powerful tool in training and attempting to transform everyday practices. This study aimed to discuss the implications of the use of active methodologies in permanent health education activities focused on breastfeeding for changes in health professionals' practices and health work dynamics. This is a mixed study conducted in two stages, the first being the implementation of Team Based Learning (TBL), conducted with 41 health professionals, followed by two focus groups, with 8 and 6 participants, respectively. It was found that training with active methodology (TBL) guided by learning needs had positive results by virtue of the professionals who participated showing great engagement in the activity, as well as interest in learning the concepts covered. In addition, after analyzing the speeches of the focus groups and categorizing them, we conclude that the applied methodology has great potential to work not only with theoretical knowledge, but also allows the participants to experience teamwork, fostering collaborative skills and making the most meaningful and transformative learning process. Using active methodologies in this context, learning and retaining knowledge can be more successful, turning learning into a multiplier tool for change. The contribution of this study was mainly due to the impact of the educational action and the use, unprecedented in our environment, of the TBL in a training on breastfeeding with health professionals.

4
  • CAROLINE ARAUJO LEMOS FERREIRA
  • EXPERIENCE OF MEDICAL RESIDENTS IN GYNECOLOGY AND OBSTETRICS FACING CARE TO PATIENTS WITH PERINATAL LOSS: A LOOK AT TRAINING

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MARIA DE LOURDES COSTA DA SILVA
  • ALDA KAROLINE LIMA DA SILVA
  • Data: 10 juin 2020


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  • Motherhood is usually related to birth, life, dreams come true. However, death is often imposed, leading parents and professionals to experience situations of anguish and frustration. Perinatal deaths include fetal deaths (in utero) and neonatal deaths, that is, those that occur between 22 weeks of gestation and seven full days after birth. Research involving the training and performance of health professionals in dealing with situations involving death and grief is scarce. Thus, it is relevant to know the experience of doctors residing in Gynecology and Obstetrics who work daily to welcome perinatal loss in state maternity hospitals. This is a study, with a qualitative, descriptive and exploratory approach, with a transversal cut. The research participants were 10 residents of the Medical Residency Program in Gynecology and Obstetrics at the Federal University of Rio Grande do Norte who work to welcome women and families in situations of perinatal loss. The construction of the data occurred through individual interviews, guided by a semi-structured script. The content of the interviews was transcribed, organized and coded, aiming at grouping excerpts from similar reports. Then, the product was analyzed using the thematic analysis technique. After analyzing the material, four themes emerged, namely: Health training for the care of women with perinatal loss; Role of the obstetrician professional in the face of perinatal loss situations; Intervention strategies used by residents; Difficulties of professionals in the service. The results reveal that the residents recognize that they do not have specific training for the reception of women with perinatal loss, during the specialization period, requiring the support of a trained preceptor and the institution. The interviewees understand that the role of the obstetrician in this context consists, above all, in communicating the death to the family, clarifying its probable cause, providing guidance in relation to future pregnancies. Thus, it is understood the relevance of reflecting on the training of health professionals with regard to the skills developed in the professional training process, as well as the need for institutional guidelines to guide service professionals in their interventions and actions of preceptorship that involve the reception of women in situations of perinatal loss.

5
  • RUY MEDEIROS DE OLIVEIRA JUNIOR
  • Creation of podcast as an educational tool for medical students.

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • ANTONIO DE PADUA PITHON CYRINO
  • MARIO LUIS RIBEIRO CESARETTI
  • SYLVIA HELENA SOUZA DA SILVA BATISTA
  • Data: 12 juin 2020


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  • Introduction: The new National Curriculum Guidelines (NCG) of the medical course has the objective of allowing a more complete preparation of the doctor and suggests that medical education should use pedagogical mechanisms that enable the performance of the student in the construction of knowledge. A widely used tool in academia today, and as a technology for teaching health across the world has been the webcast, or podcast. The podcast is a way of publishing digital media files in audio or video on the internet, through an rss feed. It is a widely used tool for the scientific dissemination of university centers and as an e-learning technology because it is familiar to the new generation of students, and has low production cost. Objective: To evaluate the process of creating the podcast as an educational health tool for undergraduate medical students. Methodology: The type of study is qualitative in nature, with methodological guidance for action research, where it was selected four groups of students, and each one of the groups were assigned a period of development of a baby (0 to 3 months; 3 to 6 months; 6 to 9 months; and 9 to 12 months). In a first stage, there was a discussion about the child’s development in the first year of life, mediated by the master's student. In a second stage, the groups of students were assigned to create podcast scripts with the purpose of educating the population about the stimulation of children in the first year of life, according to each pre-established period for each group. In a third stage, the recording of the podcasts was carried out according to the scripts created, under the supervision of the master’s student and analysis of the participants. After editing the material, the podcasts were distributed through WhatsApp for mothers of patients from the Centro de Educação e Pesquisa Anita Garibaldi, and publicly available trhough podcast aggregators. Finally, students were submitted to a focus group to discuss the experience in making the product, and in the learning process. Result: students understood the creation of a podcast as an interesting experience both for the content learning process and for the development of skills related to communication with patients. Despite the difficulty in associating the proposed subject with an accessible language to the population, the creation of podcasts proved to be an interesting tool to train students' language and teamwork. However, it is necessary to pay attention to the creation of the text, under expert supervision, in order to avoid noise in the interpretation by the listeners. Finally, it was suggested by the students a survey for the listeners regarding the importance of the shared material and the possibility of involving the patients in the process of preparing the podcasts, as well as analysis of the audience and the reach of the product.

6
  • HERNANI DE PAIVA GADELHA JUNIOR
  • MONITOR DEVELOPMENT FOR TEACHING BASED ON SIMULATION OF CARDIOPULMONARY RESUSCITATION MANEUVERS WITH HEMODYNAMIC MONITORING ON MANNEQUINS

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • MARISE REIS DE FREITAS
  • CARLOS ALBERTO ALMEIDA DE ARAUJO
  • HELIO ROBERTO HEKIS
  • HELIO PENNA GUIMARAES
  • Data: 14 juil. 2020


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  • INTRODUCTION: Cardiorespiratory arrest (CRP) is a serious and potentially fatal situation with high mortality rates after a CRP, despite the care protocols and their updates. The existence of discrepancies in the training of cardiopulmonary resuscitation between the simulated and the real environment, led to the development of feedback devices, used during training, which demonstrate several variables, however none of them address hemodynamic monitoring data that demonstrate greater accuracy and efficiency of the massage. GENERAL OBJECTIVE: To develop a device for hemodynamic monitoring during the teaching of Cardiopulmonary Resuscitation maneuvers in a simulation laboratory. METHODOLOGY: This is an experimental study that describes the development of an electronic device to measure heart rate (HR), maximum compression (MC) and average blood pressure (AAP) in the simulation of a doll PCR, capable of continuously monitoring through the display curves and values related to those three variables. The device under study (innovation model / resuscitation monitor) complies with the recommendations of RDC 15, Art. 43, which recommends that the other equipment used must be monitored according to specific standards and manufacturer's guidelines. To validate the device, a pilot test was carried out with a trained student, where the massage maneuvers on the doll were performed in 10 periods of 2 minutes. The values and curves shown on the device's display were observed and the checklist was filled out with the visual criteria recommended by the ACLS protocol (Advanced Cardiac Life Support). The collected data were analyzed to verify the reproducibility of the findings with the effectiveness of cardiac massage (CM) and at what time there was the best performance in its quality. RESULTS: A prototype was produced, which provides information on two hemodynamic variables: heart rate and AAP, as well as the level of applied force. The device consists of a display, a cable with a distal sensor that will be attached to the doll and a power supply. Processors were used to transform the variable frequency and force applicable to mean arterial pressure and heart rate using sensors positioned in the doll's rib cage, properly calibrated. All its components are light, easy to handle, adapt and transport, characteristics that facilitate its applicability in different teaching environments. Due to the information that was shown (hemodynamic data), they are new for this type of teaching tool; the possibility of analyzing the data generated and its characteristics that are easy to handle and adaptable, there is potential for patenting the prototype produced. Studies are needed to evaluate the effectiveness of this tool for teaching CPR maneuvers.

7
  • MICHELLE ARAÚJO MACHADO
  • PRECEPTORIA IN ONE MINUTE: Training of the preceptors of a Maternity School to improve the teaching-learning of residents

  • Leader : ELAINE LIRA MEDEIROS
  • MEMBRES DE LA BANQUE :
  • ELAINE LIRA MEDEIROS
  • MARIA JOSE PEREIRA VILAR
  • RAQUEL AUTRAN COELHO PEIXOTO
  • Data: 18 sept. 2020


  • Afficher le Résumé
  • Introduction: The preceptor has an extremely important role in the training of residents, because he teaches in-service training. However, in general there are no pedagogical training experiences. Health preceptorship is a pedagogical practice that takes place in the work environment conducted by healthcare professionals, whether teaching or not, where the vast majority of them act intuitively, reproducing their own training, confusing information transmission with teaching. The training of preceptors with the competence to transmit knowledge effectively and in a short period of time has been a challenge, especially in the Urgency and Emergency sectors. Objective: To train preceptors who work in the urgency of Maternidade Escola Januário Cicco (MEJC) with the One Minute Preceptor (OMP) method and thereby contribute to an improvement in the training of residents, making them an active subject in their learning process. Methodology: This was a cross-sectional study with a quantitative approach, carried out with preceptors and doctors resident in Gynecology and Obstetrics at the MEJC. Three stages were carried out: pre-intervention questionnaire with residents, planning and execution of a pedagogical training course for the preceptors involving an expository class dialogued about OMP and ending with simulations. After one month, residents answered another questionnaire about the impacts of the method. Results: In the teaching assessment of pre-intervention residents, the results showed that 91.7% agree that there are differences in the teaching methodology between preceptors. After the training, all preceptors agreed that the method involves the student in the decision-making process and that they would apply the method in their on-call routine. The post-intervention results showed that 95.8% agree that OMP is more attractive than traditional teaching methods. There was, for 70.9% of residents, a perception of improvement in learning and, in addition, there was a significant change in the receipt of feedback before and after the implementation of the method from 20.8% to 66.7%. Conclusion: The OMP method proved to be efficient in providing adequate feedback to residents in the MEJC emergency department.

8
  • DEVANI FERREIRA PIRES
  • Childcare as a scenario of education and interprofessional work in health

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • CRISTIANE SPADACIO
  • Cristiano Gil Regis
  • Data: 28 sept. 2020


  • Afficher le Résumé
  • Childhood is a period that brings a quick physical growth, neuro psychomotor, sensorial and immunological development and language acquisition. It is also a critical and sensible period due to the health impact to the rest of life. Childcare needs interdisciplinary and interprofessionality to deal with diverse biopsychosocial demands that involve the child and his/her family. This research aims to analyze the process of incorporation of theoretical conceptual and methodological approach of interprofessional education in the childcare teaching to students in the different courses of health sciences. This study is qualitative, based on research-action, developed in three steps.  The first step is related to the elaboration of an educational program to interprofessional teaching in childcare; the second step is a pedagogical offer; and the third step is the evaluation of the educational program. The research diary is taken as the method to collect data in the first step, resulting in the e-book creation based on discussion group systematization. The second one consists in the observational register of the activities developed in the course and the Likert scale analysis about students evaluation. The third step is to collect data, to analysis writings of the students and teachers’ portfolios. There are nineteen students participating of this study from graduation courses of Nursing, Speech therapy, Medicine and Nutrition, and four teachers from each course’s department. Data from portfolios will be submitted to the content analysis, focusing on the following steps: fluctuating reading portfolios; meticulous reading; classification according to the object of reference; codification and determination of categories. Childcare as a space of interprofessional education and collaborative practice in health is a fact and can be reproduced, with a potential contribution to the best results in the health due to the training of students.

9
  • EDINARA LINA DE OLIVEIRA
  • Teaching Ethics and Bioethics in Multiprofessional Residency Programs in Health at UFRN: A Case Study

  • Leader : MICHELLE CRISTINE MEDEIROS JACOB
  • MEMBRES DE LA BANQUE :
  • ALEXSANDRO GALENO ARAUJO DANTAS
  • CLAUDIO ORESTES BRITTO FILHO
  • MICHELLE CRISTINE MEDEIROS JACOB
  • Data: 1 oct. 2020


  • Afficher le Résumé
  • In this research, we analyzed theoretical and practical aspects of Teaching Ethics and Bioethics (EEB) in the context of Multiprofessional Residency Programs in Health (PRMS) at the Federal University of Rio Grande do Norte. To evaluate the theoretical proposal, we analyzed, by documentary analysis, the programs mentioned above' pedagogical projects, compared with the Core Curriculum of Unesco. To assess the practical aspects, we conducted 11 semi-structured interviews (saturation criterion) with home tutors. We evaluated them by content analysis (framework approach). We observed that the workload and thematic modules are below those proposed in the reference curriculum. The participants' knowledge oscillates between a principled theoretical perspective and professional ethics. The preceptors are unaware that BSE is part of the PRMS curriculum. We point out that the qualification of communication between university and services, in addition to the recognition of the preceptors' contributions in the training of residents, are essential measures to improve BSE in the PRMS curricula.

10
  • SHEILA DUARTE DE MENDONÇA FERNANDES
  • PROPOSE FOR A SEMI-PRESENTIAL COURSE ABOUT ACTIVE METHODOLOGIES IN HEALTH TEACHING FOR PRECEPTORS OF THE MULTIPROFESSIONAL RESIDENCY

  • Leader : PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • MARIA DE LOURDES COSTA DA SILVA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 18 nov. 2020


  • Afficher le Résumé
  • Objective: to propose a semi-presential course about Active Methodologies in Health Teaching for preceptors of the Multiprofessional Residency in Neonatal Intensivism. Method: methodological research, with prospective collection of mixed data, carried out in three stages (situational diagnosis, Scoping Review and construction of the course proposal), between April 2019 and March 2020. Participated of the research 22 preceptors of the Neonatal Intensive Care Unit of the Maternidade Escola Januário Cicco of the Universidade Federal do Rio Grande do Norte. The study was approved by the Research Ethics Committee, under opinion number 3.180.283/2019. Results: all professionals started preceptorship suddenly and only one received training, 36.4% do not guide the practice and theory in an interconnected way, 31.8% do not know the active methodologies and only 27.2% use at least one type, without difficulties. Some of the weaknesses of preceptorship were the lack of time, training and a specific course for preceptor. In the Scoping Review, upward production was observed in the area of health education, probably due to the recent concern with the use of active methodologies. Regarding the use of these methodologies, the Inverted Tent and the Singular Therapeutic Project stood out. Some of the potentialities highlighted were: favoring interprofessional care and meaningful learning. While some challenges: difficulty to overcome the traditional teaching logic and pedagogical unpreparedness of the preceptor. A proposal for a semi-presential course on active methodologies in teaching aimed at the preceptors of the Multiprofessional Residency in Neonatal Intensivism was developed to support the appropriate pedagogical practice that promotes critical-reflective training for residents. With a total of 60 hours, the course will address what they are, how and when to use the active methodologies; the types of methodologies with their possibilities and specificities of use; and feedback to the resident. Conclusion: with the proposal of a partnership with the hospital to make the training institutionalized, it is intended to carry out the course, implement the use of active methodologies and evaluate the entire training and implementation process and, thus, contribute to the quality of teaching within the scope of the Multiprofessional Residency in Health.

11
  • MANUEL MOREIRA NETO
  • Neurorad Platform development for archiving clinical cases in neuroimaging focused on neuroradiology 
    distance teaching and learning.
  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • HENRIQUE CARRETE JÚNIOR
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • JOSE DINIZ JUNIOR
  • Data: 17 déc. 2020


  • Afficher le Résumé
  • The present work aims to develop a network-based platform for archiving and sharing radiographic images on clinical cases of neurological pathologies, which attest the epidemiology in our region. These clinical cases are reported by the radiology residents and are debated in regular weekly meetings in the neuroradiology department of the imaging diagnosis unit at Hospital Universitário Onofre Lopes- HUOL/UFRN. Therefore, the platform is focused on distance learning and research. The tool, named NeuroRad, has been developed in partnership with a team of developers in the research and innovation laboratory in health at UFRN (LAIS-UFRN) supported by a professional in education. The network-based platform enables medical students, residents, HUOL preceptors (radiology, neurology, neurosurgery, pediatric, infectology), attendings and healthcare practitioners interested in the subject to access the internet as a source of information and learning. The clinical cases in neuroimaging, reported during the last few years, have been uploaded to the NeuroRad platform and new clinical cases should be uploaded weekly by radiology residents under the supervision of the researcher. Besides that, residents and specialists from other Hospitals or educational institutions mayregister as acollaborating userto submit their neuroimaging cases. Then,they should be ratified by the administrator and published under the author’s name. It is expected that the use of NeuroRad tool: a) could ensure continuity of clinical case compilations in neuroimaging by collaborators at HUOL and in the State (Rio Grande do Norte); b) residents’ participation in the publication of works would improve their learning and develop their skills of interpreting neuroradiological images; and c) the free access to the NeuroRad platform could be a deeply significant source to NeuroRad users regarding online learning.

12
  • ALEXANDRA SILVA DE LIMA
  • Proposed matrix of common competences for interprofessional practice in care for People in situation of sexual violence

  • Leader : REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • MEMBRES DE LA BANQUE :
  • REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • GEORGE DANTAS DE AZEVEDO
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • CRISTIANE SPADACIO
  • Data: 23 déc. 2020


  • Afficher le Résumé
  • Sexual violence against children, adolescents and women is a serious social and public health problem today. Attention to these people requires the performance of professionals with not only relevant technical knowledge, but also skills and attitudes that enable effective and integrated care. Recognizing the crucial importance of education and interprofessional work to face this relevant problem, the objective of this work was to build a proposal for a Common Skills Matrix for interprofessional practice in caring for people in situations of sexual violence. We carried out a descriptive observational study, with a qualitative approach, which uses action research as a methodological path. The methodology comprised the realization of a workshop with 76 participants from different professions and areas of activity, to obtain written data and graphic representations about what knowledge, skills and attitudes foreseen for the care of people in situations of sexual violence. With the same objective, he was consulted with open questions to a sample obtained by 32 professionals who work in the reference services to assist people in situations of sexual violence in Rio Grande do Norte. Based on the analysis of the data collected through the techniques of Categorical Thematic Content Analysis and Collective Subject Discourse, a matrix with 15 common commons for an interprofessional practice was proposed. The product containing the competencies and their related knowledge, skills and attitudes was represented through a radial layout infographic. Among the attributes considered essential to the development of most of the common competencies established, the results point out: “to understand the importance of teamwork with professionals from various areas for the care network” (knowledge), “to serve people with agility and promptness in situation of sexual violence ”(ability) and“ being available to practice teamwork ”(attitude). These attributes reinforce the importance of intersectoriality and education and interprofessional work to face the problem of sexual violence. Additionally, the results reveal important challenges for the education of the health professions, considering that the outlined competences demand knowledge, skills and attitudes that are transversal to the operationalization of the curricula. It is concluded that the proposal of Common Matrix of Competences can contribute to base the interprofessional practice in scenarios of performance and learning in the services of attention to people in situations of sexual violence in Rio Grande do Norte.

2019
Thèses
1
  • KLEBER NOBRE DA CUNHA
  • INITIAL CARE OF BURN PATIENT: PROPOSAL OF AN INNOVATIVE COURSE FOR MEDICAL STUDENT

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MARISE REIS DE FREITAS
  • MAYARA MYTZI DE AQUINO SILVA
  • PAULO JOSE DE MEDEIROS
  • Data: 24 janv. 2019


  • Afficher le Résumé
  • Burns are one of the most common injuries among emergency medical services, and their correct initial management is crucial in reducing morbidity and mortality among burned patients. Since 2013, Brazilian Burns Society (SBQ) promotes each year the National Course on Guidelines for Burns Assistance (CNNAQ), organized as modules, which trains doctors and other health professionals to perform the initial assistance to burned patients. However, the insertion of the burns theme during the medical graduation is still deficient, limited to one theoretical class during seventh semester (Discipline of Urgency and Emergency Medicine) and some practical activities during shifts within the Urgency Internship (12th semester). The author’s proposal is to develop an activity designed to teach the initial assistance to the burned patient, similar to CNNAQ, based on active methodologies, which is intended to be offered as a third moment of insertion of the theme during medical graduation. The activity, based on action-research methodology, and outlined as a one-day course, is divided in four modules focusing: 1) Initial evaluation and airway management, 2) Burn surface area measurement and fluid replacement, 3) Therapeutic planning and wound care, and 4) Referral criteria to burns treatment center. Only active methodologies of teaching and learning were adopted, as group solution of problem situations, role-playing and elaboration of flow charts. Thirty-seven students from the Surgical Internship (10th semester) attended the modules and answered to questionnaires prior and after the activities, where the impact over the students’ perception related to the theme of burns was analyzed. The structure of the course and of its standardized modules is fully presented, and this allows for its reproduction and application at different scenarios. The author concludes that the proposal of curricular modification is feasible, with low costs and complexity, well evaluated by the students, and so proposes its adoption as a permanent activity during the Surgical Internship. Additionally, suggests offering the activity to other institutions, as a mini-course in the ways that are already done in the CNNAQ for graduated professionals, since it is a very reproductible methodology which can also be adopted in a large range of disciplines.

2
  • TOMAS PEREIRA JUNIOR
  • PROFESSIONAL TRAINING FOR THE SAFETY OF THE CRITICAL PATIENT IN SUBSTITUTE RENAL THERAPY

  • Leader : ELAINE LIRA MEDEIROS
  • MEMBRES DE LA BANQUE :
  • CAROLINA LARA NEVES
  • ELAINE LIRA MEDEIROS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 22 févr. 2019


  • Afficher le Résumé
  • INTRODUCTION: Patient safety is currently one of the most important issues for health system managers worldwide. It is defined as the set of initiatives or practices designed to avoid, prevent and reduce the adverse outcomes resulting from health care with the reduction of potential risks. From James Reason in his "Human Error", the "Swiss Cheese" model was proposed, where an active error is seen as the result of an aligned sequence of latent errors. He defends the need to create overlapping layers in order to "shield" the system, avoiding its flaws. A global milestone was established in 1999 through the publication of the Institute of Medicine (IOM) entitled "To Err is Human: Building a Safe Health Care System" which showed high mortality rates in North American hospitals (44 to 98,000 deaths/year) related to errors in health care. Patients with severe clinical conditions, multi-morbimortality, intense and fragmented use of the health system and high level of hospital exposure, are characterized by the increased risk of adverse events, including in this group, those with renal disease in renal replacement therapy. The Patient Safety Culture is defined by the Agency for Healthcare Research and Quality (AHRQ) as: "The product of values, attitudes, skills and behavioral patterns that determine the commitment, style and proficiency of managing a healthy and safe". An organization with a strong appeal in the security culture in its actions is characterized by the following virtues: Efficient communication, Teamwork, Leadership, Impartiality in assessments of failures, Patient-centered care, Evidence-based health actions and Continuing education of teams. In this context, we understand health education as a cornerstone for strengthening a system based on good practices, and indispensable for the improvement of professional skills. We use innovative initiatives called active teaching methodologies, where the student plays a central role in the process and is challenged to "learn to learn". OBJECTIVE: To train health professionals in the area of patient safety in order to reduce the incidence of adverse events during dialysis. METHODOLOGY: it was conducted a research-action study through an extension event of UFRN, directed to Doctors, Nurses and undergraduates from both areas, in the workshop format, through two modules, with a 10-hour workload, using conventional and active teaching methodologies. RESULTS: It was offered 33 vacancies, distributed among the internal and external public, only 22 students started the course, 94% of Nursing (05 graduates and 16 undergraduates) and only 01 undergraduate in Medicine. After the theoretical module, we performed an online evaluation with multiple choice questions, with a mean of 82%. During the practical module it was performed O.S.C.E. with two stations, with an average of 80.3% of hits for the group. It was also conducted an online satisfaction survey with 80% of satisfied participants. The authors considered the extension event to be successful in its objectives, and there is a need for continuity, improvement in its structure with better adjustment of programming, stimulation of new active teaching methodologies and strategies to motivate medical professionals to increase their participation.

3
  • IDIVALDO ANTONIO MICALI
  • Study for the Promotion of the Teaching of the Rational Use of Medicines in the Courses of Pharmacy, Medicine and Dentistry of UFRN

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • JOSE DINIZ JUNIOR
  • MARIA JOSE PEREIRA VILAR
  • CARLA BEATRICE CRIVELLARO GONÇALVES
  • Data: 27 févr. 2019


  • Afficher le Résumé
  • Unified Health System (SUS) Guidelines, providing all citizens with medicines that, when selected and rationally employed, can provide individual, institutional and national benefits. The National Medicines Policy (PNM) guides the importance of the educational process as a strategy to promote the URM both for the health teams and for the user. In the field of health professionals, the university plays a particularly important role during graduation due to its decisive role in increasing knowledge about the real value of medicines, especially in a society with a high degree of medicalization. Objectives: The main objective was to analyze the Curricular Guidelines of the Pharmacy, Medicine and Dentistry Undergraduate Courses and Pedagogical Projects of the Pharmacy, Medicine and Dentistry Undergraduate Courses of UFRN, identifying specific content about the URM, besides knowing the level of understanding and assimilated knowledge about the URM of its graduates; the specific objective was to interpret the studies developed in the general objective, pointing to the possibility of guiding coordinations of these courses to provide specific curricular component, aimed at teaching the URM. Methodology: a documentary study, through the analysis of the curricular guidelines of the courses of Pharmacy, Medicine and Dentistry, through the collection of data from digital archives in the public domain of the Ministry of Education (MEC), and the Pedagogical Projects of Pharmacy Undergraduate Courses , Medicine and Dentistry of UFRN, through the System of Management of Academic Activities (SIGAA), evaluating the pedagogical commitment to the URM. On the other hand, quantitative and qualitative descriptive research, with the application of semi-structured questionnaires to these undergraduates. The data, both of documentary and descriptive origin, were processed and analyzed, in part statistically through spreadsheet in Excel; the content analysis of the communications expressed by the volunteers, manifested through varied meanings, were interpreted through the Wordle® program. The data storage was also computerized. This study was approved by the Ethics and Research Committee and the participants were informed and signed the Free and Informed Consent Form. Result: this study identified that, although the Curriculum Guidelines for Pharmacy, Medicine and Dentistry Courses have guidelines for compliance with SUS Directives, URM is still neglected in the Pedagogical Projects of these UFRN courses; exception is made to the Pharmacy Course where the subject is treated in a single moment, even though not as a specific curricular component. As for undergraduates, they revealed knowledge that points to the URM, but with little access and orientation to the information about the URM. About the percentage of graduates who have frequent contact with URM, in the Course of Pharmacy was around 40%, Medicine 50% and Dentistry 27%. The highlight was the expressive meaning that these graduates expressed in believing that a URM discipline could contribute as an educational measure on the subject: in Pharmacy 97%, Medicine 85% and Dentistry 96%. As for the interest that these graduates have in expanding knowledge in the URM even during graduation, the indexes reached 100% in Pharmacy, 80% in Medicine and 96% in Dentistry. Conclusion: this study concluded that, given the existence of a deficiency in the teaching of the URM in the Undergraduate Courses of Pharmacy, Medicine and Dentistry of UFRN, and the expressive interest of its undergraduates in the subject, the implementation of a specific curricular component on the URM, in the Pedagogical Project of these courses, points out to be feasible and can develop adequate values and principles, linear to SUS and PNM.

4
  • AMANDA BAPTISTA ARANHA
  • DEVELOPMENT OF UNDERGRADUATE CURRICULA IN PALLIATIVE CARE IN BRAZILIAN MEDICAL SCHOOL – UNIVERSIDADE FEDERAL DO RIO GRANDE DO NORTE (UFRN)

  • Leader : ELAINE LIRA MEDEIROS
  • MEMBRES DE LA BANQUE :
  • ELAINE LIRA MEDEIROS
  • NIELE SILVA DE MORAES
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 23 avr. 2019


  • Afficher le Résumé
  • Background: Epidemiological changes of diseases in the world and in Brazil result in the need of physicians able to attend patients with life-limmiting illness through palliative actions. In this context, the need of a discipline of Palliative Care (PC) in medical school of the Federal University of Rio Grande do Norte (UFRN) urged.

    Objective: To describe the planning, development and evaluation of undergraduate PC curriculum in medicine in UFRN.

    Methods: Based on international guidelines recommendations, relevant contents were defined and multi-professional education, comunication and practical trainning were prized. During the curriculum planning, learning methods, workload, assessments and syllabus were defined. Fifteen places were available with a total workload of 45 hours divided into theoretical, practical trainning, evaluations and feedbacks. At the end of the semester, an electronic questionnaire was sent to studentes to evaluate the PC course.

    Results:  The PC subject were taught in second semester of 2016, thirty students pre registered in the optional component. Ten theoretical classes, 6 practical meetings and 3 assessments were provided. The syllabus were well evaluated and most praised educational strategies were lectures, TBL, Role-play and Case Study. The performance of the students was satisfactory and similar between different years students.

    Conclusion: The planning and implementation of the PC component were well accomplished given the positive evaluation of the course and satisfactory student performance. The lack of qualified teachers and the overload of udergraduate medicina curriculum are still the major challenge to continue with PC curriculum.

5
  • SANDRA LUCIA DIAS NUNES
  • POTENTIALITIES AND CHALLENGES IN THE EXERCISE OF PRECEPTORIA IN THE SUPERVISED CURRICULAR STAGE OF GRADUATION IN NURSING.

  • Leader : ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • ANA ELZA OLIVEIRA DE MENDONCA
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • Data: 3 mai 2019


  • Afficher le Résumé
  • Precepting is a new teaching modality in the clinical practice education where the health professional takes on the responsibility of welcoming, guiding, showing and inducting the student into the real-world work environment. Therefore, the present study aimed to identify the potentialities and challenges in the exercise of preceptory in the nurse internship program of nursing graduation. The descriptive study was carried out with a qualitative approach in May and June of 2018 in a University Hospital of Reference in the Northeast of Brazil. The sample consisted of 21 nurses who were precepting nursing students of the Federal University of Rio Grande do Norte (UFRN). For the empirical research, a semi-structured script was used, consisting of 14 questions, divided in two parts: the professional 's characterization and difficulties experienced by the nurses in the exercise of the preceptory and their potentialities. The study was approved by the institution where the study was developed and by the research ethics committee of the HUOL under the number of 80784017.7.0000.5292. The data were analyzed using the proposed analysis of content (theoretical reference) of Bardin which allowed the results to be grouped intofour categories: potentialities, difficulties, suggestions and experiences. From our results, it can be concludedthat the preparation of the student for the workplace is challenging. However, this work is being consolidated and shows a perspective change in the teaching and training model of health professionals. Alceste 4.9 software was also used and the lexical analysis of the content delimited four categories, three of them grouped in axis two and one in axis one. As a result of this study, a standard operating procedure was proposed for the internship program of nursing students in their mandatory supervised stage.

6
  • MARILIA FERNANDES MORRONI DE PAIVA
  • PROPOSAL FOR MODIFICATIONS TO THE ONOFRE LOPES UNIVERSITY HOSPITAL (HUOL) FALL PREVENTION PROTOCOL FROM A MULTIPROFESSIONAL APPROACH

  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 27 mai 2019


  • Afficher le Résumé
  • Fall is the third most adverse event notified by the Brazilian Health Regulatory Agency (ANVISA) in the hospital environment, causing disability and dependence in people over 60 years. The purpose of this study was to propose modifications to the Onofre Lopes University Hospital (HUOL) fall prevention protocol from a multiprofessional approach. This is a descriptive exploratory qualitative research, the sample consisting of the total population of first year residents (R1) of the Multiprofessional Health Residency (RMPS), of the cardiology and intensive care programs for adults, developed in the period from August to December, 2018. Data collection was based on the focal group technique, with 12 participants from the areas of nursing, physiotherapy, pharmacy and nutrition, using a script prepared with questions open to the discussion, being mediated by a coordinator, a moderator and an observer. The conversations were recorded and transcribed in full; after that, the data were organized by the NVIVO12® software and content analysis based on BARDIN's approach. The methodological pathway was consisted of three stages: the first, the focal group; the second, a distance activity registered in a Virtual Platform for Academic Activities (SIGAA) for the elaboration of modifications of the fall prevention protocol of the HUOL, with a multiprofessional approach; and finally, a feedback form built on Google forms and sent via email to the participants. Regarding the results and discussion it was evidenced the importance of identifying the risk of falls in hospitalized patients; the need for education in health, on an ongoing basis; the integration of services professionals into teamwork in an interprofessional manner; and the periodic review of protocols to promote reduction of falls in HUOL. As a feedback after participating on this study, most of the participants reported that they felt satisfied and moderately motivated, and that the research contributed to their professional training. It is hoped that this work may stimulate future research, with the use of similar strategies among other services, to confront the problem of identifying the risk of falls in hospitalized patients.

7
  • FELIPE NOBREGA ZENAIDE
  • Prenatal attention as a strategy for interprofessional education in health training

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • ROSANA APARECIDA SALVADOR ROSSIT
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 30 mai 2019


  • Afficher le Résumé
  • The reality of health services with unsatisfactory indicators, high cost and little effectiveness shows the need for urgent change. This scenario has been achieved as a reflection of the training of health professionals in an isolated, fragmented way with little communication and interaction. The interprofessional education with the development of collaborative skills for teamwork has proven to be an effective strategy for this transformation. Based on this problem the research aims to explore the theoretical and methodological principles of Interprofessional Education through the insertion of the residents of Medicine (gynecology and obstetrics), Nursing, Physiotherapy, Psychology, Dentistry, Social Work, Pharmacology and Nutrition in the interprofessional consultation of pre -Christmas. This is an observational case study and a qualitative approach.
    The participants of the research were residents of the program and multiprofessional and medical of the University Hospital Ana Bezerra, who participated in the interprofessional prenatal consultation. He adopted the discussion group as a technique for data collection, based on cases attended at the interprofessional prenatal visit.
    The analysis of the group was carried out through three phases at each meeting: a pre-analysis with the researcher's expectations, the analysis of the group discourse with the acquisition of verbal and non-verbal language, consensus and dissent, and a reflexive phase with the disputes between the first and second phases of analysis. The results were of great wealth with the emergence of collaborative skills such as clarity of roles, patient centred-care already in the first meeting, followed by team functioning, collaborative leadership in the second encounter in order to surprise expectations within the pre-analysis with assimilation and during the subsequent consultations on the competencies worked. The evolution of the group during the meetings had a very positive trajectory, evidencing the potentialities related to the service in question, confirming the interprofessional education as a fruitful tool in the transformation of professionals, prenatal care as an appropriate scenario, effective method in production of knowledge and the environment of medical and multiprofessional residences as potent and fertile to the implementation of interprofessional education and the development of collaborative teamwork. The entire study will be carried out based on the principles of ethics and bioethics, established by CNS Resolution 466/12.

8
  • GEORGE PAULO COBE FONSECA
  • Competency based curriculum in echocardiography applied to the cardiology residency program.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • CLÉBER DE MESQUITA ANDRADE
  • PAULO JOSE DE MEDEIROS
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 30 mai 2019


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  •             The Medical Residences represent the gold standard for the training of specialists, being performed through training supervised by expert preceptors, in the work environment, often without proper curriculum planning and education. Curricular changes in medical education have been discussed in the last decades, aiming at a more humanistic and resolutive formation, with evaluation models and more consistent certifications. Competency-based curricula have been observed in training programs in various health areas, already a well-established reality in medical education in the United States and Europe. In Brazil, there is no consensus about the methodology of training in echocardiography for the medical resident of Cardiology, nor the necessary minimum competencies nor even an assessment system that provide a formative characteristic. The purpose of this project was to use active teaching-learning methods to improve the development of skills in echocardiography of the medical resident in cardiology at Onofre Lopes University Hospital. The study was exploratory, prospective and descriptive, involving the residents of the cardiology at Onofre Lopes University Hospital, residents from other national institutions, and the echocardiography preceptors. It was developed in the following steps: 1) Literature review 2) Development of a Direct Observed Procedural Skills (DOPS), training of preceptors and application of the DOPS tool 3) Collective construction of the competency matrix in echocardiography for the cardiology resident, following the modified Delphi methodology to obtain the consensus among the specialists. The description of the competences to be evaluated by the DOPS were developed collectively by the specialists and the tool was applied to 10 cardiology residents during the project, with 07 residents of HUOL and 03 of other national institutions. The assessments meetings, registered through the DOPS tool, allowed a descriptive analysis of various technical and educational aspects, strengthening the resident-preceptor relationship. The consensus of the competency matrix in echocardiography was achieved in the first round of the modified Delphi strategy, with a high concordance rate, with more than 50% among all competencies and domains presented, being the panel of specialists composed of 05 participants (83.3%) of those initially selected. The incorporation of tools and active teaching-learning strategies allowed the standardization of the training in echocardiography of the cardiology resident of the University Hospital Onofre Lopes, improving the acquisition of specific skills.

9
  • CRISTINA ROCHA DE MEDEIROS MIRANDA
  • Guide model of the mammary physical examination, for medical students, in the clinical skills laboratory of UFRN
  • Leader : ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • FRANCISCO EDILSON LEITE PINTO JUNIOR
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 6 août 2019


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  • The aim of the present study was to systematize a "Guide Model of the Mammary Physical Examination in the Laboratory of Clinical Skills of the Federal University of Rio Grande do Norte" for the discipline of Oncology (MIC0064) offered to the students of the UFRN Medical Course. The project was approved by the Ethics and Research Committee of the University Hospital Onofre Lopes, under number CAAE95004318.7.00005292. The target audience consisted of 41 students enrolled in the curricular component and during the course the following steps were performed: (1) Reception of the students and application of the TCLE; (2) Application of the diagnostic questionnaire; (3) Systematic and interactive theoretical and practical guidance on how to perform the physical examination; (4) Practical guidance for performing the mammary examination on the manikin; (5) Application of the evaluation questionnaire after class; (6) Discussion and evaluation of the activity with students; (7) Evaluation of the questionnaires and (8) Analysis of the results. The mean grade of the evaluation of the pre-intervention questionnaire was 4.1 (± 2.06), the lowest grade being equal to zero and the highest grade. 8 After class, the average grade was 8.71 (± 1, 3), being the smallest note 6 and the largest 10. A difference between the means of 4.6 points was identified (test T, p <0.0001). Considering the evaluation criteria, it was verified that the palpation of the breast was the most accomplished procedure among the students (87.8%), while the conversation with the patient (9.8%) and the dynamic inspection (4, 9%) were the least accomplished items. On the other hand, after the class all the students described the palpation of the breast and the static and dynamic inspection as examination procedures. Meanwhile, the conversation with the patient continued to be the least performed 

10
  • GUILHERME LUCAS DE OLIVEIRA LIMA
  • Neurophobia among UFRN’s medical students: a mixed-method study.

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • BRUNO LOPES DOS SANTOS LOBATO
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MARIA JOSE PEREIRA VILAR
  • Data: 16 août 2019


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  • Background: The increasing prevalence of neurological diseases imposes the need for training of doctors able to provide initial care to this population. The feeling of inability to treat neurological patients and fear of neuromedicine (the branch that studies neuroscience, neurology, and neurosurgery) are present among students and doctors for a long-time, which led to the use of the term “neurophobia” 25 years ago. Objectives: To diagnose neurophobia, understand its development in medical students at UFRN-Natal-RN and to propose transformative measures for teaching neuromedicine. Method: A mixed-method explanatory study, with a quantitative phase followed by a qualitative one, was applied to the 600 medical students of the institution. In the qualitative phase, an electronic instrument assessed the perceptions of 5-level Likert neuromedicine. The items were about the level of knowledge, confidence (in problem-solving), interest, difficulty with neuromedicine, importance for generalist training and current fear of content at the time of the research. The neurophobic group represented the students who assessed themselves with fear levels of 4 or 5. The weighted average of the Likert items show trends: positive (>4), neutral (between 3 and 4), and negative (<3), except for difficulty and fear. The descriptive and comparative statistical analysis of the groups was performed according to the variable categories and the linear correlation between the neurophobia and the independent criteria was calculated, allowing associations and correlations of the factors involved in neurophobia with a significance level of p<0.05. In the qualitative phase, eight students participated in the Focus Group and five interviews were integrated into the corpus to reach saturation. The transcription allowed categorical thematic content analysis according to Bardin and Minayo. The triangulation of the quantitative and qualitative methods was performed. Results: In the quantitative phase, 215 instruments were completed, the overall prevalence of neurophobia was 41.9% (n = 90), with increase throughout the course. The weighted average levels of knowledge, confidence, interest, difficulty, importance, and fear were, respectively, 2.31; 2.00; 3.57; 3.69; 4.39 and 2.97. There was a 36% positive correlation between neurophobia and perceived difficulty, and a 49% negative correlation for interest. The neurophobic group noticed more difficulty, less knowledge, less confidence, and less interest in neuromedicine than the non-neurophobic group. In the qualitative phase, the speeches suggested a preconceived view that may be associated with student immaturity, and both corroborate the negative perception of neuromedicine at the beginning of the course. Besides the early origin of neurophobia, there is a tendency of its aggravation that seems to be due to the applied methodologies: at the beginning of the course, which do not prioritize the contextualization and, throughout the course, by exposing specific content of little relevance to the general doctor. Also, the curriculum model in disciplines tends to decrease the integration of content and teachers. The improvement proposals dealt with the suitability of the teacher as a protagonist of the curricular integration and the applicability of neuromedicine in the general context. Final considerations: Neurophobia is present among medical students at UFRN. It is more related to perceptions of high difficulty and low interest in neuromedicine. Changes in the traditional teaching profile for meaningful adaptive learning, with active learning methodologies in an integrated neuromedical curriculum, focused on generalist education, are the students’ proposals to mitigate neurophobia.

11
  • CYNTHIA CRISTINA BASTIA VIEIRA DE SOUSA
  • Implementation of DOPS (direct observation procedural skills) as an assessment tool in the Anesthesiology Medical Residency Program of the Hospital Onofre Lopes (HUOL).

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • IRAMI ARAUJO FILHO
  • JOSE DINIZ JUNIOR
  • JOÃO MANOEL DA SILVA JÚNIOR
  • MARIA JOSE PEREIRA VILAR
  • Data: 19 août 2019


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  • The Medical Residency Program (PRM) is a teaching modality for physicians, in the form of a specialization course, characterized by in-service training, on a 60-hour weekly basis, operating in health institutions, university or not, under the guidance from medical professionals of high ethical and professional qualifications, being recognized as the best way to insert medical professionals into professional life, under supervision, and training in a specialty. The appropriateness of the Direct Observation Procedural Skills (DOPS) assessment tool in the Anesthesiology Medical Residency Program of the Onofre Lopes University Hospital (HUOL) aims to more fully assess the resident, based on competencies, contributing along with other forms of assessment to broaden the vision of their individual advances and weaknesses. Preceptors training workshops were developed using active teaching-learning methods, among these videos with simulations of the real work scenarios in the institution followed by reflection and group discussion, which allowed the standardization of the domains considered essential to be evaluated by DOPS. There were 39 evaluations involving 10 residents (91%), three of the first year, three of the second year and four of the third year. Only one resident was not assessed because of temporary withdrawal from PRM. Most residents were assessed more than once in different procedures, resulting in the “above-expected” status. Interestingly, the DOPS tool found more weaknesses in less complex procedures, probably attributed to a misperception of having already achieved the necessary skills in such procedures. Most self-assessments were in agreement with the assessments made by the preceptors, with more reflections and notes to be modified by the evaluated residents. The DOPS implementation process in the anesthesiology residency was successful, being the instrument well accepted and suitable for the evaluation of procedures in the referred program.

12
  • LUCIANA CARLA MARTINS DE AQUINO PIMENTEL
  • Breaking bad news in medical training: developing relational skills.

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • FRANCISCO EDILSON LEITE PINTO JUNIOR
  • MARIA JOSE PEREIRA VILAR
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 27 août 2019


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  • Communication is an inherent human act that involves the sharing and understanding of messages sent and received between two or more individuals, it is a fundamental clinical skill for the development of a satisfactory doctor-patient relationship. Good communication contributes to the patient's adherence to the therapeutic proposal, as well as minimizing suffering arising from their health condition through the emotional support provided. Thus, breaking bad news is one of the most difficult doctor's tasks, because of the need to respond to the patient's emotions emphatically and continually, requiring relational skills, which need to be taught in the vocational training process. Nevertheless, students still have little opportunity, within the formal curriculum, to experience situations of breaking bad news. Given this, some projects try to fill this gap in medical education. At UFRN the Dying: a human thing project proposes to teach bad news communication as well as reflect on death and dying in medical training. This project takes place every six months with the participation of 20 medical students who are selected through the selection process. The aim of this study was to analyze the perception of the Dying´s participants about the influence of this project on the development of communication skills. The methodology used was qualitative, descriptive of the case study type. During the semester 2018.2 twenty students from the 2th to the 4th period of school medicine participated. There were 5 meetings, with theoretical and practical discussions. At the end of the process 8 students participated in the Focal Group (GF), in order to analyze the project, highlighting its potentialities and / or weaknesses. The speeches were transcribed and analyzed using the categorical theme proposed by Bardin. After material analysis, three categories emerged: (1) motivation / interest in the Dying project, (2) interesting / relevant project moments, and (3) learning self-assessment. In this context, it is believed that the project contributed to the development of communication skills of medical students, as well as a approximation of the theme of death, a subject not explored during medical training. Thus, participation in this project allowed students, a greater approximation to the humanistic aspects of medical education, so important for the construction of a satisfactory doctor-patient relationship.

13
  • HAROLDO ADRIAN GUSMAO DE MACEDO
  • Does laparoscopic simulator training improve laparoscopic skills of gynecology and obstretics residents?

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • GUSTAVO MAFALDO SOARES
  • PAULO JOSE DE MEDEIROS
  • RICARDO NEY OLIVEIRA COBUCCI
  • Data: 2 sept. 2019


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  • Introduction: laparoscopy is currently consolidated as a minimally invasive surgical technique, presenting, in relation to analogous conventional surgeries, gains in postoperative results being standard procedure for several surgeries. The laparoscopic training presents peculiarities that hinder the acquisition of their abilities and it has a long learning curve. Objective: to evaluate whether laparoscopic simulator training is effective for the development of laparoscopic skills in gynecological and obstetrical residents. Methodology: prospective non-randomized, quasi-experimental study, in which participants were trained, in the same content and period of time, in laparoscopic intracorporeal suture, utilizing the gladiator technique, described by Armando Romeo, using E-Knot laparoscopic model. The Global Operative Assessment of Laparoscopic Skills (GOALS) was used as an evaluation tool, generating a score for each evaluation. The participants, besides conducting their self-assessments, were assessed by two independent evaluators. The data obtained were statistically analyzed using the non-parametric techniques of Wilcoxon and Friedman. Data collection was performed at the Maternidade Escola Januário Cicco/Universidade Federal do Rio Grande do Norte (MEJC/UFRN) during the period from January to February, 2019. Results: the provided training demonstrated statistically significant laparoscopic skill gains by the Wilcoxon test, with a mean difference of 2.5 to 5.167 points in the total GOALS score. However, when analyzing the criteria individually, the item tissue handling did not reach p-value < 0.05 for one of the evaluators. There was no statistically significant difference between the GOALS scores obtained by the pre-intervention assessment between the evaluators by the Friedman test, but there was divergence in all post-training items, except for tissue handling. Conclusion: training in intracorporeal suture simulator by the Armando Romeo technique was effective for laparoscopic skills gains evaluated by GOALS. Conclusion: training in an intracorporeal suture simulator using the Armando Romeo technique was effective for gains in laparoscopic skills assessed by GOALS.

14
  • KESSIA LARISSA DE MEDEIROS QUIRINO
  • Evaluation of Interactive Spaced Education as a teaching tool in the context of Chronic Kidney Disease

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MAURICIO GALVAO PEREIRA
  • PAULO JOSE DE MEDEIROS
  • Data: 3 sept. 2019


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  • Background: Chronic Kidney Disease (CKD) currently reaches epidemic proportions in the world and despite the effort to teach the appropriate approach to this disease, studies have identified gaps in the knowledge of CKD, emerging the need to seek pedagogical strategies that help in its teaching-learning process. Aims: To evaluate the Interactive Spaced Education (ISE) tool for the second-, third-, and fourth-year medical students learning in an extracurricular course on CKD, objectively and from the perspective of the student. Methods: It is a quasi-experimental study whose population was composed of second-, third-, and fourth-year medicine students enrolled in a CKD extension course, lasting 6 weeks. The course was offered to two classes in the second semester, using lecture and ISE online tool. The ISE program was composed for 3 cycles, with 20 items each that were repeated in all cycles. The ISE participation rate in the two groups and progressive achievement among students who completed > 75% of ISE items were calculated. The tool has been evaluated by the students through a Likert score questionnaire and open questions about opinion and suggestions. Results and discussion: The participation rate was low because the course did not form part of the graduation curriculum. It was demonstrated through the Friedman test that there was an effect of the use of the tool on the improvement in student performance, and through the Bonferoni correction, it was evidenced that the difference between the first and third cycle was significant. The students judged the strategy useful for reinforcing key aspects and for professional practice, in addition to showing interest in participating in other activities with the use of the tool. Students have identified the benefits of test and spacing ISE effects. Conclusion: ISE was effective in improving performance and presented good acceptability among students who completed the program.

15
  • BETINA BARBIERO SAAD FORMIGA
  • The Core competencies Matrix in Geriatrics and Gerontology at the UFRN Medical Course.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • FRANCISCO PIGNATARO LIMA
  • MARIA DO CARMO SITTA
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 9 sept. 2019


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  • Population aging and increased longevity are a major factor worldwide. In response to this challenge and the impact generated on health issues, many medical schools around the world have been developing some form of Medical Education program for Geriatric Medicine. The aim of this study was to construct a proposal of a competency matrix for the teaching of Geriatrics and Gerontology for the Medicine course of the Federal University of Rio Grande do Norte (UFRN). It is an exploratory, prospective study developed in stages: documentary analysis of the menus and curricular components of the medical course and literature survey in search of matrices of national and international competences in geriatrics; analysis of teacher perception on the teaching of geriatrics and gerontology at UFRN and elaboration of the competence matrix in geriatrics and gerontology for the UFRN Medicine course. To validate this matrix, we used the Delphy Strategy with 11 Geriatrics specialists, teachers and tutors from the Higher Education Institutions of Rio Grande do Norte. As a result, was find very detailed reports and programs, several proposals of published competence matrices that were useful in the elaboration of a proposal of UFRN's own matrix, sent to the experts who expressed their opinion on each item with consensus reach (50% agreement + fully agree) in all the contents and competences proposed by the matrix. The specialists were also able to suggest teaching and evaluation methodologies, predominantly the most traditional ones, but already with the insertion of active methodologies, demonstrating the need for teacher training for new methodologies. The construction of this matrix intends to make teaching geriatrics more gradual throughout the course, with greater interdisciplinary involvement, and is probably better able to train general practitioners more competent to care for the elderly.

16
  • EDSON DA SILVA FREITAS
  • TEACHING MEDICAL STUDENTS IN AMBULATORY SURGERY IN PRIMARY HEALTH CARE SETTINGS

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • PAULO JOSE DE MEDEIROS
  • ROSIANE VIANA ZUZA DINIZ
  • THIAGO GOMES DA TRINDADE
  • Data: 11 sept. 2019


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  • Introduction: Teaching ambulatory surgery  usually is accompanied by formal and informal methods, combined with activities in ambulatory care clinics, operating rooms and wards, mainly based on observing and performing practical procedures through appropriate and experienced supervision. Teaching strategies comprehend use of molds, sponges, simulators, virtual reality, movies, interactive videos, software, games, responsible use of animals, corpses, human tissues, surgical technique workshops, suture lab and knots. At the proposing institution, the teaching of ambulatory surgery in Primary Health Care is not supported by a specific curricular component.

    Objectives: To structure the teaching of ambulatory surgery at the Family Medicine Clerkship (FMC) of the Federal University of Rio Grande do Norte (UFRN).

    Methods: The study is characterized as quasi-experimental, exploratory and analytical. It involved all students from the fifth year of UFRN medical school in semesters 2018.1 (control group) and 2018.2 (intervention group) and had a collaborative team of 8 student monitors / actors, as well as 10 preceptors / teachers / evaluators. The methodological course involved several steps such as: structuring the fields of practice; preceptors training; preparation of video lessons; development of standardized silicone rubber bench models for teaching; theoretical and practical class; stimulation the practice of procedures in the practice fields and elaboration of simulated evaluation stations. Instruments based on the Global Rating Scale (GRS) were used to assess students performances at the stations. GRS is an internationally validated scale in which it is possible to identify aspects of students' performance in surgical practice. The evaluation was initially applied to the control group and later to the intervention group. Statistical analysis was performed using Student's t-test for mean variables and Pearson's chi-square test for proportion variables. The significance level of p <0.05 was considered.

    Results: From the 2018.1 semester, 42 students (100%) participated in the study, while from the 2018.2 semester, 35 (68.6%) of the 51 were present for the evaluation. The mean age was similar (24.5 years vs 25.3 years, p = 0.497), with male predominance in both groups (59.5% vs 60%, p = 0.996). The overall performance score of the intervention group was 5.44 (SD ± 1.75), higher than the control group which had an average of 3.15 (SD ± 1.47), with p <0.001. When considering the proportion of scores above 5.0 (competent level) in relation to scores below 5.0 (insufficient), we can observe a larger number of students with acquired competence in performing PCA in the intervention group (57, 1%) compared to the control group (9.5%), with p <0.001.

    Conclusions: The study largely achieved its objectives by structuring the teaching of ambulatory surgery at the FMC of UFRN through the development of teaching-learning methods and the evaluation of some ambulatory surgical procedures. It has been able to implement and increase minor surgery in most field practice units. Besides noting the gain of competence of the intervention group through comparative analysis.

17
  • CICERO TIBERIO LANDIM DE ALMEIDA
  • DEVELOPING COMPETENCE IN ULTRASONOGRAPHY AS A GUIDE FOR CONDUCTING CENTRAL VENOUS ACCESS IN MEDICAL RESIDENCY.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • CLÉBER DE MESQUITA ANDRADE
  • PAULO JOSE DE MEDEIROS
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 24 sept. 2019


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  • Introduction: Central venous access is an invasive procedure commonly performed in critically ill patients hospitalized in Intensive Care Units (ICU). Several studies have demonstrated that the use of ultrasound (US) to guide venous access increases the success rates of catheter placement, reduces the number of complications and improves the patient safety. In the last decades there has been an increase in the number of studies directed towards the importance of the professional competence formation in medical residency. Aim: To create a training program with active teaching-learning methods in order to develop the competence to perform ultrasound-guided internal jugular punctures. Methods: This is an action research, an exploratory prospective study that involved 43 participants, of these 31 were medical residents, 9 were intensivist preceptors of the University Hospital Onofre Lopes and 3 were preceptors of the Cardiology discipline. Four theoretical-practical courses were taken using a chicken breast model to simulate an ultrasound-guided venous access. Every participant performed pre and post-training tests and was evaluated by the Direct Observation of Procedural Skills (DOPS) on the following areas: area 1: previous knowledge; area 4: technical skills; and area 10: general skills. Results: The evaluation model applied to the participants generated affirmative responses, according to the descriptive results measured by Cronbach's alpha coefficient, which evaluates the consistency and reliability of the responses. Therefore, the training was considered positive by 100% of the participants, who also had a good performance in their majority, and the level of satisfaction regarded to the course was considered great or excellent. In addition to being accepted, this model allowed the assessment of competence in a ultrasound-guided central venous access. Conclusion: The training model using chicken breast is feasible, well accepted and allowed to develop competence in using the ultrasound device as a guide for punctures. The use of DOPS proved to reliable and relevant as an evaluation tool that confers professional authenticity.

18
  • ARLINDA MARIA PINHEIRO DOS SANTOS DE GOIS
  • PRECEPTORS AND FACULTY DEVELOPMENT IN ENDOSCOPY RESIDENCY PROGRAM AT AN UNIVERSITY HOSPITAL.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • JORGE CARVALHO GUEDES
  • JOSÉ EYMARD MORAES DE MEDEIROS FILHO
  • LUCIANNA PEREIRA DA MOTTA PIRES CORREIA
  • MARIA JOSE PEREIRA VILAR
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 26 sept. 2019


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  • Introduction: Health education is often performed intuitively and following traditional pedagogical principles. There is currently a movement to insert well-established and proven pedagogical techniques in other areas of knowledge in medical education. The lack of pedagogical development of teachers and preceptors makes the teaching-learning process difficult, resulting in the training of residents focusing on knowledge rather than professional competence. In addition, it may cause discomfort to preceptors and teachers who, without specific preparation, on how to teach and evaluate learners / residents, do so intuitively or even move away from preceptorship impairing the quality of training. Preceptors are “experts” in performing all procedures, but without academic training about the teaching-learning process. Objectives: This study aims to identify the previous knowledge and possible difficulties of teachers and teachers for teaching in the residence of digestive endoscopy, aiming to systematize a training program aimed at the development of teaching skills of the teacher and preceptor in the digestive endoscopy program of the University Hospital Onofre Lopes (HUOL). Methods: This is an exploratory, descriptive study involving preceptors and teachers working in the digestive endoscopy residency program of the Onofre Lopes University Hospital. Initially, a questionnaire was applied to identify prior knowledge about teaching and learning, as well as the main difficulties faced in the exercise of preceptorship. Then, two educational training meetings were held and two manuals were prepared, one for residents and one for HUOL digestive endoscopy residency preceptors. At the end, the perceptions of residents and preceptors regarding the training process at the endoscopy residency were analyzed. Results: Eight preceptors participated, with less than five years of experience in the preceptorship prevalent (75%). education (37%). The main difficulty reported was related to the assessment of residents and the lack of pedagogical skills to discuss the process of training in residences. The elaborated manuals had the presentation of the entire residency program, from management and administrative issues to the residents' evaluation system. For the preceptors, specific topics on teaching strategies, assessment, feedback and adult learning were included. The perceptions of residents and preceptors were in agreement with regard to stimulating clinical reasoning, active learning and the use of feedback as relevant and present in the teaching-learning process of residence. Conclusion: The preceptors of the endoscopy residency are young, with little time in preceptorship and little pedagogical experience. The manuals may support teaching development, a fact recognized as relevant and lacking in the aforementioned residency program. Initiatives to improve the teaching-learning process have resulted in encouraging clinical thinking and active learning, as well as a more elaborate assessment with opportunity for feedback on the perceptions of residents and preceptors.

19
  • RAPHAEL NEPOMUCENO GALVÃO SANTOS
  • ICU: An Intuitive Technology

  • Leader : ELAINE LIRA MEDEIROS
  • MEMBRES DE LA BANQUE :
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • ELAINE LIRA MEDEIROS
  • FABIANE ROCHA BOTARELI
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 27 sept. 2019


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  • Given the evidences that confirm gaps in the formation of nurses in critical care, it is important to develop strategies to qualify individuals in the use of technological resources applied in life support. This is a methodological development study aimed at the construction and validation, in content and appearance, of a virtual learning object designed to facilitate the handling of infusion pumps, multiparametric vital signs monitors and mechanical ventilators, by nursing students and professionals. Thus, a website was developed entitled “UTI: Uma Tecnologia Intuitiva”, which addressed, for each contemplated equipment, aspects such as mechanics, components, indications of use and main alarms. Six judges evaluated the didactic material built for content and 24 users for practical applicability, through questionnaires with Likert-type scales and open questions. In both evaluations, averages higher than 80% were obtained from the Content Validation Index. Therefore, it is considered that the developed tool has semantic and content validity and is currently compatible with its intended purpose, having the potential to be widely used in the academic and professional area, contributing to the professional formation and to a more qualified clinical practice, based on patient safety.

20
  • BRUNO THIEME LIMA
  • Assessment of the learning of surgical procedures in the Otorhinolaryngology Residency Program of the University Hospital Onofre Lopes - UFRN, with the ‘procedure based assessment’ instrument.
  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • JOSE DINIZ JUNIOR
  • LUCIANA FONTES SILVA DA CUNHA LIMA
  • EKTOR TSUNEO ONISHI
  • Data: 3 déc. 2019


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  • Institution of Decree No. 80,281, of September 5, 1977, medical residency is a modality of post-graduation teaching for physicians, based on in-service education. Ethical issues, medical-legal, as well as changes in current medical practice, lead the demand of improvement on the training and assessment in residence. We performed a project to adaptate and introduce an instrument for objective evaluation of surgical practice, at the otolaryngology department of Hospital Onofre Lopes (HUOL). The chosen instrument was the 'procedure based assessment' used in residence programs of United Kingdom . The purpose of the evaluation is to allow a standardization and improve the teaching-learning process of surgeries performed in this area, allowing an evaluation of the resident progress and also the identification and correction of weaknesses in this process. This is an exploratory, prospective and descriptive study carried out with all residents of otolaryngology at HUOL. The project was performed in three stages, the first consisting in the translation and adaptation of the instrument. The second, in the application of the evaluation instrument and analysis of the data collected. The third, in the application of a questionnaire for an evaluation of the residents experience with the use of this instrument. 18 PBAs were applied in the evaluation period. It was possible to verify in what degree of competence the students were during the training. The instrument shown to be useful to emphasize the points developed and the difficulties to be overcome in the surgical training. The instrument was well accepted and demonstrated to be a useful tool in improving the surgical training process in our service of otolaryngology residence in SUS.

21
  • LEONARDO NOGUEIRA PIMENTEL
  • The teaching / learning process in refractometry using a digital tool (Helper Keratoconus)

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • JOSE DINIZ JUNIOR
  • MAIRA TIYOMI SACATA TONGU NAZIMA
  • Data: 9 déc. 2019


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  • The presence of keratoconus always made it difficult to calculate the patient's refractometry, either through retinoscopy (skiascopy) or using the autorefractor. Thus, it is sometimes difficult to find such values quickly and reliably in the day-to-day office of the eye doctor. In addition, the teaching of refractometry has always been a challenge for ophthalmologist training services, which is explained by the fact that it is an exam that carries a specific skill to be mastered, besides the need for knowledge of physics, mathematics and geometry for understanding how to determine and annul the so-called refractive vices (ametropia) of the optical system of the human eye. The HELPER KERATOCONUS app quickly and practically provides the theoretical measurement of refractometry from the patient's keratometry, which will be inserted into the refractor and refined. We conducted a workshop on teaching the refractometry competency using the application using the flipped classroom teaching technique. This is a descriptive exploratory research, which was developed at the Onofre Lopes University Hospital - HUOL / UFRN. They involved residents and preceptors of the HUOL ophthalmology service. It happened in 3 phases. The first phase consisted of an inverted classroom of approximately 50 minutes, with flipped classroom methodology, whose theme was the operation and use of the HELPER KERATOCONUS application, after which there were discussions, clarifications, exercises or other learning activities for improve the application of knowledge. In the second phase, the residents had a practical class, where they were trained to use the application in the service routine. In the third phase, residents answered a semi-structured questionnaire, which addressed information about teaching and learning activities. In this context, it is believed that the project contributed to the development of skills in the teaching of refractometry, as well as to a closer approximation of technological advances and new teaching techniques in medical residency.

22
  • PAULO HENRIQUE FREITAS LIMA
  • The 360º assessment with feedbackin healthcare residency.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ROSIANE VIANA ZUZA DINIZ
  • MARCELO VIANA DA COSTA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • ELIANA GOLDFARB CYRINO
  • Data: 10 déc. 2019


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  • Introduction: The multiprofessional residency programs - RMS in health aim to qualify professionals to work in the Unified Health System. The RMS have practical and theoretical-practical activities with performance of the preceptor, a professional with expertise, able to guide students through the preceptorship, pedagogical practice in the workplace, performed by care professionals, teachers or not. Evaluation is a relevant step in the quality of educational processes. Considered as the most important factor in motivating student behavior. Using different methods can contribute to a better assessment of student performance in actual clinical practice. The assessment developed with instruments such as the Mini-CEx involves direct observation of the student's clinical performance and providing the fundamental stage of formative assessment, feedback. Objectives: To systematize an evaluation methodology in multiprofessional residency in health based on the 360 degree evaluation strategy with feedback. Methodologies: An action research study with a descriptive approach involving 27 preceptors of the HUOL / UFRN Multiprofessional Health Residency. Performed in two stages: first aimed at training professionals involved in teaching at the multiprofessional residence for resident performance evaluation and the second the application of clinical performance evaluations with Mini-CEx, both composing a pedagogical development course for preceptorship. at RMS. The study was approved by the research ethics committee of the institution Opinion No. 3,084,892 / 2018. Results: We analyzed the participants' perceptions regarding the knowledge, use and mastery of the evaluation strategies, difficulties in the evaluation process, the frequency and comfort when applying the minute preceptorship micro skills to the teaching. Performance ratings, such as 3600 ratings, are unknown by 23 (85%). The most widely used micro-ability was to give specific feedback on what the student does well. The most uncomfortable explain the student's mistakes about the case. Performance evaluation of multiprofessional residents using the Mini-CEx was performed more often by physiotherapists and nurses. The instrument contributed to the implementation of structured feedback in approximately all cases, reporting the weaknesses identified in seven out of ten evaluations. Achieving a satisfaction level of eight on a nine-point Likert scale for both the appraiser and the appraised resident. Conclusion: The creation of an evaluation system of clinical performance by educators, providing structured and contemplative feedback on the evaluative needs of the actors of this process was possible and proves to be viable to be included in this teaching modality.

23
  • SUZIANNE RUTH HOSANAH LIMA PINTO
  • Smoking: Seeking Strategies for Undergraduate Medical Education

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • VALÉRIA GOES FERREIRA PINHEIRO
  • IANA OLIVEIRA E SILVA RIBEIRO
  • MARIA JOSE PEREIRA VILAR
  • Data: 18 déc. 2019


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  • Introduction: The use of diversified pedagogical strategies in undergraduate medical education has been increasing since the National Curriculum Guidelines (DCNs) of 2001. However, this change is still a challenge for professors and students in medical courses in Brazil. In the same vein, important topics such as smoking, one of the leading preventable causes of death worldwide, are also poorly addressed in medical schools, resulting in students and resident physicians who have difficulty in listening, addressing and mentoring. smokers and former smokers. Objective: In this sense, the study aims to implement different pedagogical strategies for the teaching of smoking in the curriculum component “Discipline of Diseases of the Respiratory System” (DDSR) of the Medical School of the Federal University of Rio Grande do Norte (UFRN). Methodology: A descriptive study with fourth year students (VII semester) attending DDSR was conducted in two classes: T1 in the first semester and T2 in the second semester of 2018. Two educational strategies were used: a Virtual Community via Integral Management System platform of Academic Activities (SIGAA) and a University Extension Project. For eight weeks, students participated in the Virtual Community entitled “Using SIGAA as a Tool for Teaching Smoking”, receiving from the principal researcher videos, links, scientific articles and other smoking materials once a week, with seven days to comments and questions. At the end, they received commented answers, as well as free and reliable links to deepen that topic. For T2 students, the Extension Project “Smoking Group of Onofre Lopes University Hospital - HUOL” was also used, inserted in the compulsory curriculum component DDSR where students attended, on average, 3 group meetings over 6 weeks. together with the medical researcher and a multiprofessional team, discussing various aspects of smoking. Students' perceptions of these strategies were assessed with a Likert-scale online questionnaire. All were submitted to a pre and post-test with general questions about smoking. Results: Students' participation in the activities of the Virtual Community via SIGAA was lower than expected, being more intense in the first 3 weeks and without difference between T1 and T2. . The majority (59.8%) of the students answered that they participated in less than 30% of the activities. However, as for the contribution of the activities to learning, all agreed that it was positive in several respects. Almost half of the students answered that UFRN students and teachers do not have the habit of using SIGAA as a teaching-learning tool. Regarding participation in the Smoking Group, the students agreed that it had several positive aspects regarding learning about the theme. Everyone disagreed that the topics covered in the group had already been seen during the course. There was an increase in the number of post-test hits in both classes, although there was no statistical difference between them. Final Considerations: The positive perception of students about the diversification of teaching strategies proposed for the teaching of smoking, certainly stimulates their continuity and improvement, especially regarding the extension curriculum insertion, which emerges as a pioneer in undergraduate medicine at UFRN.

2018
Thèses
1
  • REDIANNE MEDEIROS DA FONSÊCA
  • Interprofessional Education in Health and the development of collaborative skills in training in nursing and medicine.

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • FRANKLIN DELANO SOARES FORTE
  • MARCELO VIANA DA COSTA
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 1 févr. 2018


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  • Significant changes in the reality of people's health and health impose on health services the challenge of understanding and intervening effectively and resolutely about the many health needs, implying the adoption of a new logic of health care. Confronting this problem also implies changing the profiles of health professionals so that they are able to respond to the complex and dynamic demands of these health needs. In view of these challenges, Interprofessional Education - EIP has been widely discussed as an important strategy to transform the current training context, in order to train professionals who are more capable of teamwork, in meeting these needs. The research aims to: Understand the perception of professionals and teachers about Interprofessional Education for the development of collaborative skills in Nursing and Medicine formation; Discuss with professionals and teachers the collaborative skills required for health work; to elaborate a matrix of collaborative competencies to be adopted in the initiatives of interprofessional education in health in the training in nursing and medicine and to discuss pedagogical proposals that support the adoption of interprofessional actions for the formation of collaborative competences in health. A qualitative study, of the type research action, of exploratory nature. The research had teaching subjects of UFRN and UERN Nursing, both in Caicó. It was carried out in two stages: a workshop for discussion and construction of collaborative skills, through the construction of panels and discussion and elaboration of teaching and learning strategies and evaluation of collaborative skills. The qualitative data collected were analyzed from the Bardin Content Analysis, where discussions were carried out in the light of the theoretical framework and synthesized in a matrix of collaborative skills and methodological and evaluation strategies, considering the scenarios of the two courses. It was observed that professionals and teachers recognize the existence of fragmentation in health care, the difficulty of teamwork, isolation in professional training, and the need to rethink the interaction between teaching and service. Despite this, it was identified that the theme of interprofessional education and collaborative practices is still little known and discussed, both in academic and professional practice, presenting difficulties in the definition and conceptual differentiation of EIP and collaborative practices. Although the Curricular Guidelines for both the Medicine course and the Nursing Course, bring the need for a competency-based training, it was noticed a difficulty in the structuring of the panels of collaborative competences, related both to what would be competencies, and to the systematization of the necessary skills in the formation of collaborative practices. Stimulating the development of interprofessional education and the development of collaborative practices in nursing and medical education is a strategic action to change the health care model and improve the quality of care. The adoption of an interprofessional education plan in both courses is an important instrument for teaching practice in the two educational institutions in the implementation of a training in the perspective of interprofessional education and collaborative practices, with positive results in the process of construction and consolidation of the System Health.

2
  • BETIANE FERNANDES DA COSTA
  • Basic attention as a scenario for the implementation of interprofessional education in health

  • Leader : MARCELO VIANA DA COSTA
  • MEMBRES DE LA BANQUE :
  • FRANKLIN DELANO SOARES FORTE
  • MARCELO VIANA DA COSTA
  • MARIA JOSE PEREIRA VILAR
  • Data: 1 févr. 2018


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  • The reality of life and health of people increasingly demand a new logic of training of health professionals, so that transformations happen in the reality of health services, with professionals more able to work in teams to cope with the complexity and dynamicity of needs of people's health. In this context, Interprofessional Education (IPE) is presented as a strategic approach for greater interaction between residents of different backgrounds in the practice scenarios, allowing learning among specific areas of training, improving the quality of patient care. The research aims to: discuss the potentials and limitations of basic care as a space for the implementation of (IPE) from the perceptions of students of the Multiprofessional Residency in Basic Care and Residency in Family Medicine and Community the MSMS; Conduct training workshops in Inter-Professional Education for students of the Multiprofessional Residency in Primary Care and Residency in Family and Community Medicine; Insert the students of Multiprofessional Residency in Primary Care and Residency in Family and Community Medicine in the reality of the production of the health services of the Family Health Strategy; To know the perceptions of Multiprofessional Residency in Primary Care and Residency in Family and Community Medicine on the experience of Interprofessional Education in the Family Health Strategy. Research of qualitative approach and adopted as design the action research, in that it established a broad interaction between researcher and the phenomenon to be investigated. The present study was carried out in the municipality of Caicó / RN, more specifically in the training and work dynamics of the Family Health Strategy, having as subjects of the study Residents of the Multiprofessional Residency Program in Primary Care and Residency in Family Medicine and Community of the Multicampi School of Medical Sciences (MSMS) of the Federal University of Rio Grande do Norte, which proposes the implementation of EIP and aims, above all, shared and collective care through the dynamics of teamwork, configuring health work as a space for a training model more coherent with the needs of health of the population. The research had three stages: a workshop where the principles of EIP were discussed; implementation of interprofessional practices in the reality of the production of basic health services and focus groups to explore the experience of the experience of collaborative work. In these phases were adopted as instruments of data collection: narratives, field diaries and a guide for the focus groups. It was adopted the technique of analysis of thematic content that presupposes the stages of pre-analysis; exploitation of the material or coding; treatment of the results obtained, inference and interpretation. The research was submitted and approved to the Research Ethics Committee (REC), of the University Hospital Onofre Lopes (UHOL), observing CNS Resolution 466/12. Data processing allowed the following categories to be built: shared learning, comprehensive health care, user participation appreciation, reduced time for interprofessional practices.

3
  • REGINA CLAUDIA RAFAEL DE SOUZA MARINHO
  • OPHTHALMOLOGICAL RELATED COMPETENCES IN THE CURRICULUM OF THE MEDICAL COURSE OF THE MULTICAMPI SCHOOL OF MEDICAL SCIENCES OF RIO GRANDE DO NORTE

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • EUDES EULER DE SOUZA LUCENA
  • GEORGE DANTAS DE AZEVEDO
  • SERGIO RICARDO FERNANDES DE ARAUJO
  • Data: 20 mars 2018


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  • Based on an analysis of the history of medicine and ophthalmology education, particularly in Brazil, this study aims to present a proposal for inclusion of contents related to ophthalmological competences on the curriculum of a medical school of the Escola Multicampi de Ciências Médicas do Rio Grande do Norte (EMCM-RN). Based on a longitudinal research of a research-action nature, this study intends to define the subjects of greater relevance in the field of Ophthalmology, based on the recommendation of the International Council of Ophthalmology (ICO), for the training of the general practitioner, distributing the selected contents in the different axes of the EMCM curriculum, systematizing the teaching of these themes , following the methodology of Problem Based Learning (PBL). In this sense, the insertion of the ophthalmologic component within the undergraduate course would serve as an effectively strategy to prepare the professional for its insertion in the labor market, providing better tools for these students to recognize and act effectively against the main existing ophthalmological diseases at the Seridó region.

4
  • VALERIA CRISTINA MONTENEGRO BATISTA LINS
  • Perception of persons with disabilities about health care and its contribution to medical education

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • LUIZA SANTOS MOREIRA DA COSTA
  • MARCELO VIANA DA COSTA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 13 avr. 2018


  • Afficher le Résumé
  • The National Policy on the Health of Persons with Disabilities provides integral care to the health of these people, which implies an assistance directed to the specifics of their disability, as well as health problems common to any individual. In addition, it guides actions of health promotion, disability prevention, improvement of information mechanisms, professional training, organization and operation of health care services. However, persons with disabilities do not feel assisted in their needs when seeking such services. In addition, medical education, in general, has not included in its curriculum content this group of persons, thus contributing to the non-recognition of the specificities related to the various types of disability and aspects relevant to integral care. This study aims to understand the perception of persons with disabilities about the medical care received in health services, so as to contribute to professional training that meets the needs of this specific population. The theoretical-methodological path covered was phenomenology, using the qualitative approach. The techniques used to collect data were focal group and semi-structured interviews, from which emerged three thematic units: Needs of persons with disabilities; Health Services for persons with disabilities and Comprehensive health care for persons with disabilities. The results of this research showed that persons with disabilities, when they use health services seeking medical attention, often face barriers in the institutions, both at the level of attitudinal and communication, accessibility, to the lack of equipment and materials appropriate to their service. There was also a need for awareness and training of medical professionals to better accommodate persons with disabilities, in order to make them feel socially included and respected in their condition. The importance of the role of primary care in the integral health care of these persons is reiterated, and it is a challenge, reflecting on the effectiveness of current practices and the possibilities for future improvements. It is concluded that it is necessary for medical schools to commit themselves to the theme and to provide education aimed at the health needs of these persons.

5
  • ANA KARINA DA CAMARA DANTAS
  • USE OF THE "OSCE" AS AN INSTRUMENT OF EVALUATION IN GYNECOLOGY AND OBSTETRICS: PERCEPTION OF STUDENTS OF MEDICINE OF UFRN

  • Leader : ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • DANIELA MENDES DA VEIGA PESSOA
  • IRIS DO CEU CLARA COSTA
  • Data: 27 avr. 2018


  • Afficher le Résumé
  • The Objective Structural Clinical Evoluation (OSCE) is recognized as an excellent competency assessment tool applied in Brazil and implemented in the UFRN medical course since 2011. However, there are few studies, mainly in gynecology and obstetrics, that reveal the student's perception this instrument of evaluation. This study allowed to reflect on the use of innovative methodology in the training, recognizing limitations and positive points, in order to improve its applicability. The general objective was to analyze the perception of UFRN medical students about the use of the OSCE as an evaluation tool in gynecology and obstetrics. 58 students participated in the study. In the quantitative approach, a semi-structured questionnaire was applied immediately after the OSCE was carried out and in the qualitative one the Free Word Association Technique (TALP) was used. The data were submitted to EVOC software, analyzed according to bardin in categories and subcategories and by descriptive statistics. In the results, it was observed that there was no statistically significant relationship between the variables used in the study, but in the descriptive analysis most of the students understood what the OSCE was and that it influenced their practice positively, there is impartiality and mastery of content by teachers, stations are well structured and refine knowledge. The student perceives the feedback as important in correcting his mistakes, but the interference of the emotional, influences negatively in the process, quoted in 87.9% of the speeches. From the lexicographical analysis carried out by the EVOC 2000 program, 174 evoked words pointed out that the social representations of the student's perception of OSCE use have a central nucleus based on the category of emotional instability and associate nervousness and anxiety with the OSCE as an evaluation tool. this your real difficulty. The open question reinforced the reliability of these data. It is concluded that in his perception, the student considers the OSCE a good evaluation tool, a valid experience, that sediments his professional practice and prepares for selective processes and that despite the limiting aspects, such as emotional factors, that can interfere negatively to a good result, the use of this evaluation instrument should be maintained in the discipline of gynecology and obstetrics

6
  • CRISTIANE GUEDES PITA
  • COMPETENCE MATRIX IN CARDIOLOGY FOR MEDICAL RESIDENCE IN CARDIOLOGY OF THE FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • AECIO FLAVIO TEIXEIRA DE GOIS
  • ELAINE LIRA MEDEIROS
  • FRANCISCO PIGNATARO LIMA
  • MARIA JOSE PEREIRA VILAR
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 4 mai 2018


  • Afficher le Résumé
  • Medical education has undergone many adaptations in recent decades due to the need to train professionals that meet population needs. Discussions are moving towards reshaping curricula, which should be guided by professional skills and no longer by educational processes, called Competency-Based Education. In Brazil, there is no consensus among the training programs in Cardiology, highlighting the importance, therefore, of a guide that directs the content to be given, how it should be applied and what the ideal evaluation tools. This project had the purpose of elaborating the competency matrix within the scope of the Medical Residency in Cardiology at Hospital Universitário Onofre Lopes (HUOL). The study was prospective, descriptive and interventional, involving all preceptors and teachers of the Cardiovascular Attention Unit / Cardiology, in addition to the residents of Cardiology and was developed in the following stages: 1) Documentary analysis 2) Training of all preceptors and teaching staff in the service for collective construction of the competency matrix for medical residency in cardiology, following the simplified Delphi methodology to obtain consensus among the participants; 3) The results of this first contribution were recorded and tabulated, with subsequent elaboration and electronic sending of the new matrix suggested. In the second round of evaluations, consensus was obtained and, therefore, the final model of the HUOL Cardiology Competence Matrix. It was suggested a matrix for the first year and another for the second year of the Residence, both being divided in the domains: Health Care, Health Management and Health Education. The agreement was more expressive for the questions related to the "Patient Attention" domain, probably because it meant an issue already familiar to preceptors and less robust for topics related to "Health Management" and "Health Education", because possibly dealing with topics that have traditionally been little discussed and have been the subject of debate only in recent decades. The matrix built from this project represents a consensus for the HUOL Cardiology training program, which can serve as a basis for other professions and medical specialties inside and outside the institution

7
  • VANESSA GIFFONI DE MEDEIROS NUNES PINHEIRO PEIXOTO
  • DEVELOPING MEDICAL STUDENTS' COMPETENCY TO COMMUNICATE BAD NEWS TO PATIENTS WITH DEMENTIA

  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MAURICIO GALVAO PEREIRA
  • PAULO JOSE DE MEDEIROS
  • PEDRO BRAGA NETO
  • ROSIANE VIANA ZUZA DINIZ
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 25 mai 2018


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  • ·         BACKGROUND: Dementia is a life threatening, incurable and stigmatized condition, with devastating impacts on patient’s personal identity and their caregivers. It is currently one of the most fearsome diseases. There are many barriers to an effective diagnosis disclosure to dementia patients, including fear of causing distress, uncertainty of the diagnosis, caregivers objection and lack of training on communication skills in undergraduate medical school. Brazilian elderly population has been under a rapid growth and thus there is a remarkable rise in the number of individuals with Alzheimer disease and other dementias. Therefore, tit is crucial to implement strategies to help the medical student to build up multiple skills for an appropriate relationship between doctor, patient and family, including the ability of disclosing the diagnosis. The SPIKES protocol is a didactic approach to deliver bad news and it has been used in a variety of clinical settings. The cognitive impairment on Alzheimer disease and other dementias require a few adaptations on this model, which were made after reviewing the current literature on dementia diagnosis disclosure. OBJECTIVE: To develop an educational intervention based on the suggested protocol and evaluate if it could help to improve medical students’ communication skills. METHODS: Interventional, cross-sectional, randomized study with third year medical students from UFRN, along the 2nd semester 2016 and the first semester 2017. 86 students joined the study, divided into three groups: GI (trained protocol in the beginning of the Geriatrics clerkship), GII (trained protocol after lectures about dementias) and GIII (did not join the protocol). Students on GI and GII were analysed by two similar OSCEs (Objective Structured Clinical Examination); students on GIII only took part at the second OSCE. RESULTS: Groups GI and GII showed better results on the second OSCE comparing to GIII (GI:7,56±1,22, GII: 7,47±1,09, GIII: 6,42±1,68, p<0,001). Students on GI performed better on this assessment than students on GII (p<0,001). Groups GI and GII exhibited increasing scores along the two OSCEs (GI OSCE1: 6,38±1,34, GI OSCE2: 7,56±1,22, p<0,001; GII OSCE1: 5,31± 1,36, GII OSCE2: 7,47± 1,09, p<0,001). The results show an improvement on the communication skills of the medical students who joined the training, which was independent of previous theoretical lectures about dementia. The more the students practiced these skills on a simulation, the better were the scores on OSCEs. The training was well accepted by the medical students and most of them (98%) agreed that a training on communicating the diagnosis of dementia is important for their career development. CONCLUSION: Suggested adaptations to SPIKES protocol seem to encompass current guidelines about communication of the diagnosis of dementia, keeping its didactic approach. This model of training, as well as the adapted protocol, may represent replicable strategies for other curriculum elements in a way of improving communication abilities on medical schools.

8
  • CAROLINA ARAUJO DAMASIO SANTOS
  •  “I didn’t have the slightest idea what I would learn here”

    Health Professionals education and Cultural Competence

  • Leader : REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • HENRY DE HOLANDA CAMPOS
  • REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • Data: 25 mai 2018


  • Afficher le Résumé
  • Introduction: The need to address issues of cultural and ethnic diversity in health education has been suggested as a means to improve quality and reduce disparities in health care.

    Methodology: The optional curricular component "Cultural Competence in Health Care for Quilombola Women" was implemented during the first semester of 2016, in the quilombo community Capoeiras dos Negros in Macaíba-RN. This curriculum inserted the processes of collective construction of the care strategy, with the objective of obtaining the knowledge, skills and attitudes necessary to care for the maternal health of quilombola women. The methodological course involved exploratory research, a case study with a qualitative approach and data collected through the focal group technique with 24 students who studied the course between 2016.1 and 2017.2.

    Results: At the end of the intervention, a self-perception study on the development of cultural competences revealed that knowing the health situation of the quilombola population, interacting with the community, and experiencing inter-professional work demonstrated to be effective strategies to potentiate the development of cultural competences in healthcare training.

    Conclusion: In order to train health professionals who are skilled at interacting effectively with ethnically diverse populations, it is critical that students are aware of the processes that influence health as well as experience health care for population minorities.

9
  • BÁRBARA MORAIS FERREIRA THEREZA
  • THE SIMULATION USE TO IMPROVE COLLABORATIVE PRACTICES AND TEAMWORK IN UNDERGRADUATE MEDICAL COURSE: A TEACHING-SERVICE INTEGRATION STRATEGY.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • HENRY DE HOLANDA CAMPOS
  • MARIA JOSE PEREIRA VILAR
  • MAURICIO GALVAO PEREIRA
  • PAULO JOSE DE MEDEIROS
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 26 mai 2018


  • Afficher le Résumé
  • As a major medical event, cardiac arrest (CA) requires prompt and effective attendance by an integrated and collaborative interprofessional teamwork. The use of simulation, collaborative practice and interprofessional education are strategies capable of improving integral patient care, improving not only technical but also human skills. This paper describes the experience of the integrated training between the last year medical student and the health team during a simulated emergency situation and aims to analyze the technical and human performance of students and nursing professionals for the collaborative practice. Methods: This is a quasi-experimental study, involving 50 students from the medical internship and 40 nursing technicians, in which the gains of technical and human performance in cardiopulmonary resuscitation (CPR) were evaluated using team assessment tool, during training workshops between October 2016 and July 2017. Two simulated stations were prepared, one of extra-hospital (ECA) and the other in-hospital cardiac arrest (ICA), in which the participants were grouped into pairs containing a student and a nursing technician. Results: There was a significant increase in the mean of cognitive evaluation before and after training, with 5.9 ± 2.7 and 7.5 ± 1.8, respectively, p <0.001. Similarly, performance during OSPE also showed a significant improvement in the outpatient CA station, with a median of 16 before and 22 after training (p <0.001). The mean scores observed at the ICA station were 20.8 ± 9.6 and 30.0 ± 8.9 before and after the intervention (p <0.001). The evaluation with the TOSCE showed that the human abilities presented significant improvement after the training, both individual and in the team. Individually we observed a reduction of the percentage of participants in the "below-expected" stratum (63.9% vs 36.2%, p <0.001). The same was observed for the teams (66.9% vs 37.5%, p <0.001). The evaluation of the workshop showed that the training strategy was well accepted and easily adapted to the new teaching-learning method for most of the participants. Conclusions: the use of the TOSCE tool was feasible when applied in an emergency scenario as a formative strategy for the evaluation of groups, being well accepted by the participants. Its use has enabled us to identify weaknesses and domains of non-technical skills essential to teamwork.

     

10
  • MONALISA SOARES MARANHAO DE FREITAS MEDEIROS
  • Education for Interprofessional Work between Medical and Multiprofessional Residences in a Maternity School
  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • RITA SIMONE LOPES MOREIRA
  • Data: 5 juin 2018


  • Afficher le Résumé
  • From the expanded understanding of the concept of health, several strategies have been implemented over the years, both in training and in the practice of health professionals. Thus, Interprofessional Education (IPE) emerges, considered an innovative strategy capable of preparing students and professionals to develop collaborative practices in order to guarantee the integrality of health care. However, there are still many challenges to be overcome, ranging from curricular issues to new work interactions, exchange of experiences and knowledge, respect for adversity and, above all, greater integration with the medical team. However, there are still many challenges to be overcome, ranging from curricular issues to new work interactions, exchange of experiences and knowledge, respect for adversity and, above all, greater integration with the medical team. In this sense, the purpose of this study is to understand the students' perception of the Medical and Multiprofessional Residences on Inter professional work developed among they in a maternity school. This is a descriptive, exploratory, qualitative type of case-study. The project was approved by the Research Ethics Committee (UFRN). Participants in the research were 20 medical residency students in gynecology and obstetrics, in neonatology, and multiprofessional residency. Students have been working for at least 10 months in a maternity school at the Universidade Federal do Rio Grande do Norte, which is the inclusion criterion. Data collection was performed from December 2016 to January 2017, using an identification form and semi-structured interviews, using a previously constructed script. The interviews were transcribed, organized and codified in order to group the reports that present similarities between opinions and perceptions. Subsequently, the transcriptions were analyzed through the categorical theme proposed by Bardin. After analyzing the material, four categories emerged, namely: Interprofessional work concept; Importance of interprofessional work; Interprofessional approach among medical and multiprofessional residences; weaknesses for effective professional practice interprofessional. The results suggest the existence of some IPE initiatives promoted among residences, however, Inter professional experiences between medical and multiprofessional residents occur only in some fields of practice. In other fields, experiences do not develop or happen in a non-legitimized way. Thus, there are many challenges to be overcome so that the collaborative practice among medical and multiprofessional residents becomes effective, in view of the residences being able to qualify health professionals capable of acting in an interprofessional manner, with a view to integral health care of people, families and the community. In this context, an Action Plan for the Promotion of Interprofessional Practice of the Maternidade Escola Januário Cicco was elaborated, which contemplates actions that involve: changes in teaching strategies, reorientation of existing multiprofessional activities, insertion of Inter professional practices, and the creation of a training workshop that can be applied to both residents and preceptors.

11
  • RUY MEDEIROS DE OLIVEIRA
  • DEVELOPMENT OF A METHODOLOGY FOR THE CONSTRUCTION OF TECHNOLOGY-BASED COURSES FROM PRESENCE MODELS: A STUDY APPLIED TO THE CANGURU METHOD

  • Leader : RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • MEMBRES DE LA BANQUE :
  • ALINE DE PINHO DIAS
  • ELOIZA DA SILVA GOMES OLIVEIRA
  • KARILANY DANTAS COUTINHO
  • MARCELO VIANA DA COSTA
  • RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • Data: 6 juin 2018


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  • Introduction: The Face-to-Face Course in Humanized Care for the Low-weight Newborn: Kangaroo Method has guided a Public Health policy used by the Ministry of Health, Brazil, from 2000 and implanted in the Maternidade Escola Juanuário Cicco since 2002. It has served as a humanized care model to the mother and Newborns of Low Weight binomial, contributing to the reduction of neonatal morbidity and mortality, and has required trained professionals to understand and deal with patients who are so fragile and vulnerable to illnesses that even banal have become aggressive. Objective: Developing a methodology totally mediated by technology for human training in health based on the face-to-face model of teaching from kangaroo method. Methodology: It is an action research in which part of the methodological process is based on scientific research in theoretical approach to support the development of work and in the application of a course creation flowchart, mediated by technology for distance courses developed by the Laboratory of Health Technology Innovation and used by the Secretaria de Educação a Distância of Federal University of Rio Grande do Norte. The other part is centered on the work environment of three public health institutions in Natal city, State of Rio Grande do Norte. Significantly routine and problematic moments in the lives of individuals experiencing the phases of the Kangaroo Mother method will be described and shown. After the development of course, it was inserted in the Virtual Environment to offer the distance modality. Conclusion: A kangaroo method training using a technology-based approach to distance mode has democratized access to continuing health education in Brazil. With this, thousands of professionals and families will have access to the humanized conducts of the Kangaroo Method, which can serve as a model for the Single Health System.

12
  • TELMA DE FATIMA VITALIANO DA SILVA VERAS
  • THE PERCEPTION OF THE PRECEPTOR ON HIS PRACTICE IN A UNIVERSITY HOSPITAL MANAGED BY THE BRAZILIAN HOSPITAL SERVICES COMPANY - EBSERH
  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • JOSE DINIZ JUNIOR
  • JOÃO BOSCO FILHO
  • MARCELO VIANA DA COSTA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 17 août 2018


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  • In the context of academic training, both in graduation and postgraduate courses, in the lato sensu modality, of medical and multiprofessional residences, preceptors are fundamental pieces for the consolidation of the mission of a university hospital, regarding vocational training. The present study aims to show the perception of preceptors of a teaching hospital about the preceptor process in a university hospital managed by the Brazilian Company of Hospital Services (EBSERH). Through a qualitative, exploratory descriptive study developed at the University Hospital Onofre Lopes (HUOL), with the use of the focal group technique, performed during two years. The study included preceptors of the Medical and Multiprofessional Residences with RJU (Single Legal Regime - UFRN) and CLT (Consolidation of Labor Laws - EBSERH) employment contracts, aiming to analyze perceptions based on the labor relationship. According to Resolution 466/2012 of the National Health Council (CNS), the research was submitted to the Ethics and Research Committee being approved. The professionals make up the various professions in the context of Health Residencies (Social Worker, Nurse, Pharmacist, Physiotherapist, Nutritionist, Physicians, Psychologists), and data were collected from focus group interviews in two meetings: one with RJU servers and the other with CLT servers. The analysis of the data was done through BARDIN's Categorical Analysis. The data obtained indicated that the preceptors presented the same opinions on the questions raised. It was found that, the employers, had the perception of the relevance of their participation in the context of the training of future health professionals; of the constant need of his qualification, as preceptor; on the part of the institution, regardless of the link, evidencing the need to adopt, on the part of the latter, a normalization aimed at providing improvements for its execution, allowing them a more pleasant pedagogical performance and a better performance, concomitant with excellence in health care.
13
  • THIAGO DE LIMA PESSOA
  • Teaching patient safety in a virtual learning environment

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • CARLOS ALBERTO PEREIRA DE OLIVEIRA
  • MARISE REIS DE FREITAS
  • PATRÍCIA PERES DE OLIVEIRA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 24 sept. 2018


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  • Adverse events have major impact on patient safety, increases hospital stay and health care costs. The adoption of health care protocols and promotion of education on “Patient safety” subject are means that aims the reduction of health care related risks. Faced on this need to disseminate this issue, the Distance Education emerges as a viable strategy to health care students and professional’s capacitation. Thus, this study aims to assess the reaction and the learning of the students in relation to the virtual learning environment strategy. The method that was used in this study was an action-research-training with a development of an educational module — Patient safety on the medication process — and, through the Kirkpatrick’s model, were developed satisfaction questionnaires and tests to evaluate, respectively, the reaction and learning of the participants. From the sample of 185 participants, it was possible to identify that the module in a virtual environment was satisfactory as an educational strategy, obtaining a median score of 96.1% (93.0% - 97.3%) and a satisfactory Cronbach coefficient (0,8). Regarding the level of learning, after the pre and post-test application, the increase in grades (from 8.1 to 8.6) of the participants with statistical significance was observed (p <0.05). The virtual learning environment course presented dynamic and interactive content, providing a creative way to address the daily practice and risks inherent in the medication process. Thereby, we can conclude that the e-learning was effective as a capacitation strategy and can be used to disseminate others patient safety related subjects.

14
  • BÁRNORA THERESA DANTAS
  • TEACHING-EVALUATION STRATEGIES FOR THE DEVELOPMENT OF COMPETENCIES OF TEAMWORK IN THE HEALTH MULTIPROFESSIONAL RESIDENCE.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ROSIANE VIANA ZUZA DINIZ
  • PAULO JOSE DE MEDEIROS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • JULIANA BALBINOT REIS GIRONDI
  • Data: 15 oct. 2018


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  • Objective: To implement the use of an active teaching-learning and evaluation strategy for the development of skills for teamwork among students of a Multiprofessional Health Residency. Methodology: quasi-experimental, quantitative and qualitative approach involving multiprofessional residents of a university hospital in the years 2017 and 2018. The teaching of work and interprofessional education used as strategy the collective construction in small groups with the groove plan. Teamwork was assessed with TOSCE (Team Objective Structured Clinical Examination). Result: both teaching and assessment strategies were used unprecedented in the multiprofessional residency program, and were well accepted by the participants. Starting from the reflexive interprofessional practice, it was possible to elaborate strategies for TIP and EIP, being the communication, teamwork and professional relations the skills emphasized by the professionals / student / student as of greater importance for both. , Final considerations: Innovative strategies allowed to stimulate and improve the development of competences for TIP and EIP, being recognized as effective moments of EIP during the training of the participants.

15
  • ANA PAULA DE SOUZA SANTOS
  • Use of Team Based Learning (TBL) in the training of nursing professionals: contributions to the knowledge and practices on neonatal thermoregulation

  • Leader : MARCELO DOS SANTOS
  • MEMBRES DE LA BANQUE :
  • MARCELO DOS SANTOS
  • MARCELO VIANA DA COSTA
  • NILBA LIMA DE SOUZA
  • TAYSSA SUELEN CORDEIRO PAULINO
  • Data: 29 oct. 2018


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  • Quality nursing care at the Neonatal Intensive Care Unit (NICU) requires in-service training to promote the safe care of newborn (RN) thermoregulation. There is a knowledge gap in neonatology that indicates the need for continuing education activities of health professionals, through active methodologies that problematize training in the work environment and stimulate meaningful learning. Team-Based Learning (TBL) is a dynamic, team-based learning methodology that provides a motivating and cooperative environment. Objective: To analyze the apprehension of knowledge and skills about neonatal thermoregulation in nursing technicians after training based on TBL. Methods: An exploratory, quasi-experimental study with quantitative and qualitative data, involving nursing technicians from a Neonatal Intensive Care Unit (NICU). Results: The TBL training data revealed that, in the evaluation of individual training, through a questionnaire with 10 multiple choice questions, the professionals had scores of 15 to 28 points (equivalent to 4 to 7 correct answers), with a median of 19 points, considered an insufficient performance. Already in the team, the scores varied from 29 to 35 points and median of 30, in which all the teams achieved "sufficient" performance. The same questionnaire used in the training was applied after 6 months of intervention and evidenced scores of 7 to 10 correct answers, with a median of 8, that is, a performance superior to that reached before intervention. In the statistical analysis, considering p <0.05 and 95% confidence, the Wilcoxon test showed that the TBL team scores were higher than the individual scores (Z = -2.93) and statistically significant, p = 0.003. Likewise, the test showed that the correct answers to the individual questionnaire for TBL and post-intervention had differences, since Z = -2.87 and p = 0.004.  The professionals were also evaluated regarding the skills in the care of thermoregulation of the newborn after 6 months of the intervention, according to an elaborated model of DOPS (Direct Observation of Procedural Skills). The observations of the skills "routine gauging of the temperature of the newborn and during admission, temperatures recording and preheating of incubators and cribs" were evaluated as "excellent" in more than 75% of the observations. Incubator humidification for the preterm newborn was little used, as only 18.2% used it "optimally" and 27.3% did not activate or used inappropriately. Regarding the occurrence of hypothermia in the newborn, all participants underwent care to reverse it, in which 73.4% of the observations of the care provided were "excellent" or "great". The data collected on the perception of the professionals regarding the training with the use of TBL, showed that all "partially or totally agreed" with the methodology, with the learning was significant and that the training aroused the interest in studying more about the subject matter. Conclusion: The use of TBL was a viable teaching method for application in activities of permanent education of health professionals, and was well evaluated by the participants. The training in TBL performed influenced the improvement of pre and post-intervention scores, which may reflect improvement of knowledge acquired in relation to previous knowledge. It allowed to identify knowledge gaps and to direct the feedback of the learning, evidenced statistical difference in the apprehension of the theoretical knowledge and a satisfactory evaluation of the skills after the intervention. The study allowed the implantation of a Standard Operating Procedure on neonatal Thermoregulation, the development of a proposal of a lesson plan for TBL sessions held in permanent education, and suggests the DOPS model as an evaluation tool for the implementation of care protocols by health professionals at the study.

16
  • JULIO CESAR MENDES E SILVA
  • Humanistic Training in the Pharmacy Course of UFRN: The Perception of Teachers and Graduating.

  • Leader : ANTONIO DE LISBOA LOPES COSTA
  • MEMBRES DE LA BANQUE :
  • ANTONIO DE LISBOA LOPES COSTA
  • JOSÉ RICARDO DOS SANTOS VIEIRA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 30 oct. 2018


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  • The National Curriculum Guidelines (DCN) that guide Pharmacy Undergraduate Courses establish critical, reflective, humanistic and generalist training. The Pharmacy Course of the Federal University of Rio Grande do Norte (UFRN) implemented its current Political Pedagogical Project (PPC) based on these guidelines and, since its implementation in 2002, approximately 950 pharmacists were trained. Despite these changes, some worrying characteristics such as extreme technicality and limited critical and humanistic formation persist in this formative process. In this context, this research had as main objective to analyze the pharmaceutical formation, from the humanistic perspective, in the perception of the active and conclusive teachers, in the Pharmacy Course of the Institution of Higher Education mentioned above. It was, therefore, a descriptive research of the type of case study with a qualitative approach. As far as the data of the research were obtained, a focal group was carried out through a semi-structured script. The subjects of the research were composed by 08 professors and 08 graduates of the course. The result of this analysis offers as a product subsidies for discussions and reflections during the construction of the new Political Pedagogical Project of the UFRN Pharmacy course, which is under review, and will also guide the modifications necessary for the humanistic formation foreseen in the current DCNs, published through In the end, the conclusion of this study pointed to the weaknesses in the teaching-learning process regarding the humanistic contents and the feeling of unpreparedness of the graduates to assume their professional assignments, as recommended by the DCN, pointing to the need for reflection on the formal inclusion of contents related to humanistic training in the undergraduate course in Pharmacy at UFRN.

17
  • MARCELLE ALVES BORBA NEGROMONTE DE MACEDO
  • SELF-INSTRUCTIONAL COURSE AS A TOOL FOR MUSCULOSKELETAL SYSTEM RADIOLOGY TEACHING

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • ELAINE LIRA MEDEIROS
  • MARIA JOSE PEREIRA VILAR
  • VERA LUCIA GARCIA
  • Data: 6 nov. 2018


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  • Radiology is a medical specialty that has developed enormously with the technological advances of the last two decades, playing a central role in modern medical practice. These changes have generated new demands for medical educators, limiting the teaching time and hindering update. The literature evidences gaps in medical training in the teaching of Radiology and in the evaluation of the musculoskeletal system, although complaints related to this system are very frequent in clinical practice. Currently, there is a growing use and a great potential for electronic tools in health education. This study aimed to develop a course for the virtual learning environment of SUS - AVASUS, focused on the computer-mediated teaching of the basic radiology of the musculoskeletal system, outlining the step-by-step in the development of pedagogical content. The course was developed with the support of multiprofessional team using the following phases: content author training, content elaboration, technological and editorial development. The format of the course is self-instructional with 6 independent units, which cover basic anatomy, guidelines for choosing the most appropriate exams and radiological interpretation in the evaluation of the most prevalent diseases of the musculoskeletal system, with an emphasis on Rheumatology, considering clinical situations such as shoulder pain, knee pain, neck pain and low back pain.

18
  • ANA VALERIA COUTINHO DA CAMARA ROCHA
  • IMPLANTATION AND ANALYSIS OF THE DOPS EVALUATION IN THE DIGESTIVE ENDOSCOPY RESIDENCY PROGRAM OF THE ONOFRE LOPES UNIVERSITY HOSPITAL.
  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ROSIANE VIANA ZUZA DINIZ
  • PAULO JOSE DE MEDEIROS
  • JORGE CARVALHO GUEDES
  • Data: 12 nov. 2018


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  • Formative assessment can be part of the teaching-learning process, and can contribute to the improvement of didactic tools. The aim of this study is to describe the implementation of a trainee’s performance assessment tool in the Medical Residency Program of Digestive Endoscopy (PRMED) using the DOPS instrument (Direct Observation of Procedural Skills), and to develop preceptor's qualification in performing evaluation of the endoscopic skills. Moreover, we analyzed the trainees and preceptor’s meaning and perception of this process. This is a qualitative, prospective, exploratory and interpretive research, carried out from November 2016 to February 2018, in the Onofre Lopes University Hospital Endoscopic Unit. The study population was the Gastroenterology and Digestive System Surgery’s trainees, who underwent their training during the study period and who accepted to participate in it.  This study comprised three steps: The first one comprised a PRMED preceptor training course to conduct performance assessments using the DOPS tool.  The second one was the DOPS tool use in the workplace. The last step consisted of trainees and preceptor’s semi-structured interviews in order to understand how they understood the implantation DOPS process.  Results: Most PRMED preceptors participated in the course (70%). Only one of the preceptors had previously participated in a training course. At the end of the course, all participants felt capable to conduct residents' assessments using the DOPS and felt it was possible to incorporate it into the workplace routine. The majority of preceptors (66.6%) stated that they did not know how to provide formative feedback before the course. .At the end of the assessment period, 66.6% of the preceptors stated that they found it difficult to give feedback a few times. They all found the experience of scoring through DOPS, satisfactory. Regarding trainees, all reported that the evaluations provided them with improved endoscopic procedures. About 83,4% of them stated that they had never been evaluated in practice in that hospital. Everyone felt comfortable receiving feedback in most of the time or on all occasions. Conclusion: It was noticed that the implementation of the DOPS was possible through the preceptors training course, allowing the suitable tool use, and through the recognition by preceptors and trainees of its formative aim and, therefore, of great importance for the teaching learning process. 

19
  • ALEXANDRE HENRIQUE BEZERRA GOMES
  • IMPLEMENTATION OF THE OPHTHALMOLOGY COMPETENCY ASSESSMENTE IN THE GENERAL MEDICAL CURRICULUM

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • JOSE DINIZ JUNIOR
  • ELAINE LIRA MEDEIROS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • MAIRA TIYOMI SACATA TONGU NAZIMA
  • Data: 28 nov. 2018


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  • Medical education is going through a gradual process of reformulation of its pedagogical model centered on the student, of the teaching-learning process and of using new evaluative methodologies which match better the skills necessary for preparing a more humanistic and generalist physician. The more specialized disciplines of medical courses suffer from this paradigm of how to fit in this universal context, so the evaluation by competences emerges as an alternative in the search to select the most essential skills to teach in the medical school. The aim of this study was to systematize the evaluation of students of the ophthalmology discipline of the Federal University of Rio Grande do Norte (UFRN) through a skills assessment, Objective Structured Clinical Examination (OSCE), based on a clear and target evaluation of the skills. This is a prospective intervention study carried out from January to December 2016, in the ophthalmology discipline of UFRN, involving Professors, monitors, ophthalmology medical residents and students of the eighth period (out of twelve periods) of the institution’s medical course. The project implemented a competences assessment as a teaching-learning tool in the discipline, offering a new normative theoretical-practical curriculum, which is under the current reality of medical education, adapting the practical moments of the discipline to the generalist vision of medicine.

20
  • LARISSA CYNTHIA CESAR RODRIGUES
  • Evaluation of communication skills of medical students for pre-test HIV prenatal counselling

  • Leader : REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • MEMBRES DE LA BANQUE :
  • MAGDA MOURA DE ALMEIDA PORTO
  • MARISE REIS DE FREITAS
  • REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • Data: 3 déc. 2018


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  • The National Curriculum Guidelines for medical undergraduate
    courses underscores the emphasis on communication skills for
    recently graduated professionals in all areas of medical education.
    Promoting the development of effective communication skills for
    clinical competence poses a challenge for medical education. The
    present study aims to contribute to the development of
    communication skills during medical education through a teaching
    and learning strategy that uses prenatal HIV pre-test counseling as
    a tool. This is an exploratory case study with a qualitative
    approach. Thirty students from the Internship in Tocoginecology
    participated in OSCE, and in recorded audio and video, were
    directed to specific knowledge and skills for effective
    communication in the theme. An individual feedback strategy that
    included the joint analysis of the video and evaluation of
    established criteria in the checklist aimed at the formative character
    of the evaluation and the stimulus to the reflexive ability on the
    learning needs, with a high degree of satisfaction on the part of the
    students. The students' self-perception about their participation in
    the strategy was evaluated through the techniques of Categorical
    Thematic Content Analysis and Collective Subject Discourse,
    suggesting the potential of the method for the proposed objectives.
    The general analysis of the data reveals a poor performance,
    especially regarding the specific knowledge required for effective
    communication for prenatal HIV pre-test counseling. Training
    qualified physicians for effective communication presupposes the
    appreciation and development of teaching and learning strategies
    specifically designed for this purpose inserted in their
    undergraduate curricula.

21
  • CARLOS EDUARDO ROCHA CORREIA
  • DEVELOPMENT OF A DIGITAL TOOL FOR AID IN THE EDUCATION OF HEALTH PROFESSIONALS ON THE DETERMINATION OF ENCEPHALIC DEATH.

  • Leader : CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • PAULO JOSE DE MEDEIROS
  • PEDRO BRAGA NETO
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 13 déc. 2018


  • Afficher le Résumé
  • With the technological advancement of Medicine, patients began to be maintained through mechanical ventilation and vasoactive drugs despite the complete and irreversible brain injury. Accurate diagnosis of brain death (BD) reduces costs, shortens the family's suffering, and increases the availability of intensive care beds and organs for transplantation. Guidelines were created to standardize diagnostic parameters, but the knowledge of medical students and medical professionals has been proved insufficient. To provide a teaching tool to assist health professionals’ training, an application for computers and mobile devices with the necessary guidance for BD determination using images, videos and interactive content was developed. A software to create and animate 3D models (Makehuman and Blender) and a game development platform (Unity) were used. Versions for all the major operating systems (iOS, Android, MacOS, Windows and Linux) will be made available in online repositories and mobile application stores.

22
  • MARCELO HENRIQUE TAVARES MARINHO
  • Educational offer under mechanical ventilation with focus on patient safety for multiprofessional team of
     the adult ICU of a University Hospital.
  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • CAROLINA KOSOUR
  • IVAN DANIEL BEZERRA NOGUEIRA
  • MARCELO VIANA DA COSTA
  • MARISE REIS DE FREITAS
  • Data: 20 déc. 2018


  • Afficher le Résumé
  • Mechanical Ventilation (MV) is a therapeutic resource of great relevance as life support, which is associated with risks to the health of patients when used inadequately. The aim of this study was to develop a teaching model to improve learning about MV, focusing on patient safety for professionals of the multidisciplinary team of a university Hospital, to elaborate and validate content of a Checklist for respiratory monitoring of patients on mechanical ventilation aiming to reduce errors. This is an action research conducted in the ICU of a university Hospital, in the period from October 2017 to April 2018, in 4 stages: development of the checklist, validation of the checklist, preparation of the course and training of the team, and evaluation of the results of Training. The checklist, respiratory care of the patient in mechanical ventilation, contemed the following parameters and/or information: Patient data, previous check of ventilator test, gasometric evaluation, respiratory monitoring and monitoring of Fan. We used a questionnaire with nine identical questions before and after the training. 53 professionals were trained, of whom 47.2% were nursing technicians and 28.3% were nurses. Only 18.9% of the professionals reported previous training in mechanical ventilation with a focus on patient safety. We used the non-parametric McNemar test to evaluate the questionnaire data. We found that 22.6% recognized having knowledge to handle the mechanical ventilator safely before the training, a percentage that amounted to 58.5% (P < 0.05). The professionals recognized having improved their ability to manage the ventilator alarms, in relation to the frequency of checking alarms, adjusting the alarms and what to do in case of failure of the mechanical ventilator. We managed to improve the participants ' learning about mechanical ventilation with a focus on patient safety in most of the items evaluated (5/7), as well as to elaborate and validate a checklist to systate respiratory support to Patients in MV.

23
  • LARISSA GOMES DA SILVA
  • PRECEPTORIA IN MULTIPROFESSIONAL RESIDENCY IN HEALTH IN THE ADULT INTENSIVE CARE PROGRAM: PROFILE OF PROFESSIONALS AND DIFFICULTIES FACED

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • MARIA JOSE PEREIRA VILAR
  • LILIAN LIRA LISBOA
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • Data: 27 déc. 2018


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  • In Residência Multiprofissional em Saúde (RMS), preceptor has usually performed both the role of health professional and supervisor of practices, developing assistance and teaching activities, often being overloaded. The aim of study is to identify the preceptors’ profile the RMS Program, with concentration area in Adult Intensive Care, at the University Hospital Onofre Lopes – UFRN – EBSERH and the difficulties they have faced in  performance of their activities. It is a descriptive field study, through direct documentation, in which a semi-structured and self-administered questionnaire was used, with a pre-established script to be answered by preceptors, in a secretive manner, with a sample for convenience.  Answers to the objective questions will be presented descriptively and the open questions, according to the Bardin Categorical Thematic Content Analysis. All participants signed the Informed Consent Term. Sample consisted by 52 professionals from several health areas, mostly women, with a mean age by 38 years. The average training time was 14 years and 4 years preceptory. Results have indicated that the most of preceptors are not fulfilled with their preceptor status, nor do they feel able to perform this function, although have revealed a willingness to qualify, even considering that there is little incentive, since management has required compensation of schedules when these have participated in some training. In analysis of the open answers, after exhaustive reading of the material, four categories emerged, classified as prioi: "Motivation", "Role of the Preceptor", "Challenges" and "Propositions", which have referred to the low incentive to technical training, the preceptory, the working hours not adapted to the reality of the preceptory activity, in addition to difficulties in the field of infrastructure that they have considered inadequate to the teaching, and, finally, to the proposals of improvements that come to the minimization of these difficulties. Some of these results are corroborated by the literature reports, which have  indicated as main difficulties in other programs, the lack of professional and financial incentive and to conciliate the assistance with the preceptory. In this way, a great unity will be necessary among the institutional management, program coordinators and preceptors in order to overcome these difficulties.

24
  • MARIA GORETTE LOURENCO DA SILVA ARAGAO
  • PATIENT SAFETY: EFFECTS OF AN EDUCATIONAL INTERVENTION FOR UNDERGRADUATE MEDICAL STUDENTS

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • PAULO JOSE DE MEDEIROS
  • MARIA JOSE PEREIRA VILAR
  • DIANA PAULA DE SOUZA REGO PINTO CARVALHO
  • Data: 27 déc. 2018


  • Afficher le Résumé
  • Introduction: Safe health care has become an indicator of quality and is intended to prevent adverse events, such as: falls, errors in medication administration, patient identification failures, surgical errors, hospital infections, improper handling of medical devices and equipment. The teaching of this subject in undergraduate courses is stimulated by the curriculum guide of the world health organization and by the national program of patient safety, although still incipient in the curricula of medical courses. At the UFRN Medical Course, it is offered as an elective course, but with little student participation. This project aimed to analyze the knowledge and introduce a course on patient safety for medical students of the Federal University of Rio Grande do Norte (UFRN), at the beginning of the boarding activities.

    Methodology: A quasi-experimental, longitudinal study with a quantitative approach. The population was composed of students of the UFRN medical course, during a compulsory curricular course, held at the University Hospital Onofre Lopes (HUOL), from January to June 2017. A questionnaire structured with closed questions using the Likert scale was applied to students at the beginning and end of the internship to evaluate their knowledge about safe care. They also performed a medical prescription for a predetermined clinical case at the beginning and end of the stage, which was evaluated through safe prescription indicators. The students participated in a course taught by teachers and members of the HUOL Patient Safety Center.

    RESULTS: 137 students participated, who started the internship at the time of the intervention. Regarding the initial questionnaire, we noticed poor knowledge about patient safety, where only 15% or less of the students studied public policies or claimed to know the National Patient Safety Program. After the course, there was a significant improvement in the response of several items. In the medical prescription activity, there was an improvement in the compliance of medical prescription items, comparatively between the moments of evaluations (before and after) in medical students.

    Conclusion: Knowledge about patient safety is fragile in UFRN medical students and there has been significant improvement with participation in the introductory course on patient safety.

2017
Thèses
1
  • ISMAEL SOARES PEREIRA
  • The information literacy of the medical students of the Multicampi School of Medical Sciences from Rio Grande do Norte

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • ANDREA VASCONCELOS CARVALHO
  • JOSE DINIZ JUNIOR
  • MARCELO VIANA DA COSTA
  • NELSON FILICE DE BARROS
  • PAULO MARCONDES CARVALHO JUNIOR
  • Data: 20 févr. 2017


  • Afficher le Résumé
  • This work analyzes the information literacy of students of the Medical Graduation Course of Multicampi School of Medical Sciences from Rio Grande do Norte, in the perspective of efficient access to scientific literature. It is a descriptive study with quantitative approach that, through a census survey, explores the perception and performance of the information literacy of 37 students fourth semester. It uses a questionnaire as a data collection instrument, which is adapted from the model applied by Guerrero (2009), composed of 20 closed-type questions. Note that students select appropriately the keywords that best represent the subject of a search problem and are accustomed to using library catalogs. It identifies that despite the preference for the internet to access the scientific literature, most of them find it difficult to conduct searches on the remote databases, highlighting as the main limitation the use of search resources. The truncation method is little used by them and many do not know what it is for. Much of it does not understand the functions of Boolean logic operators. Through self-assessment and individual performance analysis, it confirms the need to perfect in students the technical skills necessary for effective access to scientific information. It recommends the implementation of a specific module in the curriculum of the course or the periodic realization of workshops in the library as alternatives to develop information literacy. It concludes that this competence is very relevant for the training of future doctors, since it enables them to acquire knowledge to use technologies and information for the health care of the population.

2
  • REBECA MARIA DE MEDEIROS VIEIRA
  • "IN THE TIME I CAME IN THERE, WANTED TO GO": NARRATIVES AND MEMORIES OF MEDICAL TEACHERS ON COMMUNITY-BASED EDUCATION

  • Leader : LUCAS PEREIRA DE MELO
  • MEMBRES DE LA BANQUE :
  • LUCAS PEREIRA DE MELO
  • GEORGE DANTAS DE AZEVEDO
  • MARISE REIS DE FREITAS
  • MERCES DE FATIMA DOS SANTOS SILVA
  • BEATRIS CRISTINA POSSATO
  • Data: 26 mai 2017


  • Afficher le Résumé
  • Medical Education in Brazil is currently undergoing major curricular transformations and Community Based Education has become a potential scenario for the teaching-learning process. The Multicampi School of Medical Sciences of UFRN (EMCM) was created in the perspective of this change of curriculum and training of professionals with critical and reflexive thinking, with insertion from the first semester into the community environment. Medical teachers working in this context were trained in the traditional medical teaching model, where teaching in the community did not exist or was little explored. Thus, it was observed the need to understand how the memories of medical training triggered in the community environment are expressed in the experience of teaching in the community of EMCM medical teachers. The study is based on the qualitative approach, the technique used to obtain the research data was the interview, with semi-structured script. The analysis of the results was performed using the categorical thematic analysis technique. From this analysis two categories emerged: "They will be doctors within a community": curriculum, memoirs and medical training and "When I got there, I wanted to leave": experiences and memories of a rite of passage, which are in the process of Discussion according to the literature. 

3
  • JOSE WILAMY COSME RABELO
  • Active Methodology of Teaching-Applied Learning in the Laboratory Medicine Discipline: Student Perception
  • Leader : MARCELO DOS SANTOS
  • MEMBRES DE LA BANQUE :
  • MARCELO DOS SANTOS
  • RAFAEL BARROS GOMES DA CAMARA
  • EUDES EULER DE SOUZA LUCENA
  • Data: 22 juin 2017


  • Afficher le Résumé
  • The Multicampi School of Medical Sciences of the Federal University of Rio Grande do Norte (EMCM-UFRN) was created in 2013 with the implementation of the Medicine course with campus in the interior, in the Caicó city. The EMCM's Political Pedagogical Project (PPP) follows the guidelines of the National Curricular Guidelines of the Medical Graduation Course by adopting teaching-learning methodologies centered on the student, with the teacher as facilitator of this process. The integration of content from a contextualized perspective leads to a better understanding of the immediate application of knowledge.The contents of Laboratory Medicine (LM) are present in several segments of the curriculum of the course, being the LM discipline, an optional one that aims to increase the skills of requesting / interpreting laboratory data, considering cost-benefit. The objective of this work is to build and apply the ML discipline using active teaching-learning methodology to medical students and to evaluate their Perception. At the end of the course, an instrument was applied to evaluate the students' degree of agreement on the effectiveness of the active methodology in LM. Using the Likert scale, the means and standard deviations (SD) of the responses. With the participation of 25 students, the answers on the themes were analyzed: 1 - Discipline, 2 - Infrastructure, 3 - Teachers and 4 - Students. The concentration of means near the upper limit of the scale suggests a positive perception of the students regarding the methodology used. This can lead to an intrinsic motivation for learning and, consequently, facilitating its process. The concentration of means near the upper limit of the scale suggests a positive perception of the students regarding the methodology used. This can lead to an intrinsic motivation for learning and, consequently, facilitating the learning process. From the perception of the students, it is possible to conclude that the use of active methodologies in the ML discipline favors the teaching-learning process.

4
  • ARAMIS COSTA SANTOS

  • Permanent Education in Immunization of Children: A New Approach to Undergraduate and Health Services

  • Leader : MARCELO DOS SANTOS
  • MEMBRES DE LA BANQUE :
  • MARCELO DOS SANTOS
  • MICHELLINE DO VALE MACIEL
  • EUDES EULER DE SOUZA LUCENA
  • Data: 22 juin 2017


  • Afficher le Résumé
  • Nowadays, even with the 24-hour mass media / information available, reinforcing the importance of vaccination being updated to prevent infectious morbidities, the delay of vaccines in the child population is a common fact in all social strata, due to the myths Popular and the erroneous adverse effects, often reinforced by the health professionals involved. Among the causes of this non-qualification of professionals is how much this subject is approached in the graduation as in the several training courses promoted by the three management spheres that are ineffective in this area. This scenario is not different from that currently found in the Basic Care of the municipality of Caicó / RN. In view of this, the objective of this project is to develop a permanent education program in immunization of the child for the health professionals of Primary Care of Caicó and to improve the teaching of this subject in the graduation of Medicine of the Multicampi School of Medical Sciences of UFRN (EMCM). Based on the bibliography pertinent to the theme, the mini course was structured and the booklet and the teaching manual were made. After giving the course, an instrument was applied to evaluate the degree of satisfaction of the participants regarding the mini-course in the self-assessment. Using the Likert scale, the means and standard deviations of the responses of 13 participants were calculated and then categorized into: Bad (≤ 2), Regular (between 2 and 4) and Good (≥ 4). The results show that there was a positive perception of the target students about their participation, suggesting that the format of the mini-course satisfactorily favored permanent education under the theme of immunization Child.

5
  • GIORDANO BRUNO SOUZA DOS SANTOS
  • ELABORATION OF A CURRICULAR COMPONENT ON THE HEALTH OF THE LGBT POPULATION IN A MEDICINE UNDERGRADUATION COURSE

  • Leader : LUCAS PEREIRA DE MELO
  • MEMBRES DE LA BANQUE :
  • FRANKLIN DEMÉTRIO SILVA SANTOS
  • GEORGE DANTAS DE AZEVEDO
  • LUCAS PEREIRA DE MELO
  • MARISE REIS DE FREITAS
  • MERCES DE FATIMA DOS SANTOS SILVA
  • Data: 30 août 2017


  • Afficher le Résumé
  • The discussion about gender identity, sexual orientation and especially regarding LGBTTI health care is still largely neglected in the pedagogical project of undergraduate courses in health areas. It is known that this public has peculiarities and special demands as users of the SUS that permeate between the inequities found in access to official health services to the characteristics of this population, such as the difficulty of social and family support. For this medical-society relationship to be established in a salutary and harmonious way, the need for a training focused on humanized attention and the deep study of characteristics and special demands of this public, in order to promote a better understanding of the same, being a conducive strategy for the development of conduits that promote and ensure more effective and effective access of health services to the population in question. Therefore, it is necessary to incorporate the LGBTTI theme in the pedagogical projects of Medicine courses as a way of knowing, understanding and debating the issues inherent to the LGBTTI patient. Therefore, in order for SUS users belonging to social groups considered as sexual minorities to have quality assistance and adequate to their specificities, it is urgent that health education institutions are aligned with an attitude of acceptance and, above all, of dedication On the part of its curricular components to the promotion of construction, by the students and structuring teaching nucleus, of knowledge, abilities and, mainly, attitudes that favor the decent attendance of this population.

6
  • FLAUBERT SENA DE MEDEIROS
  • Proposal of a training program in rural surgery based on a regional reality

  • Leader : PAULO JOSE DE MEDEIROS
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • JOSEMBERG MARINS CAMPOS
  • MARIA JOSE PEREIRA VILAR
  • PAULO JOSE DE MEDEIROS
  • Data: 3 nov. 2017


  • Afficher le Résumé
  • Brazil is a country of continental dimensions, with large Regional differences.There is a poor distribution in the workforce of general surgeons, causing many patients, mainly from areas far from large centers, to have no access to surgical treatment of basic pathologies. Although there is great interest in providing training for surgical residents who are interested in practicing in a rural setting, the guidelines for creating a curriculum are non-existent in Brazil.The multicampi school of Medical Sciences of the RN was created in order to establish professionals within the State and decentralization of medical training. With this in mind, we performed an analysis in the surgeries database at the Currais Novos Regional Hospital, which is a 99-bed hospital located in the Seridó region of Rio Grande do Norte from January 2015 to January 2017, where we cataloged 3840 surgeries And divided into general surgery, gynecology-obstetrics, urological, thoracic and orthopedic surgery together with a literature review where we compare the reality of other countries with our regional reality to elaborate a curricular proposal for a rural surgery program.

7
  • NUBIA MARIA LIMA DE SOUSA
  • Knowledge of  health multiprofessional residency preceptors in teaching methodologies

  • Leader : ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • FERNANDA DOS SANTOS NOGUEIRA DE GOES
  • Data: 23 nov. 2017


  • Afficher le Résumé
  • The teaching-learning process has been characterized in different ways, from the role of the teacher as a transmitter of knowledge  to current conceptions that emphasize students and teachers as active subjects of the process. Nowadays, vocational training is still influenced by the old model, aimed at the transmission of knowledge, but new perspectives have arisen among them, such as health interdisciplinary teaching (HIT), considered as an education model that prioritizes team work. From this perspective,  Health  Multiprofessional Residency Program (HMRP) arose and is understood as a permanent education device in order to change professional practices in health, with the articulation between teaching and sevices based on the principles of integral and interdisciplinary care. Thus, many professionals of the service were inserted as preceptors and the preceptory in health has become a pedagogical practice performed in the workplace and conducted by healthcare professionals. However, some of these preceptors did not have ttraining in education to perform this function, so they have found  difficulties  to adopt teaching-learning strategies that bring scientific knowledge closer to practical reality and can prepare competente professionals as a transforming agent in the various scenarios of the Unified Health System (UHS). Based on this, the present study aimed to analyze the knowledge of teaching methodologies by preceptors in the teaching/learning process of health multiprofessional residents. This is a descriptive, cross-sectional qualitative approach. It was composed by 50 preceptors who have been working for over a year in the health multiprofessional residency of a School Hospital, being this the criterion of inclusion. The data collection was carried out from September to December 2016. A semi-structured script was used to characterize the subjects of study and the application of the word-free association technique. Data were analyzed by the software Ensemble of Programs Permettant L'Analyse des Evocations (EVOC) version 2000 and discussed based on the theoretical framework of the Central Nucleus Theory. The Project was approved by CEP-UFRN, CAAE No. 57891316.0.00005292. Results were divided into three thematic units: knowledge of preceptors about teaching strategies,  knowledge of preceptors about traditional methodology and knowledge of the preceptors on active methodologies. For the purposes of the qualification, the thematic unit I, in which the "definition category" was found as the central nucleus which has revealed the meanings of preceptors on teaching strategies, revealing lower average order of evocation and high frequency words, such as  teaching methods, dynamics, lessons, which have favored learning and collective construction.As intermediate elements arose  the categories: " practical-theoretical use", "deepening of content" and "result of use". The determining subjects for this unit were those that have a preceptory time of more than three years, 19 (38%) and equal percentage for those with stricto sensus education. Data have suggested that preceptors understand the teaching strategies as fundamental for the teaching-learning of health multiprofessional residentes and use them to improve their performance in the preceptoria

8
  • GUSTAVO HENRIQUE DE OLIVEIRA CALDAS
  • PALLIATIVE CARE: A PROPOSAL FOR GRADUATE EDUCATION IN MEDICINE
  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • LUCIANA BRANCO DA MOTTA
  • MARIA JOSE PEREIRA VILAR
  • THIAGO GOMES DA TRINDADE
  • Data: 4 déc. 2017


  • Afficher le Résumé
  • INTRODUCTION: The deepening of the topics related to the terminality of life has been a concern of health professionals who deal with patients in this situation. The individual and family demands regarding deficiencies in the care given to patients who need palliative care lead us to reflect on the need to acquire competences in the area of Palliative Care in the training of medical undergraduates. OBJECTIVES: To propose essential competences for the teaching of Palliative Care in undergraduate courses in medicine. METHODOLOGICAL COURSE: The research was delineated as a descriptive and qualitative study of the case study type. Initially, a documentary research was done in the national and international literature on general competences in Palliative Care; in the sense of constructing a framework with suggestions of specific competences for undergraduate education in Brazil. Next, the elaborated material was presented individually to 8 professionals with specialized training in palliative care from different areas (doctor, nurse, psychologist, occupational therapist) for analysis, accompanied by a semi-structured interview with two main questions: 1) Comment on the importance of interprofessionality in teaching in Palliative Care, emphasizing the biological, psychological, social and spiritual dimensions of care and 2) Talk about obstacles to the implantation of the proposal in the teaching of medical graduation. In the documentary analysis and in the interviews with the professionals, the categorical thematic content analysis proposed by Bardin was used. RESULTS: The initial documentary research resulted in 5 categories (Introduction, Symptom Control, Interprofessional Team, Palliative Care Topic, Assistance in the Last Moments of Life), 8 subcategories and 96 units of analysis that gave subsidy to the researcher to construct the suggestions of compentences, distributed in a framework in five modules, with their respective contents. From the interviews with the professionals, after reading the material that was given to them, 6 categories emerged (Basic Principles of Palliative Care, Symptom Management, Ethical and Legal Issues, Communication and Psychosocial and Spiritual Aspects, Teamwork and Challenges for the Implantation of Proposal), in addition to 12 subcategories and 168 analysis units. About the category "Challenges for the Implantation of the Proposal" the conceptual unfamiliarity of managers and health professionals about palliative care appears, in the units of analysis, as one of the main obstacles to be overcome. From the speeches contained in the subcategories and units of analysis, emerged suggestions for better distribution of the modules, resulting in the renaming of these modules (Basic Principles of Palliative Care, Symptom Management, Teamwork, Palliative Care in Medical Specialties, Ethical and Legal Issues, Assistance in the Last Moments of Life), thus emphasizing the importance of interprofessional teamwork as an essential competency to be acquired in the teaching of Palliative Care at graduation. FINAL CONSIDERATIONS: The gap in undergraduate medical education about the many aspects that involve the terminatity of life can not be ignored in the face of the growing demand in medical practice. The discussion and improvement of Palliative Care competencies suggested in this study will certainly be essential during medical education forums, so that we can have more clarity than is really needed for general practitioner training.

9
  • GLEISSE AGUIAR SILVA DE ALMEIDA
  • ACCOMPLISHMENT OF THE OPERATIVE PERFORMANCE RATING SYSTEM (OPRS) AMONG GRADUATE STUDENTS AND OBSTETRICS-GYNECOLOGY RESIDENTS

  • Leader : ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • TECIA MARIA DE OLIVEIRA MARANHAO
  • ANA CARLA GOMES CANARIO
  • Data: 7 déc. 2017


  • Afficher le Résumé
  • OBJECTIVE: To analyze and apply the Operative Performance Rating System (OPRS) as a tool of evaluation in real scenarios of surgical practice, to evaluate undergraduate students and residents, as a complement to the existing evaluation methods. METHODS: Cross-sectional, descriptive, quantitative study that assessed the performance of students and residents during the execution of gynecological surgeries in a university hospital. The students were evaluated according to the scores obtained in the OPRS items (anatomy, surgical instruments, surgery flow, interaction with the team and overall performance). The software Statistical Package for the Social Sciences, version 21, was used to analyze the data, applying Analysis of Variance, Tukey test and student t-test. RESULTS: Comparing the means of the variables of the OPRS items, a difference was observed between the methods in the evaluation items according to to the graduation and residence period (p <0.001). Among the undergraduates, there was a difference in the means of the evaluation items (p <0.05), except for interaction (p <0.108). For the residents, the analysis showed a difference in the means of the evaluation items related to the medical residence time (p <0.001). CONCLUSION: The use of OPRS in the evaluation process of residents and undergraduates allows a differentiation between levels of knowledge, allowing the monitoring of progress according to the study time and offering immediate feedback on the performance in the surgical practice.

10
  • TERESA NEUMANN BESERRA DANTAS FABRICIO
  • EXPERIENCE OF THE 360-DEGREE EVALUATION  AND FEEDBACK SYSTEM AMONG OBSTETRICS-GYNECOLOGY  RESIDENTS

  • Leader : ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • ROBINSON DIAS DE MEDEIROS
  • RICARDO NEY OLIVEIRA COBUCCI
  • Data: 7 déc. 2017


  • Afficher le Résumé
  • INTRODUCTION: Medical residency is a valuable moment in the formation of the future specialist, where through the teaching-learning process in service, these experience several experiences with the patients, shared with the multi-professional team under the supervision of its preceptors. OBJECTIVE: to implement the 360-degree assessment among gynecology and obstetrics residents. METHODS: A longitudinal, descriptive, qualitative and quantitative cohort study was carried out, in which 23 of the 24 residents of gynecology and obstetrics (GO) of MEJC participated, in which a 360-degree evaluation was applied by 26 preceptors. For the implementation of the new evaluative model, two stages were programmed, the first being the in-service training of the multi-professional team to use the Mini-Clinical Evaluation Exercise (miniCEX) and other forms; the second was the beginning of 360-degree assessments of gynecology and obstetrics residents by preceptors. Data collection was carried out between March and October of the current year. A total of 92 360 ° evaluations were distributed among the 23 residents, and all 04 forms that compose this assessment were answered. The results were stored in a database in an Excel / Office 2010 software worksheet, and ANOVA was used to evaluate the differences between the means of the groups, followed by the Tukey test. RESULTS: In the evaluation of the results according to the analysis of the physicians and nurses, except for the variables communication and relationship with the multi-professional team, teamwork, punctuality, availability, all other variables analyzed were statistically significant (p <0.05). The competences of R1 (One Year Medical Resident) obtained lower scores of R2 (Second Year Medical Resident) and R3 (Third Year Medical Resident). Regarding the link of the pairs, in the analysis of the medical knowledge, there was difference between the means (p = 0.029), showing that the R3 are the most knowledgeable bearers. Still, in this evaluation this R3, were also the residents who presented greater difficulty about health team (p = 0.008). In the self-evaluation, the R 1 physicians showed differences in the variables: medical knowledge, integrity, psychosocial aspects of the disease, management of complex problems and responsibility and obtained the lowest scores about R2 and R3 (p <0.05). CONCLUSION: The implementation of the 360-degree evaluation as an evaluation method in the PRMGO, through this work, will contribute to the improvement in the training of future specialists who, inserted in society, can develop proactive attitudes allowing a superior health care to the population. There is a need to invest in continuing education so that preceptors are stimulated and better trained within the process of teaching-learning, as trainers of professionals with a holistic view of medicine.

11
  • FRANCISCO BELISIO DE MEDEIROS NETO
  • Implementation of a practice scenario for the teaching of the elderly said

  • Leader : MARISE REIS DE FREITAS
  • MEMBRES DE LA BANQUE :
  • LUCIANA BRANCO DA MOTTA
  • MARIA JOSE PEREIRA VILAR
  • MARISE REIS DE FREITAS
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: 11 déc. 2017


  • Afficher le Résumé
  •  The aging of brazilian population has been accelerating in recent years, and this phenomenon demands changes in society in view of an increasing number of people who need special care. In this context, medical courses need to adapt to the new reality by inserting in their curricular structures specific contents on the health of the elderly. This new situation also requires more and better-specialized services in the care of the elderly. This project aimed to structure and implement a service for elderly in the region of Caicó, with the purpose of improving the care provided to this population, as well as creating a practical learning scenario for undergraduate and graduate students at EMCM/UFRN. The process of organization of the service included: articulation with the managers to define the place, development of the attendance sheet with adaptation of the Comprehensive Geriatric Assessment (AGA) and an Attendance Protocol (anamnesis and physical examination) for the first consultation and a follow-up for reevaluations and returns. Two services were structured, the post-discharge clinic at the Caicó Regional Hospital and the General Geriatrics outpatient clinic at the EMCM School Clinic Resident medical doctors and students of medical graduation make the attendance from EMCM/UFRN, with supervision of the doctor and professor specializing in Geriatrics. From this, it is affirmed that the present study fomented a new strategy and became a new social equipment in health care for the Elderly, considering its importance in dimensions that cross medical care, such as socio-demographic conditions and quality of life.

12
  • GUSTAVO ADOLFO LEAL COSTA
  • THE ORGANIZATIONAL CONTRACTUAL PROCEDURE OF PUBLIC ACTION FOR TEACHING-HEALTH

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • ELIANA GOLDFARB CYRINO
  • GEORGE DANTAS DE AZEVEDO
  • IZABEL CRISTINA MEISTER MARTINS COELHO
  • MARIA JOSE PEREIRA VILAR
  • TIAGO ROCHA PINTO
  • Data: 11 déc. 2017


  • Afficher le Résumé
  • This paper explores the contractual procedure and the discussions that resulted in the signing of the Organizational Contract of Public Action for Teaching-Health (COAPES) in the 4th and 5th health regions of the state of Rio Grande do Norte, aiming to make possible the structuring of health services in conditions to offer sufficient field of practice and with quality to the courses and residencies of the health area, allowing the strengthening of the teaching-service-community integration. The qualitative theory of interpretation is used, observing the ethical and political positions of the various parts involved in the contractual process, seeking, from them, to understand in an interpretative way the decisions deriving from human nature, at first guided by social interests, as also political, and at what level the desired change was achieved. The analysis of the information collected is promoted through an integrative review of the literature, involving a descriptive deepening of the COAPES and its foundations; analysis of documents and instruments, such as minutes of meetings, letters, ordinances, decrees and laws; and the interpretation and discussion of the results, with the superveniente purpose of generating a product that presents relevance to other institutions interested in starting the process of contracting. The importance of the agreement, discussion and qualification of the insertion of students in the territory stands out during the contractual procedure. Procedural non-linearity is verified during the problematization, against the orientation present in the Unified Health System (SUS) guides, stagnating with the change in administrative management during and after the period of municipal elections. It is possible, then, to affirm that the COAPES production process under study still needs to progress as a dialogical process with recognition, commitment and participation of the involved actors, in a constant search for the qualification of health care in an integrated way to the process of in-service trainning and permanent education of the health network.

13
  • JOELIA CELESTE VIEIRA GERMANO
  • Medical student profile evaluation at  the medical  students of the Multicampi School of Medical Sciences of the Federal University of Rio Grande do Norte
  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • ANA LUIZA DE OLIVEIRA E OLIVEIRA
  • GEORGE DANTAS DE AZEVEDO
  • IZABEL CRISTINA MEISTER MARTINS COELHO
  • MARIA JOSE PEREIRA VILAR
  • MARISE REIS DE FREITAS
  • Data: 11 déc. 2017


  • Afficher le Résumé
  • A significant portion of the Brazilian population residing in country towns and in the suburbs of major cities is affected by a lack of medical care, where usually there are not many professionals to assist patients of the Unified Health System (SUS). This shortage of doctors in health services is a relative concept, since the greatest problem is not in the number of doctors in Brazil, but their distribution throughout the national territory. The difficulty of providing and setting professionals in the country was the main reason for the Federal Government created the Mais Médicos Programme (PMM). In this context, the Multicampi School of Medical Sciences of the Federal University of Rio Grande do Norte (EMCM / UFRN) was created. The EMCM medical course seeks to train professionals to work effectively in the labor market, particularly in the rural context and outside the major urban centers, taking the health needs, ethical and cultural values of our population under advisement. This research aims to describe a profile of the students of the medical course of the EMCM in an attempt that the obtained information can subsidize pedagogical strategies that contribute with a better academic performance and consequently with the formation of physicians in line with the need of the SUS.

14
  • HARIM REVOREDO DE MACEDO JUNIOR
  • THE IMPLEMENTATION OF THE SKILLS OF OPHTHALMOLOGY IN A CURRICULUM OF GRADUATION IN MEDICINE BASED ON ACTIVE METHODS OF TEACHING LEARNING

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • JOSE EDVAN DE SOUZA JUNIOR
  • MARIA JOSE PEREIRA VILAR
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 18 déc. 2017


  • Afficher le Résumé
  • INTRODUCTION: The Multicampi School of Medical Sciences (EMCM) of the Federal University of Rio Grande do Norte - UFRN has its curriculum oriented by competences and developed in active learning teaching methodologies, based on Problem Based Learning (PBL). The teaching of ophthalmology, in order to attend the DCNs, is still a challenge for medical schools in Brazil which motivated the design of this study. Objectives: To report the process of implementation of the competences related to the area of ophthalmology in the medical course of EMCM. METHODOLOGY: From the pedagogical planning meetings of curricular components, developed in the Modules format, the insertion of essential competences of ophthalmology began to be delineated, from the first periods of the course. Based on the learning objectives, the activities were inserted in the 3 axes of the course (Tutorial, Skills, Community). RESULTS / DISCUSSION: The activities related to ophthalmology were developed in the following Modules and respective periods of the course: Birth, Growth and Development and Perception, Consciousness and Emotion (III period); Fever and Inflammation (IV period); Women's Health (V period) and in the Optional Module in Ophthalmology (after the third period). In the perspective of the development of the Aging and Health, Environment and Health Modules and Emergencies foreseen for the seventh and eighth periods, respectively, other ophthalmology competences, not yet contemplated are being planned, under the aspects of knowledge, skills and attitudes involving themes such as “eye red" and cataract. FINAL CONSIDERATIONS: In this way, understanding the curriculum as a dynamic process, the study allows to visualize the teaching of ophthalmology in this innovative curricular model, as well as stimulates the reflection about a reinforcement of the positive points and reassessment of the negatives, aiming to improve the teaching / learning area of ophthalmology for the general practitioner.

15
  • LYGIA MARIA COSTA SOARES REGO
  • Implementation of the Interprofessional Oncology Meeting: A Teaching and Health work strategy at the Federal University of Rio Grande do Norte

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • JOSE DINIZ JUNIOR
  • JULIANA FLORINDA DE MENDONCA REGO
  • MARISE REIS DE FREITAS
  • PAULO MARCONDES CARVALHO JUNIOR
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 20 déc. 2017


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  • Interprofessional education is an approach that aims to qualify students and health professionals for collaborative work in the dynamics of teamwork, an essential practice for integrality in health care. The approach assumes that collaboration improves the safety and quality of patient care. The objective of this study was to implement the Interprofessional Oncology Meeting (EIO) as a strategy for teaching interprofessional education and collaborative practices among health professionals of the High Complexity in Oncology Unit (UNACON) of the University Hospital Onofre Lopes. This is an exploratory, prospective study carried out from May 2016 to September 2017 at the Onofology Service of the Onofre Lopes University Hospital (HUOL), involving health professionals (physicians, psychologists, social workers, pharmacists, nurses and nutritionists) working at UNACON at HUOL. The study took place in three stages: Planning of the interprofessional activity, Implementation of the activity "EIO" and Evaluation of the activity, the last one being carried out through a focus group. After three months of planning, we began the implementation phase where 43 meetings were held, involving 220 participants, and a clinical case per session was discussed. After presentation of each case, there was an interprofessional discussion, highlighting the specificity of each professional to improve the integral care with the patient in question. The focus group was evaluated by Bardin's Categorical Analysis, where four categories emerged: Previous experience in Interprofessional activity, Contribution of EIO to collaborative practices, EIO Challenges and Conceptual vision of Interprofessional activity and Potentiality of Encounters in the teaching-health context. The planning and implementation process of the EIO reached the objectives, although the participation of some health professionals has not been systematic due to the overload of activities of some professionals, such as nursing care, physiotherapy and dentistry, as well as difficulties in conciliation schedules. The EIO was considered a positive activity, a precursor within UNACON of the HUOL, being highly exalted and approved as a permanent strategy to improve the care provided to cancer patients. It was observed, through the analysis of the focus group, that the EIO is an action that has a positive impact on both care and teaching, however, there remain some important difficulties, such as the adequacy of time and physical space for meetings, devaluation of interprofessional activities by some undergraduate and graduate students of medicine, lack of human resources and the difficulty of some professionals to integrate systematically.

2015
Thèses
1
  • CELCIMAR ALVES CAMARA
  • Procedimentos Legais e Protocolos sobre a Sistemática de Aquisição de Cadáveres na Universidade Federal do Rio Grande do Norte para o Ensino de Anatomia Humana

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • EXPEDITO SILVA DO NASCIMENTO JUNIOR
  • FAUSTO PIERDONA GUZEN
  • Data: 10 avr. 2015


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  • A disponibilidade de cadáveres para estudo e pesquisa vinha sendo feita tradicionalmente
    utilizando-se corpos não reclamados sem grandes formalidades. Com a complexidade
    jurídica, social, ética e moral dos tempos atuais, o simples encaminhamento desses
    corpos ao Departamento de Morfologia da Universidade Federal do Rio Grande do Norte,
    passou a ser temido com o receio de transgredir a legislação penal. Isso desencadeou
    uma redução no número de cadáveres para as aulas práticas de Anatomia. Essa
    realidade levou o Departamento de Morfologia da Universidade Federal do Rio Grande do
    Norte a pesquisar mecanismos legais que solucionassem a escassez de cadáveres para
    o estudo e pesquisa. A metodologia utilizada constou de reuniões de discussão e
    apresentação de protocolos de aquisição de cadáveres com base na legislação vigente.
    Os resultados obtidos foram: (1) Publicação do provimento 093/2012 da Corregedoria
    Geral da Justiça do Tribunal de Justiça do Estado do Rio Grande do Norte, que dispõe
    sobre o registro de óbito dos cadáveres destinados às escolas de Medicina para fins de
    ensino e pesquisa; (2) Elaboração de protocolos para aquisição de cadáveres não
    reclamados junto às instituições; (3) Programa de doadores voluntários na Universidade
    Federal do Rio Grande do Norte.Por fim, concluímos que o conhecimento das atribuições
    por parte das instituições públicas e privada, bem como o programa de doação voluntária
    aumentaram a oferta de cadáveres para o ensino da Anatomia Humana na Universidade
    Federal do Rio Grande do Norte.

2
  • MARCELLO FREIRE ALVES DE SOUZA
  • ENSINO DA ULTRASSONOGRAFIA DIAGNÓSTICA A PARTIR DO CICLO BÁSICO DO CURSO DE MEDICINA UTILIZANDO LIVRO DIGITAL MULTIMÍDIA  

  • Leader : RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • MEMBRES DE LA BANQUE :
  • RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • JOSE DINIZ JUNIOR
  • WILSA MARIA RAMOS
  • Data: 10 avr. 2015


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  • Atualmente a ecografia diagnóstica está inserida em várias áreas da atuação médica e sendo realizada por diversos profissionais médicos, desde os que militam diretamente na área da imagem como os radiologistas e ultrassonografistas, também por ginecologistas, pediatras, neurologistas, clínicos gerais, endocrinologistas, angiologistas, ortopedistas, reumatologistas, urologistas, cirurgiões gerais e vasculares. É bem sabido que o profissional médico para o exercício de sua missão necessita de um amplo conjunto de habilidades, competências e atitudes desenvolvidas e exercitadas durante o seu período de formação. Convivendo com estudantes de medicina ao longo de quase 20 anos em ambiente hospitalar, observei lacunas no processo de aprendizagem por parte dos alunos quanto ao que é ultrassonografia diagnóstica e suas aplicações, evidenciando-se falhas quanto a compreensão da acústica básica ecográfica, percebendo-se dificuldades quanto a identificação das estruturas anatômicas nas imagens ecográficas, inabilidade nas solicitações de exames e na interpretação das imagens e dos resultados laudados. Partindo destas constatações foi desenvolvido neste mestrado profissional um livro virtual multimídia que expõe o que vem a ser a ultrassonografia como modalidade diagnóstica por imagem, tratando de sua historiografia e seus conceitos físicos/acústicos, relatando o processo de formação da imagem ecográfica, discorrendo sobre as características dos equipamentos ultrassonográficos e suas tecnologias embarcadas, destacando-se suas aplicações diagnósticas, estas últimas apresentadas através de vídeos onde serão descritos aspectos das imagens ecográficas gravadas. Este livro estará disponível para acesso em plataforma Web, servindo de ferramenta didática à formação médica desde o início da graduação. Poderá ser utilizado conjuntamente com a disciplina de anatomia topográfica, oferecida no ciclo básico do curso de graduação em medicina, onde e ao mesmo tempo o aluno poderá auferir conhecimentos sobre os órgãos e estruturas anatômicas e relacionar este aprendizado com as imagens ecográficas, conhecendo e habituando-se desde o início de sua formação às imagens (representações) ultrassonográficas que correspondem a estes órgãos e estruturas. Neste contexto sugere-se a participação do imagenologista para compor a equipe de facilitadores deste processo ensino-aprendizagem, enriquecendo-o e tornando-o pluriprofissional, com esta atitude buscam-se ações integrativas e colaborativas intraequipe para a consolidação deste processo, centrando o estudante como sujeito ativo da aprendizagem.

3
  • JOSE HILTON NOGUEIRA JUNIOR
  • PERÍCIA MÉDICA PREVIDENCIÁRIA: O QUE ESTUDANTES E MÉDICOS
    SABEM SOBRE O TEMA?

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • MARIA JOSE PEREIRA VILAR
  • MARINALDO HORACIO DE OLIVEIRA MEDEIROS
  • MAURICIO GALVAO PEREIRA
  • Data: 11 avr. 2015


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  • O tema Perícia Médica Previdenciária é, sabidamente, pouco explorado
    durante a formação médica, seja na graduação ou na residência médica/
    especialização, apesar de ser extremamente relevante no dia a dia do médico,
    deixando-o, algumas vezes, em situação conflituosa. O objetivo geral deste estudo foi
    contribuir para a inserção do tema Perícia Médica Previdenciária no curso de
    graduação em Medicina da UFRN, partindo de um diagnóstico situacional onde 200
    estudantes do internato, 198 médicos residentes e 170 profissionais médicos que
    atuam nos hospitais de ensino da UFRN responderam um questionário sobre o tema,
    abordando questões sobre o nível de conhecimento em relação aos principais tipos
    de benefícios por incapacidade concedidos pelo INSS, percentual de solicitação de
    Atestados no serviço público, capacidade para elaboração de atestados médicos e a
    medida do nível de confiança dos médicos em avaliar a capacidade laborativa de
    pacientes em sua área de atuação. Os resultados mostraram que os principais tipos
    de benefícios por incapacidade são pouco conhecidos tanto pelos estudantes do
    internato como pelos médicos e o tempo de formado não foi considerado tão decisivo
    na melhoria deste grau de conhecimento. Foi visto também que a demanda de
    atestados médicos para o INSS no serviço público parece considerável, com quase
    70% dos médicos informando demanda em até 30% dos atendimentos diários. O
    tempo de formado parece ter influência sobre a segurança na elaboração de
    atestados e na capacidade de avaliação do potencial laboral dos pacientes. A partir
    desses resultados foi conduzido um “estudo piloto” através de um mini-curso teóricoprático,
    baseado em um modelo de intervenção pedagógica com metodologia ativa,
    destinado ao mesmo público-alvo, desenvolvendo e discutindo estratégias de como
    deve se comportar o médico assistente no conflito “doença x incapacidade laborativa”,
    com ênfase principal na elaboração de atestados médicos. Noções básicas sobre
    benefícios da previdência social e atuação do médico perito também foram
    abordadas. Após esta intervenção, estes indivíduos foram submetidos a um
    questionário de satisfação quanto ao aprendizado e a abordagem pedagógica
    utilizada. Apesar da amostra pouco expressiva de 27 participantes no total, foi
    possível observar um avanço no grau de conhecimento e na motivação de médicos e
    estudantes a respeito do tema perícia médica previdenciária. Concluímos, portanto,
    que o conhecimento sobre o tema Perícia Médica Previdenciária é frágil entre
    médicos e estudantes de medicina. Este modelo de intervenção aplicado a um público
    maior e de forma sistematizada pode ser um passo importante na tentativa de incluir,
    este tema no currículo do curso de medicina da UFRN. 1. INTRODUÇÃO
    O tema Perícia Médica Previdenciária faz parte do dia a dia da mai

4
  • ADSON JOSE MARTINS VALE
  • ATIVIDADE DE FORMAÇÃO INTERPROFISSIONAL EM URGÊNCIA PRÉ-HOSPITALAR

  • Leader : FRANCIS SOLANGE VIEIRA TOURINHO
  • MEMBRES DE LA BANQUE :
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • JOSE DINIZ JUNIOR
  • JULIANA BALBINOT REIS GIRONDI
  • LUCIARA FABIANE SEBO
  • MARIA JOSE PEREIRA VILAR
  • Data: 24 avr. 2015


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  • Para a atuação em urgências é importante que os profissionais de saúde desenvolvam competências específicas e diferenciadas, o que nos mostra a importância do planejamento da capacitação em urgência. Assim os cursos de medicina e enfermagem devem favorecer o desenvolvimento dessas competências e habilidades, para avaliá-las, há necessidade de vários instrumentos direcionados para os diversos domínios. O objetivo do presente estudo foi analisar as competências essenciais em suporte básico e avançado de vida no ambiente pré-hospitalar e o seu processo de implementação nos cursos médico e de enfermagem da Universidade Federal do Rio Grande do Norte (UFRN). Trata-se de um estudo metodológico e prospectivo, com 24 discentes de medicina do internato e de enfermagem do estágio supervisionado, que realizaram estágio teórico-prático no atendimento de urgências pré-hospitalares. Realizaram-se aulas semanais teórico-práticas por um semestre letivo, ministradas por médicos e enfermeiros do APH. Os temas abordados foram: SAV e SBV, transporte seguro em urgências clínicas, traumáticas, gineco-obstétricas, pediátricas e psiquiátricas. Foi realizada atividade prática em ambulâncias. Os discentes também participaram de estações práticas realizadas através do Objective Structured Clinical Evaluation (OSCE), no Laboratório de Habilidades do Centro de Ciências da Saúde. Foi realizado pré-teste, pósteste e OSCE. Os alunos foram estimulados ao raciocínio crítico-reflexivo e sobre a importância da integração entre médicos e enfermeiros. Observou-se que 88% dos alunos apresentaram aumento de score em relação ao pré- teste. Estudantes de medicina e enfermagem da UFRN, apresentam expectativas semelhantes com relação às habilidades essenciais adquiridas durante atividade de formação. Os resultados do presente estudo servirão de base para organização da atividade de formação interprofissional em urgência pré-hospitalar do curso médico e de enfermagem, bem como contribuiu para organizar estações práticas, identificando as competências clínicas básicas, e implementando instrumentos de avaliação discente da UFRN.

5
  • MARIA APARECIDA CARDOSO DE SOUZA
  • FATORES DETERMINANTES DA MORBIMORTALIDADE MATERNA EM UMA UNIDADE DE TERAPIA INTENSIVA OBSTÉTRICA: AVALIAÇÃO DAS COMPETÊNCIAS PROFISSIONAIS DA ÁREA MÉDICA

  • Leader : ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • JULIANA BALBINOT REIS GIRONDI
  • ROBINSON DIAS DE MEDEIROS
  • Data: 24 avr. 2015


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  • Objetivo: avaliar os fatores determinantes da morbimortalidade em unidade de terapia intensiva obstétrica (UTIO) e competências profissionais dos estudantes do curso médico e dos residentes de Ginecologia e Obstetrícia de um hospital universitário. Métodos: estudo observacional de corte transversal com 492 gestantes ou puérperas e 261 alunos e residentes. Foram selecionadas pacientes internadas na UTIO no período de um ano, sendo informadas sobre as propostas do estudo e realizada aplicação do questionário. A análise foi feita através do Microsoft Excel 2013 e GraphPad6. Foram empregados testes x2 para verificar associação entre os fatores de risco para morbi-mortalidade materna e testes t de student para avaliar competências dos alunos da graduação e residentes referentes ao teste cognitivo e ao Mini-cex. Resultados: Foram encontrados como riscos relativos significativamente elevados para desenvolvimento de near miss quando comparada a morbidade materna grave, a raça não-branca (OR=2,527; RR=2,342); pacientes casadas (OR=7,968; RR=7,113), escolaridade até 2º grau incompleto (OR=3,177; RR=2,829), procedente do interior (OR=4,643; RR=4,087), renda familiar menor que 1 salário mínimo (OR=7,014; RR=5,554), distúrbios hipertensivos gestacionais (OR=16,35; RR=13,27), realização do pré-natal (OR=5,023; RR=4,254) e a via de parto cesárea (OR=39,21; RR=31,25). Na análise cognitiva, foi notada uma diferença significativa nas performances dos estudantes sobre o tema (3,75 ± 0,93, 4,03 ± 0,94 e 4,88 ± 0,35 médias e desvios padrões dos acadêmicos, internos e residentes, respectivamente; p < 0,01) e no Mini-cex mostrando um melhor desempenho global dos residentes quando comparados aos alunos da graduação. Conclusões: Questões socioeconômicas, clínicas e assistenciais mostraram-se relacionados à prevalência de near miss, revelando a importância de intervenções amplas para melhorar estes indicadores. Sugere-se, também, uma maior inserção curricular do tema nas disciplinas do curso médico, tendo em vista a importância de se evitar a near miss através da adequação no âmbito da educação médica.

6
  • CELESTE MARIA DE MENEZES SOUZA
  • AVALIAÇÃO COMPARATIVA DA EFICÁCIA DOS MEIOS DE DIAGNÓSTICO DAS VULVOVAGINITES: IMPLANTAÇÃO DE NOVA TECNOLOGIA NO ENSINO PRÁTICO DA GINECOLOGIA


  • Leader : ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANA KATHERINE DA SILVEIRA GONCALVES DE OLIVEIRA
  • LUCIARA FABIANE SEBO
  • MARIA DA CONCEICAO DE MESQUITA CORNETTA
  • Data: 24 avr. 2015


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  • Diagnósticos imprecisos das vulvovaginites geram tratamentos inadequados que causam prejuizos a saúde das mulheres. Objetivo: avaliar sistematicamente a eficácia dos métodos diagnósticos das vulvovaginites infecciosas. Método: foi realizado um estudo de corte transversal com 200 mulheres no menacme com queixa de corrimento vaginal. Destas, foi coletado material vaginal mulheres para realizar exames: microbiológico a fresco e corado pelo Gram, Citologia oncológica, teste das aminas e mensuração do pH vaginal. Foi avaliada a eficácia (sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo) dos métodos disponíveis para diagnóstico do corrimento vaginal.  Os dados foram coletados em forma de planilha do software Excel/Office 2010 com todas as variáveis e foi exportado para o Graphpad Prism 6, para análise estatística.  Resultados: Na avaliação da eficácia dos métodos foram estudadas 200 pacientes, tendo como padrão ouro o exame microbiológico corado pelo gram foram obtidos os seguintes resultados: Citologia oncológica para vaginose bacteriana: sensibilidade=15% especificidade=80%; valor predictivo positivo (VPP)=16%; valor preditivo negativo (VPN)=79%; Citologia oncológica para candidíase vaginal: sensibilidade=15% especificidade=80%; valor predictivo positivo (VPP)=16%; valor preditivo negativo (VPN)=79%; Exame a fresco para vaginose bacteriana: sensibilidade=16% especificidade=76%; valor predictivo positivo (VPP)=14%; valor preditivo negativo (VPN)=78%; Exame a fresco para candidíase vaginal: sensibilidade=3% especificidade=88%; valor predictivo positivo (VPP)=2,5%; valor preditivo negativo (VPN)=89%; Abordagem sindrômica para vaginose bacteriana: sensibilidade=19% especificidade=34,5%; valor predictivo positivo (VPP)=6,7%; valor preditivo negativo (VPN)=63%; Abordagem sindrômica para candidíase vaginal: sensibilidade=3% especificidade=82%; valor predictivo positivo (VPP)=1,7%; valor preditivo negativo (VPN)=89%.Houve apenas um único caso de tricomoníase vaginal, diagnosticado pela citologia oncológica e exame à fresco, confirmado pelo Gram. A abordagem sindrômica o deu como vaginose bacteriana.  A partir destes dados e tendo ainda o suporte da literatura mundial, foi elaborado o Protocolo de diagnóstico e tratamento das Vulvovaginites da Maternidade Escola Januário Cicco /UFRN

    Conclusão: Todos os métodos avaliados, a despeito de demonstrarem boa especificidade, apresentaram baixa sensibilidade, o que implica na prática clínica em um grande número de pacientes não diagnosticadas ou tratadas de forma incorreta.

7
  • EDNA MARTA MENDES DA SILVA
  • PRECEPTORIA EM PROFISSIONAIS DE SAÚDE: VIABILIZANDO MEIOS PARA UMA FORMAÇÃO PEDAGÓGICA EM HOSPITAL PÚBLICO EM NATAL

  • Leader : FRANCIS SOLANGE VIEIRA TOURINHO
  • MEMBRES DE LA BANQUE :
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • JOSE DINIZ JUNIOR
  • JULIANA BALBINOT REIS GIRONDI
  • LUCIARA FABIANE SEBO
  • Data: 24 avr. 2015


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  • A preceptoria em saúde é uma prática pedagógica, que ocorre no ambiente de trabalho, conduzida por profissionais da assistência, com cargo de professor ou não, onde a grande maioria desses atua de forma intuitiva, reproduzindo sua própria formação, confundindo transmissão de informação com ensino. Estes preceptores muitas vezes não dominam os saberes pedagógicos, necessários à organização de ações formativas, tais como os diversos processos de ensino-aprendizagem e as diferentes modalidades de avaliação. A preceptoria é primordial no processo de formação dos discentes da área da saúde, sendo por ocasião dos estágios supervisionados que o processo de ensino-aprendizagem fundamenta-se na experiência prática com a participação em situações reais de vida e de trabalho profissional. Este estudo teve como objetivo construir e realizar um curso de capacitação pedagógica à distância para profissionais de saúde que exercem funções de preceptoria em instituições públicas de saúde. Foi realizado um estudo do tipo exploratório, descritivo de abordagem qualitativa, com o desenvolvimento de produto. Através de instrumento de pesquisa, foram avaliados 162 profissionais de saúde que desenvolviam a preceptoria, o que tornou possível traçar o perfil do preceptor e identificar as necessidades pedagógicas relacionadas ao processo educacional, o que fundamentou a construção do conteúdo programático do curso. Dos preceptores pesquisados, identificamos que 69% pertenciam ao sexo feminino, a faixa etária predominante foi entre 51 e 59 anos (29%), e a maioria eram enfermeiros (38%), seguida da categoria médica (29%), 80% tem pelo menos uma pós-graduação, e apenas 25% receberam algum tipo de capacitação para exercer a preceptoria. O curso foi disponibilizado na modalidade à distância através da plataforma Moodle propiciando uma capacitação pedagógica para o desenvolvimento de habilidades e competências para o exercício da preceptoria. Investir em qualificação do preceptor, partindo dos preceitos da Educação Permanente, proporcionará uma maior apropriação dos saberes para o ensino e consequente conscientização do seu papel de educador no âmbito do trabalho visando à melhora do processo de ensino-aprendizagem.

8
  • PAULO ROBERTO DE ANDRADE SANTOS
  • PERCEPÇÃO DA EQUIPE DE SAÚDE, DISCENTES E USUÁRIOS SOBRE A COMUNICAÇÃO COM INDIVÍDUOS COM DÉFICIT AUDITIVO NA ATENÇÃO PRIMÁRIA.

  • Leader : JOSE DINIZ JUNIOR
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • JOSE DINIZ JUNIOR
  • RICARDO YAMASHITA SANTOS
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • VERA LUCIA GARCIA
  • Data: 27 avr. 2015


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  •  

    O estudo teve como objetivo identificar nos profissionais e estudantes dos cursos da área da saúde que atuam em uma Unidade Básica de saúde na cidade do Natal/RN a sua percepção frente ao atendimento de pacientes deficientes auditivos, bem com as necessidades da população com déficit auditivo em relação à assistência à saúde. Trata-se de um estudo transversal, exploratório, descritivo, realizado no período de abril a julho de 2014, com uma população composta por 21 profissionais de saúde, 17 estudantes e 8 usuários surdos. Para o levantamento dos dados foi utilizado um questionário estruturado composto por questões (abertas e fechadas) aplicado aos grupos formados por profissionais da saúde (médico, dentista, enfermeiro e agentes de saúde) e estudantes dos cursos de medicina, enfermagem, educação física, nutrição e serviço social. Os profissionais/estudantes responderam ao questionário semiestruturado contendo perguntas abertas e fechadas acera das possíveis dificuldades enfrentadas no atendimento ao deficiente auditivo e surdo. A coleta de dados com os usuários surdos foi realizada através de entrevista filmada para que a Língua brasileira de Sinais (Libras) pudesse ser interpretada da para o português pelo pesquisador. Com estes últimos foi realizado um levantamento de suas reações ao procurar um atendimento no serviço de saúde. Já o perfil de identificação dos sujeitos foi analisado por meio da estatística descritiva simples (frequências absolutas e relativas). As questões abertas foram analisadas através da técnica de análise de conteúdo a qual permitiu o processo de categorização preservando todos os aspectos levantados na discussão de forma que as falas foram representativas da totalidade. Os profissionais e estudantes no que se refere à atitude utilizada para se comunicar com possíveis pacientes surdos emergiram as seguintes categorias: a “escrita”, os “gestos” e o “auxilio a terceiros”. Já os surdos quando questionados sobre suas experiências ao buscar atendimento em saúde, as categorias elucidadas foram: “qualidade da assistência ao deficiente auditivo”, “adequação da comunicação com o deficiente auditivo” e “dependência de terceiros”. As questões fechadas foram mensuradas e adaptadas a Escala de Likert em 5 graus de variação, que compuseram três destas questões: grau de dificuldade na comunicação ao atender um paciente com déficit auditivo (mínima a grande dificuldade); sentimento de conforto para utilizar a língua de sinais (mínimo a grande desconforto); e conhecimento sobre a Lei 10.436, que dispõe sobre a Língua Brasileira de Sinais (Libras) (baixo conhecimento a totalmente esclarecido). Os dados coletados com os profissionais e estudantes revelaram certo desconhecimento e desconforto no atendimento em saúde aos pacientes surdos, realidade também evidenciada na opinião dos surdos participantes. Este estudo permitiu identificar problemas na comunicação, resultando em consequências negativas no atendimento a essa população. Este diagnóstico poderá ser relevante para elaboração de políticas públicas e diretrizes curriculares essenciais à formação dos profissionais da saúde, inclusão e melhoria da assistência aos surdos.

9
  • ANA MARIA GOMES DOS SANTOS
  • PROCESSO DE CONSTRUÇÃO DO CONHECIMENTO A PARTIR DO DIÁLOGO ENSINO-SERVIÇO NA ÓTICA DOS PROFISSIONAIS DE SAÚDE

     

     

  • Leader : SIMONE DA NOBREGA TOMAZ MOREIRA
  • MEMBRES DE LA BANQUE :
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • MARCELO VIANA DA COSTA
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 29 avr. 2015


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  • INTRODUÇÃO: As políticas de formação em saúde no Brasil vêm passando por profundas transformações, resultado da reforma sanitária e do rompimento com o modelo biomédico, ainda hegemônico. No entanto, o paradigma da integralidade vem sendo introduzido na saúde e, para a consolidação desse conceito, a formação vem se apropriando de novas abordagens metodológicas. Pode-se mencionar a interação ensino-serviço (ensino-serviço-comunidade), cuja proposta permite a ampliação da percepção acerca do processo saúde-doença, além da garantia dos compromissos da formação para/com o SUS. OBJETIVO: Compreender, a partir dos profissionais de saúde, a participação dos estudantes da Faculdade de Ciências da Saúde/UFRN na estratégia saúde da família, de modo a contribuir para a formação profissional desses estudantes. PROCEDIMENTOS METODOLÓGICOS: Estudo fundamentado na abordagem qualitativa, a técnica utilizada para obtenção dos dados da pesquisa foi o grupo focal (GF). Foram realizados 2 GFs em duas unidades básica de saúde da família do município de Santa Cruz – RN, onde participaram profissionais da equipe da estratégia de saúde da família. As discussões foram conduzidas a partir de um roteiro previamente elaborado. A análise dos resultados foi realizada a partir da técnica de conteúdo temática categorial. RESULTADOS Participaram do estudo, 18 profissionais de saúde, sendo 13 (72%) do sexo feminino. Para esses profissionais, a interação ensino-serviço permite ao estudante compreender o modelo de atenção integral em saúde, visto que o contato com a comunidade amplia a sua percepção acerca do processo saúde-doença, como também permite reconhecer a importância do trabalho em equipe para atenção integral em saúde. CONSIDERAÇÕES FINAIS: Os resultados indicam a importância da política de reorientação no contexto da formação para que os alunos tenham precocemente contato com o serviço e, dessa forma desenvolva habilidades técnicas e relacionais no contexto ao qual for inserido

10
  • ELAINE CRISTINA ALVES
  • DIAGNÓSTICO SITUACIONAL DA INSERÇÃO E DAS POTENCIALIDADES DA RESIDENCIA INTEGRADA MULTIPROFISSIONAL EM SAÚDE: UM ESTUDO NA ATENÇÃO PRIMÁRIA

  • Leader : ANTONIO DE LISBOA LOPES COSTA
  • MEMBRES DE LA BANQUE :
  • ANTONIO DE LISBOA LOPES COSTA
  • MARCELO VIANA DA COSTA
  • MARISE REIS DE FREITAS
  • Data: 29 avr. 2015


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  • Os Programas de Residência Integrada Multiprofissional em Saúde da
    Universidade Federal do Rio Grande do Norte (PRIMS/UFRN) tem como pilar
    orientador o processo de aprendizagem do ensino em serviço, o trabalho
    multiprofissional interdisciplinar e seguir os princípios e diretrizes do Sistema
    Único de Saúde (SUS). Embora os PRIMS/UFRN tenham sidos idealizados com
    foco na atenção hospitalar, o processo de formação na inserção dos residentes
    na atenção primária à saúde (APS) ocupa importante papel, pois estes
    necessitam vivenciar todos os níveis de atenção, já que o processo de educação
    pelo trabalho a que se propõe a Residência é baseado na integralidade da
    atenção à saúde. Então a presente pesquisa buscou elucidar a inserção desses
    residentes nos serviços de APS, através de uma abordagem qualitativa de
    estudo de caso, onde a coleta dos dados foi realizada em dois momentos
    distintos: no primeiro momento, foi realizado um questionário, mediante um
    roteiro semi-estruturado com os residentes dos PRIMS/UFRN, campus Natal, na
    segunda etapa foi realizada a técnica de grupo focal com um grupo de nove
    residentes e os dados foram analisados a partir da análise de conteúdo temática
    categorial. Pode-se perceber que as Unidades Básicas de Saúde (UBS) que
    possuíam estratégias de ensino no trabalho como PET Saúde/PET Saúde da
    Família e projetos de extensão a inserção dos residentes dos PRIMS/UFRN foi
    facilitada e tiveram a oportunidade de vivenciar atividades de integração ensinoserviço-comunidade.
    Diante disso, as atividades que articulam ações de
    promoção, prevenção e recuperação da saúde, contemplaram a formação na
    integralidade do cuidado à saúde, para estes residentes inseridos em programas
    de pós-graduação na atenção hospitalar.

11
  • CARLA SUELY SOUZA DE PAULA
  •  IMPLEMENTACÃO DA VISITA INTERPROFISSIONAL DE CARDIOLOGIA COMO ESTRATEGIA DE INSERÇAO DA EDUCAÇÃO INTERPROFISSIONAL NO ENSINO DE GRADUAÇÃO E PÓS-GRADUAÇÃO DA UNIVERSIDADE FEDERAL DO RIO GRANDE DO NORTE.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • MARCELO VIANA DA COSTA
  • MARIA HEBE DANTAS DA NOBREGA
  • MARIA SANALI MOURA DE OLIVEIRA PAIVA
  • ROSIANE VIANA ZUZA DINIZ
  • SIMONE DA NOBREGA TOMAZ MOREIRA
  • Data: 30 avr. 2015


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  • A educação interprofissional ainda representa um grande desafio para a educação em saúde. O objetivo deste estudo foi explorar a forma como a Visita Interprofissional em Cardiologia (IVC) impacta diferentes profissionais de saúde e alunos como uma iniciativa da educação interprofissional. Implementar a Visita Interprofissional de Cardiologia (VIC) como estratégia de ensino Da educação interprofissional na graduação e pós-graduação da UFRN. Trata-se de um estudo exploratório prospectivo, de intervenção realizado entre março de 2013 a novembro de 2014, no serviço de cardiologia do Hospital Universitário Onofre Lopes (HUOL), envolvendo profissionais da área da saúde do HUOL e estudantes de graduação e pós-graduação dos cursos de saúde da Universidade Federal do Rio grande do Norte (UFRN). O estudo ocorreu em três etapas:. Planejamento da atividade interprofissional; – Implementação da atividade “Visita Interprofissional de Cardiologia (VIC)” e Avaliação da atividade, sendo a última realizada através de grupos focais. O processo de planejamento e implementação da VIC foi descrito e da análise do segundo grupo focal emergiram cinco categorias: Reconhecimento da participação em atividades interprofissionais prévias; Visão conceitual de atividades interprofissionais; Impactos da VIC na assistência; Contribuições da VIC na formação e Desafios da manutenção da VIC. O processo de elaboração e planejamento da VIC atingiu os objetivos, embora a participação de alguns profissionais da saúde ainda não tenha sido sistemática em função da sobrecarga de atividades da equipe de enfermagem e dificuldade na conciliação dos horários. a VIC foi considerada uma experiência exitosa, sendo bastante elogiada e reconhecida como iniciativa de impacto positivo para a melhoria da assistência prestada ao paciente cardiopata. Fica claro, pela análise dos discursos, que a VIC é uma estratégia que impacta tanto na assistência quanto no ensino. Contudo, permanecem algumas dificuldades importantes, como a falta de recursos humanos, a dificuldade de integrar a VIC.

12
  • GIZEUDA TEIXEIRA DE ARAUJO
  • ANÁLISE DO PERFIL DE ENCAMINHAMENTOS DA ATENÇÃO PRIMÁRIA PARA PRÉ–NATAL DE ALTO RISCO – DESAFIOS PARA O ENSINO DE COMPETÊNCIAS NA ÁREA DA SAÚDE MATERNO-INFANTIL

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • GEORGE DANTAS DE AZEVEDO
  • JOSE EDVAN DE SOUZA JUNIOR
  • Data: 30 avr. 2015


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  • OBJETIVO: identificar um perfil das principais causas de encaminhamentos inadequados da atenção primária para o pré-natal de alto risco, como subsídio para o planejamento de ações voltadas para a qualificação do ensino de competências essenciais na área da saúde materna. MÉTODOS: estudo com delineamento transversal, baseado na análise documental de todos os encaminhamentos de gestantes para o serviço de pré-natal de alto risco (PNAR) da Maternidade Escola Januário Cicco (MEJC), serviço de referência obstétrica para o estado do Rio Grande do Norte. Todas as gestantes encaminhadas no período de junho a dezembro de 2014 (n=771) passaram por consulta de triagem, na qual foi preenchido formulário para análise da causa clínica que motivou o encaminhamento para o PNAR. Os encaminhamentos foram classificados como adequados, inadequados ou inconclusivos. RESULTADOS: Foram detectados 188 encaminhamentos inadequados (24,4%) e 93 inconclusivos (12,1%), totalizando 36,5% de encaminhamentos inapropriados. As principais causas identificadas nos encaminhamentos inadequados foram: gestação de baixo risco (12,8%), hipertensão arterial não confirmada (12,1%), ameaça de abortamento (8,9%), gravidez na adolescência (7,1%), toxoplasmose (5,3%), incompatibilidade sanguínea RH (4,6%) e infecção do trato urinário (4,3%). Os dados obtidos fornecem subsídios para os seguintes produtos: 1) planejamento de atividades de educação permanente voltadas para os profissionais da saúde da atenção primária, alunos de graduação e residentes; e 2) formulação de uma plataforma virtual para suporte aos profissionais que necessitam encaminhar pacientes ao PNAR, através do programa de Telessaúde. CONCLUSÃO: Os resultados do trabalho são de grande relevância no contexto atual da formação profissional em saúde, com potencial para impactar positivamente não apenas no desenvolvimento de competências relacionadas à saúde materna na graduação e pós-graduação, assim como na qualificação da atenção à saúde prestada à população.

13
  • JOSE LUIZ DE SOUZA NETO
  • DESENVOLVIMENTO E AVALIAÇÃO DO EMPREGO DE DISPOSITIVO AJUSTÁVEL AO CORPO PARA TREINAMENTO DE HABILIDADE DE ACESSO VENOSO PERIFÉRICO NO MEMBRO SUPERIOR

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • ANA CRISTINA PINHEIRO FERNANDES DE ARAUJO
  • GEORGE DANTAS DE AZEVEDO
  • JOSE EDVAN DE SOUZA JUNIOR
  • REGINALDO ANTONIO DE OLIVEIRA FREITAS JUNIOR
  • Data: 30 avr. 2015


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  • OBJETIVO: Desenvolver e avaliar o emprego de um dispositivo ajustável ao corpo para treinamento de habilidade de acesso venoso periférico no membro superior, para estudantes de graduação. MÉTODOS: O trabalho compreendeu duas fases: I) desenvolvimento do simulador inovador e II) ensaio controlado comparando o desempenho do dispositivo ajustável ao corpo em relação ao simulador comercial no treinamento da habilidade de punção venosa no membro superior. Alunos da graduação do curso de medicina da UFRN (n=56) participaram da fase de intervenção, que foi constituída de pré-teste, aula teórica sobre acessos venosos periféricos, randomização em grupos conforme o simulador utilizado para treinamento (Grupo Simulador Comercial e Grupo Simulador Inovador), punção real interpares, pós-teste e questionários de satisfação. RESULTADOS: Os Grupos Simulador Comercial e Simulador Inovador não tiveram diferença estatisticamente significativa quanto à idade, sexo, cor, resultados do Pré-teste e Pós-teste, avaliação atitudinal e desempenho na execução da punção real. Os alunos do Grupo Simulador Experimental tiveram melhor desempenho no preenchimento do prontuário simulado. Ao término da pesquisa, o ganho cognitivo (conhecimento) teve significativo incremento em ambos os grupos. O grau de realismo, na percepção dos alunos, foi equivalente em ambos os grupos. O grau de valor para o ensino do simulador inovador foi conceituado como bom a ótimo em 85,7% dos alunos que o utilizaram.  CONCLUSÕES: Diante dos resultados obtidos, o simulador inovador demonstrou-se como uma alternativa de baixo custo para o ensino da habilidade de punção venosa em membro superior, onde o desempenho cognitivo, procedimental e atitudinal dos alunos que o utilizaram foi equivalente ao dos que treinaram em simulador comercial. 

14
  • SHEILA RAMOS DE MIRANDA HENRIQUES
  • Elaboração de ferramenta computacional para aprendizado da anatomia do pescoço

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • FRANCISCO IROCHIMA PINHEIRO
  • GEORGE DANTAS DE AZEVEDO
  • RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • Data: 30 avr. 2015


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  • O processo ensino-aprendizagem exige uma busca constante, por parte dos educadores, de inovações didáticas que visem melhorar a aprendizagem. No ensino da anatomia humana essas inovações tornam-se cada vez mais importantes, por se tratar de uma disciplina onde a “mecanização” é necessária, porém a justificativa para aquele conhecimento adquirido é o que torna os alunos interessados na aprendizagem; para isso, a correlação constante dos conhecimentos anatômicos com a clínica e cirurgia (técnicas operatórias), tornam-se essências. Inovações tecnológicas podem ajudar bastante nesse processo. Esse projeto busca o desenvolvimento de novas tecnologias que melhorem o processo ensino-aprendizagem na anatomia do pescoço. Mais precisamente será desenvolvido um trabalho que exponha, em forma de texto e imagens (fotos e desenhos), a anatomia do pescoço, enfatizando sua aplicabilidade clínica e cirúrgica, e um manual de dissecação correlacionando o mesmo com a técnica operatória de cirurgia do pescoço. O material será disponibilizado em e-book e em aplicativos para iPhone e iPad. A avaliação da eficácia do material será feita através de testes teóricos aplicados em turmas de medicina da UFRN, na disciplina de anatomia topográfica, sendo comparadas turmas que usaram o material com turmas que não fizeram uso do mesmo, assim como será avaliado o grau de facilitação que o material proporcionou para a aprendizagem em anatomia de cabeça e pescoço.

15
  • NESTOR RODRIGUES DE OLIVEIRA NETO
  • DESENVOLVIMENTO DE UM APLICATIVO PARA ENSINO DE ELETROCARDIOGRAFIA PARA ALUNOS DE GRADUAÇÃO


  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • FRANCISCO IROCHIMA PINHEIRO
  • GEORGE DANTAS DE AZEVEDO
  • RICARDO ALEXSANDRO DE MEDEIROS VALENTIM
  • Data: 30 avr. 2015


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  • O eletrocardiograma (ECG) é um exame fundamental em Cardiologia e no atendimento dos pacientes em Unidades de Pronto Atendimento e Emergências. Entretanto, o ensino e o aprendizado do ECG, em geral, não tem sido considerado tarefa fácil e estudos têm mostrado que o nível de competência para interpretação do ECG é baixo até mesmo entre médicos residentes. O primeiro contato com este tema na graduação é através do ensino dos conceitos básicos, como a eletrofisiologia da célula cardíaca, anatomia e fisiologia do sistema de condução do coração e o estudo dos conceitos básicos em eletrocardiografia e  ECG normal. Atualmente aplicativos da área médica para dispositivos eletrônicos portáteis são bastantes populares no ambiente hospitalar, como auxiliares ao ensino e à prática médica. Neste contexto, o objetivo deste trabalho foi desenvolver um aplicativo para dispositivos móveis (Iphone/Ipad), focado no ensino de eletrofisiologia da célula cardíaca e eletrocardiografia, direcionado para alunos de graduação. O aplicativo é desenvolvido na plataforma iOS (Apple inc), utilizando a ferramenta de programação iOS SKD 6.0, que consiste no pacote com os softwares necessários para trabalhar com iOS. O aplicativo apresenta potencial para emprego no ensino de graduação, como ferramenta para facilitar o entendimento dos conceitos básicos da eletrocardiografia. Para isso, incorpora várias ferramentas e recursos  integrados, contendo textos com imagens, animações, tutoriais e vídeos.

16
  • BRUNO ERICK DE BARROS LUCENA
  • TELESSAÚDE COMO FERRAMENTA DE APOIO À ATENÇÃO PRIMÁRIA À SAÚDE: UM OLHAR SOBRE AS TELECONSULTORIAS EM CARDIOLOGIA.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ANA ESTELA HADDAD
  • DANILO ALVES PINTO NAGEM
  • LUIZ ROBERTO DE OLIVEIRA
  • ROSIANE VIANA ZUZA DINIZ
  • THIAGO GOMES DA TRINDADE
  • Data: 5 mai 2015


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  • No Brasil, com o intuito de qualificar a Atenção Básica, o Ministério da Saúde implementou o Programa Telessaúde Brasil Redes para fornecer atividades assistenciais (teleassistência) e de suporte à educação permanente em saúde (tele-educação). Nesse aspecto, um dos principais serviços oferecidos é o de teleconsultorias. Como parte da expansão nacional do programa, foi criado, no Rio Grande do Norte, um núcleo local de telessaúde, denominado Telessaúde/RN. Esta pesquisa teve como objetivo implementar o serviço de teleconsultoria na especialidade de cardiologia no Telessaúde/RN, analisando as características das teleconsultorias em cardiologia solicitadas. Ademais, analisar as Segundas Opiniões Formativas em cardiologia disponíveis no Portal Telessáude Brasil. Trata-se de estudo quantitativo, com desenho observacional e caráter descritivo. Foram identificadas 56 Segundas Opiniões Formativas relacionadas à cardiologia no portal Telessaúde Brasil, sendo a maioria referentes à hipertensão arterial sistêmica (29%), solicitadas por médicos (59%) e com abordagem sobre aspectos relativos a apoio ao tratamento (30%). No núcleo de Telessaúde do Rio Grande Norte, foram realizadas 47 teleconsultorias em cardiologia, sendo a maior parte delas também relativa à hipertensão arterial (50%), requeridas em sua maioria por agentes comunitários de saúde (45%) e com enfoque direcionado a apoio ao tratamento (52%). A teleconsultoria em cardiologia foi implementada no núcleo Telessaúde/RN, sendo realizada sistematicamente desde abril de 2014 e representa uma estratégia prática e eficiente, capaz de garantir a oferta de serviços de saúde, alcançando aqueles que vivem em áreas distantes e carentes. Conhecer a demanda das teleconsultorias é de extrema relevância, pois fornece informações necessárias para suprir as deficiências existentes, quer sejam de natureza assistencial, gerencial e/ou educacional, como também possibilita pensar em estratégias públicas que melhorem as demandas identificadas nas solicitações de teleconsultoria.

17
  • JANE CRISTINA MEDEIROS
  • REANIMAÇÃO NEONATAL: CAPACITAÇÃO DE PROFISSIONAIS DE SAÚDE COM BASE NA APRENDIZAGEM BASEADA EM PROBLEMAS

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • MARCELO DOS SANTOS
  • DULCIAN MEDEIROS DE AZEVEDO
  • Data: 11 mai 2015


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  • Em todo o mundo, e também no Brasil, há uma carência de profissionais habilitados em conhecimentos de reanimação neonatal devido à falta de acesso ao treinamento ou treinamento inadequado desses profissionais. Este trabalho relata a construção e aplicação de um curso em reanimação neonatal voltado para os profissionais de nível médio utilizando a metodologia da aprendizagem baseada em problemas (ABP).  O curso foi realizado em dois encontros, um para a realização da sessão tutorial e um  para treinamento prático nas habilidades relacionadas. Os participantes foram divididos em grupos de 8 profissionais sob a supervisão de dois tutores com experiência no emprego da metodologia ABP. A experiência foi considerada como bem sucedida, pois promoveu o envolvimento dos participantes e motivação para o aprendizado. Alguns aspectos foram reforçados para o aprimoramento do curso, como o rigor no emprego correto da metodologia ABP e a construção de material didático personalizado voltado para as necessidades de aprendizagem dos alunos. Sugere-se que a proposta de curso desenvolvida é adequada não apenas para o público-alvo dos profissionais de nível médio envolvidos com a reanimação neonatal, mas também para estudantes de graduação de Medicina e Enfermagem.

18
  • GERSON BARBOSA DO NASCIMENTO
  • A POLÍTICA DO ARGUMENTO DE INCLUSÃO REGIONAL NO ÂMBITO DA UNIVERSIDADE FEDERAL DO RIO GRANDE DO NORTE

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • DULCIAN MEDEIROS DE AZEVEDO
  • GEORGE DANTAS DE AZEVEDO
  • LUCAS PEREIRA DE MELO
  • Data: 11 mai 2015


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  • O acesso ao ensino superior gratuito no Brasil continua sendo um grande desafio para significativa parcela da população. Várias políticas de ações afirmativas têm sido estimuladas no sentido de promover um acesso mais homogêneo às universidades públicas brasileiras. Essa dificuldade no acesso acaba refletindo-se no mercado de trabalho, gerando um desequilíbrio em várias áreas de atuação. Na área de saúde, temos observado que um intenso debate sobre a oferta, a concentração e a fixação de médicos vem acontecendo no Brasil. Embora o número de médicos tenha aumentado nos últimos anos, chama a atenção a desigualdade da distribuição dos mesmos, que prioriza os grandes centros urbanos e as capitais em detrimento dos municípios do interior. A abertura de novos cursos de medicina é uma das estratégias na tentativa de conseguir uma melhor distribuição de médicos nas diversas regiões do Brasil. O presente trabalho teve como objetivo estudar o Argumento de Inclusão Regional da Universidade Federal do Rio Grande do Norte, enquanto política que objetiva priorizar a seleção de estudantes do interior do Estado com vistas a promover maior fixação futura de profissionais nas regiões com maior carência destes, especialmente médicos. Trata-se de estudo exploratório, descritivo, em que a coleta de dados constou de revisão bibliográfica e análise documental. O estudo se desenvolveu em etapas, transformadas em capítulos descritivos que deram forma ao trabalho final.  É importante destacar a necessidade de esclarecimento sobre esse instrumento, que pode ser utilizado por todos os novos cursos de Medicina do país como um dos meios para um melhorar o acesso de estudantes das regiões onde os cursos estão inseridos e, com isso, tentar promover, ao final do curso, uma maior fixação de médicos nos municípios do interior do Brasil. 

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  • AUZELIVIA PASTORA REGO MEDEIROS FALCAO
  • UTILIZAÇÃO DE MAPAS CONCEITUAIS COMO FERRAMENTA DE ENSINO PARA O DESENVOLVIMENTO DO RACIOCÍNIO CLÍNICO NO CURSO DE MEDICINA DA UNIVERSIDADE FEDERAL DO RIO GRANDE DO NORTE (UFRN).

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • ELAINE LIRA MEDEIROS
  • JOSÉ EYMARD MORAES DE MEDEIROS FILHO
  • LUCAS PEREIRA DE MELO
  • OSCARINA DA SILVA EZEQUIEL
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 28 mai 2015


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  • CONTEXTO: No amplo rol das habilidades pertinentes ao profissional médico, é indubitável a necessidade do seu raciocínio clínico fundamentado e coeso, para que o cuidado médico seja, de fato, efetivo. No cerne desta questão, surgem os mapas conceituais, que consistem em uma inovação metodológica que possibilita uma visão integradora, panorâmica e associativa do conteúdo teórico, tornando-o mais prático e aplicável à realidade da observação clínica. Promoção do aprendizado, recurso de aprendizado, sistema de feedback entre professor e aluno e meio de avaliação e acompanhamento do desempenho dos alunos ao longo de sua formação são as vertentes principais dessa ferramenta. OBJETIVO: Avaliar a utilidade dos mapas conceituais como ferramenta de ensino-aprendizagem na formação de estudantes de graduação do curso de medicina da UFRN. METODOLOGIA: Estudo intervencional, seccional, randomizado, realizado com estudantes de medicina dos 3º e 5º períodos do curso de medicina da UFRN, durante o semestre acadêmico 2014.2, totalizando 86 participantes, agrupados em dois grupos: GI (intervenção) e GII (controle) em cada semestre acadêmico. RESULTADOS: O uso de mapas conceituais para ensino da síndrome de Insuficiência Hepática resultou em ganho cognitivo, estatisticamente significante, para os alunos do GI, do quinto período (GI: 6,8±1,6 e 8,0±1,5, p = 0,024; GII: 7,2±2,1 e 8,0±1,7, p = 0,125, médias pré e pós-intervenção, respectivamente), fato não observado no terceiro período (GI: 7,7±1,3 e 8,0±1,4, p = 0,501; GII: 6,7±1,8 e 7,8±1,8; p = 0,068, médias pré e pós-intervenção, respectivamente). A maioria dos estudantes não conhece a ferramenta (53,8% do terceiro período e 65,3% do quinto período). Dentre os que conhecem os mapas conceituais, a maioria (59,3%) somente a utilizaram durante o ensino médio, 14,8% nunca a haviam utilizado e apenas sete alunos (25,9%) a utilizam durante o curso de Medicina. CONCLUSÃO: Apesar do pouco conhecimento da ferramenta, a boa aceitabilidade e compreensão da mesma pode ser observada entre os participantes do estudo. Entretanto, faz-se necessária a análise de outros dados como o conhecimento do estilo de aprendizagem desses alunos, especialmente do terceiro período, para entendermos melhor sua relação com a melhoria do desempenho cognitivo.

20
  • JULIO CESAR VIEIRA DE SOUSA
  • IMPLEMENTAÇÃO DA AVALIAÇÃO 360º DO RESIDENTE NO PROGRAMA DE RESIDÊNCIA MÉDICA EM CARDIOLOGIA E CLÍNICA MÉDICA DO HOSPITAL UNVERSITÁRIO ONOFRE LOPES (HUOL).

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • MARCELO VIANA DA COSTA
  • MARIA JOSE PEREIRA VILAR
  • MARTA SILVA MENEZES
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 4 août 2015


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  • A residência médica é uma modalidade de ensino de pós-graduação destinada a médicos, funciona em instituições de saúde, sob a orientação de profissionais médicos de elevada qualificação ética e profissional, sendo considerada o “padrão ouro” para a formação do especialista. A utilização do método de avaliação 360 graus na residência médica visa a avaliação integral dos médicos residentes, preenchendo lacunas que a avaliação cognitiva isolada deixa, quando utilizada como método único. Essa avaliação proporciona uma avaliação mais global do médico residente, já que inclui sua autoavaliação, avaliação pelos pares, pacientes e equipe de saúde. O objetivo deste estudo foi definir instrumentos de avaliação para implementar a avaliação 360 graus no programa de residência médica em cardiologia da UFRN e capacitar os docentes e preceptores do citado programa para avaliação de desempenho clínico do residente. Trata-se de estudo exploratório, prospectivo e descritivo, envolvendo quatro médicos residentes do programa de residência médica de cardiologia e 20 de clínica médica, esses durante o rodízio de cardiologia do programa de residência médica (PRM) em Cardiologia do Hospital Universitário Onofre Lopes (HUOL), além de 13 preceptores/docentes do PRM em Cardiologia do HUOL. Para implementação do novo modelo avaliativo na residência médica foram programadas três etapas, sendo a primeira a elaboração dos instrumentos de avaliação para a avaliação 360 grus; a segunda, o planejamento e a capacitação dos preceptores do PRM em Cardiologia do HUOL; e a terceira, o início das avaliações 360 graus dos residentes do PRM em Cardiologia e Clínica Médica, durante o período de janeiro de 2014 a março de 2015. Foram avaliados, no total, 24 residentes até o momento, sendo quatro residentes da cardiologia (três residentes do primeiro ano e um residente do segundo ano) e vinte residentes da clínica médica (sendo doze residentes do primeiro ano e oito residentes do segundo ano). Foram realizadas autoavaliações por oito residentes, sendo essas consideradas difíceis pela maioria dos residentes. A avaliação por pares foi realizada por 6 residentes, sendo o desempenho dos pares considerado acima do esperado em todos os itens da avaliação. A avaliação pela equipe de preceptores e equipe multiprofissional com feedback ao final das avaliações mostrou que os residentes de clínica médica do primeiro ano apresentam desempenho acima do esperado em relação ao humanismo, ética e profissionalismo, enquanto os do segundo ano apresentaram desempenho abaixo do esperado no item referente ao exame físico. Quanto aos demais domínios da avaliação todos estiveram dentro do esperado. Dez pacientes avaliaram os oito residentes, sendo tais avaliações positivas no sentido da qualidade da assistência prestada e das informações fornecidas pelos residentes. O método de avaliação 360 graus foi implementado na residência de cardiologia do Hospital Universitário Onofre Lopes da UFRN, tendo sido realizada em quatro residentes. A maioria dos preceptores e equipe multiprofissional da residência estão capacitados para utilização do método de avaliação.

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  • LUIS ALCIDES DE LUCENA MARINHO
  •  

    DOENÇA RENAL CRÔNICA:  PERFIL DO CONHECIMENTO DOS MÉDICOS  CONFORME AS DIRETRIZES ATUAIS

     

     

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • EDNA REGINA SILVA PEREIRA
  • JOSE BRUNO DE ALMEIDA
  • MARIA JOSE PEREIRA VILAR
  • Data: 7 août 2015


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  • INTRODUÇÃO: A doença renal crônica (DRC) é um problema de saúde mundial, com prevalência crescente no seu estágio terminal, fatos que podem ser justificados pela falha no reconhecimento da doença e dos seus fatores de risco. OBJETIVO: Avaliar o perfil de conhecimento de médicos residentes (MR) e médicos preceptores (MP) em hospitais da Universidade Federal do Rio Grande do Norte em Natal-RN - Brasil, sobre a DRC, com base na diretriz do Kidney Disease Outcomes Quality Initiative (KDOQI). MÉTODOS: Estudo de corte transversal, onde 64 MR (R1=32; R2=15; R3=17) e 63 MP responderam um questionário baseado na diretriz do KDOQI, dividido em sete sessões, abordando aspectos da DRC desde a definição, até o encaminhamento ao nefrologista. RESULTADOS: Apenas 20 participantes (15.7%) informaram utilizar alguma diretriz para o manejo da DRC. Os scores obtidos por sessão foram: Definição e classificação (46.1±47.8); Fatores de risco (70.5±27.9); Avaliação laboratorial (58.2±8.8); Plano de ação clínica (57.6±19.9); Redução da proteinúria (68.3±15.0); Complicações (64.8±19.9); Encaminhamento ao nefrologista (73.0±44.6). Observamos que houve uma diferença estatisticamente significante entre o conhecimento dos MR e MP nas sessões: Avaliação laboratorial (MR 61.5±8.4 vs MP 54.8±7.9; p<0.001); Redução da proteinúria (MR 73.1±11.4 vs MP 63.5±16.7; p<0.001) e Encaminhamento ao nefrologista (MR 81.2±39.3 vs MP 64.5±48.2; p=0.035). Entre os MR, os R2 obtiveram a melhor pontuação (R1 63.9±22.6 vs R2 71.9±17.2 vs R3 63.5±22.5; p=0.445). Observamos um baixo percentual de acerto dos médicos sobre a definição da DRC (MP=46%; R1=40.6%; R2=60%; R3=52.9%; p=0.623), assim como a classificação da DRC (MP=34.9%; R1=53.1%; R2=60%; R3=52.9%; p=0.158). CONCLUSÃO E CONSIDERAÇÕES FINAIS: Diretrizes para DRC são pouco utilizadas por médicos que, mesmo atuando em ambiente universitário, ainda expõem lacunas no conhecimento sobre o tema. Nesse sentido, propomos a realização de uma oficina para os médicos participantes e estudantes do internato da UFRN, utilizando estratégias educacionais centradas no estudante, no sentido de fortalecer a incorporação das diretrizes da DRC no ensino de graduação e na prática clínica de médicos em geral.

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  • CESIMAR SEVERIANO DO NASCIMENTO
  • CARACTERÍSTICAS DOS PROGRAMAS DE RESIDÊNCIA MÉDICA EM CARDIOLOGIA DO ESTADO DO RIO GRANDE DO NORTE.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • MARIA DO PATROCINIO TENORIO NUNES WARTH
  • PAULO JOSE DE MEDEIROS
  • PAULO MARCONDES CARVALHO JUNIOR
  • ROSIANE VIANA ZUZA DINIZ
  • THIAGO GOMES DA TRINDADE
  • Data: 18 août 2015


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  • O presente estudo teve como objetivo analisar os Programas de Residências Médica (PRM) em Cardiologia do Estado do Rio Grande do Norte, identificando quais os programas credenciados para funcionamento no Estado. Trata-se de estudo transversal, descritivo, incluindo a análise documental dos processos de credenciamento dos programas (PCP) de residência médica em cardiologia vigentes no Estado do Rio Grande do Norte (RN) no ano de 2014 e a análise da percepção do residente sobre a sua formação como especialista em cardiologia. Além da análise documental dos PCPs, foi aplicado um questionário semiestruturado, com perguntas fechadas, do tipo Likert, e abertas a todos os residentes e egressos dos PRM analisados. Foram identificados dois PRM em Cardiologia no Estado do RN, sendo um programa sediado em instituição pública e outro em instituição privada. A análise documental mostrou uma maior quantidade de preceptores com um maior titularidade na instituição pública em relação a privada, assim como uma maior produção acadêmica, como publicações em revistas indexadas, publicação de livros, capítulos de livros e participação em congressos. A instituição privada apresenta uma melhor infraestrutura de urgências, com pronto socorro e Unidade de Terapia Intensiva (UTI) cardiológica. Percebe-se que os residentes têm consciência de como deve funcionar uma boa residência, assim como as fortalezas e fragilidades das residências que participam. A maioria dos residentes do Hospital Universitário Onofre Lopes (HUOL) destaca como fortalezas a organização, participação e qualidade dos preceptores, atividades práticas e discussões científicas, grande quantidade de pacientes e as visitas e discussões com preceptores nas enfermarias. Citam como maiores fragilidades a falta de serviços de urgência próprio, bem como UTI especializada. No Hospital do Coração de Natal (HCor), observa-se como ponto fraco a programação teórica e poucas práticas ambulatoriais. Como vantagens, citam os preceptores, agilidade na realização dos exames, um bom número de pacientes graves e de procedimentos. Observa-se, nas duas residências, uma certa dificuldade de aceitação em itens importantes e obrigatórios de acordo com as normas da Comissão Nacional de Residências Médicas (CNRM), como: a bioestatística, bioética, ética médica, epidemiologia e metodologia da pesquisa. Além disso, os residentes reconhecem que ambos os hospitais têm uma boa infraestrutura e suporte tecnológico, em especial aos métodos de imagens. A avaliação dos PRMCs possibilitou identificar as fortalezas de cada programa e os aspectos a serem aprimorados nos mesmo. Permitiu também a observação de dificuldades na aceitação de algumas normativas contidas na resolução da CNRM pelo residente, como a participação em atividades como a bioestatística, epidemiologia e metodologia da pesquisa, bem como a necessidades de melhoria da formação técnica específica, como na urgência e emergência. Desta forma, nossos resultados possibilitarão elaborar estratégias para aprimoramento continuado dos PRMC do estado. Ademais, possibilitou a elaboração do manual do residente em cardiologia, contendo, inclusive, o detalhamento do sistema de avaliação do residente, que poderá servir de modelo para outros programas de residência médica.
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  • EDUARDO DANTAS BAPTISTA DE FARIA
  • Avaliação das propriedades psicométricas das provas de seleção para Residência Médica na Universidade Federal do Rio Grande do Norte

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • ILONEIDE CARLOS DE OLIVEIRA RAMOS
  • JOSE EDVAN DE SOUZA JUNIOR
  • MARCELO VIANA DA COSTA
  • MARIA JOSE PEREIRA VILAR
  • Data: 28 août 2015


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  • A forma de ingresso na Residência Médica se dá através da realização de uma avaliação cognitiva para a seleção dos candidatos mais capacitados para o ingresso nessa pós graduação. Assim como os alunos são avaliados a própria avaliação também necessita passar por revisão para identificar se tais questões estão selecionando os candidatos mais aptos para aprovação. Para a análise mais profunda de uma avaliação é importante além do nível médio de acerto, realizar a análise dos item para que possíveis falhas ou deslizes sejam diagnosticados e corrigidos em futuras avaliações. Frequentemente a média da prova é o item mais utilizado, com um valor aceitável quando entre 0,6 e 0,9, entretanto o índice de dificuldade e discriminação auxilia em uma análise mais aprofundada de cada questão isoladamente. Objetivos: Avaliar as provas do Concurso de Residência Médica, da UFRN, para as áreas de acesso direto nos anos de 2011 a 2015. Foram analisadas as provas de Residência Médica dos anos de 2011 a 2015, as médias da nota a cada ano variaram de 58,0 a 65,6, bem como a quantidade de candidatos; todas as 100 (cem) questões de cada ano da Prova de Residência Médica (2011-2015) totalizando 500 (quinhentas) questões e classificadas de acordo com o índice de dificuldade e discriminação, e a seguir foi analisada ano a ano e especialidade por especialidade. Nesse trabalho encontramos 45,2% de questões com índice de facilidade moderada, 10,2% fáceis e 41,2% difíceis, e 3,4% foram anuladas. A prova de seleção para a Residência Médica da UFRN, possui uma boa média, entretanto algumas questões não conseguem cumprir a sua função de selecionar melhor os candidatos devendo passar por uma revisão para que sua função de seleção dos candidatos mais aptos seja alcançada.

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  • TASIA DE ALBUQUERQUE FALCAO FEITOSA
  • Implantação do método avaliativo de competências clínicas (Mini-CEX) na Residência Médica em Doenças Infecciosas da Universidade Federal do Rio Grande do Norte - UFRN.

  • Leader : GEORGE DANTAS DE AZEVEDO
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • JOSE EDVAN DE SOUZA JUNIOR
  • MARCELO VIANA DA COSTA
  • MARIA JOSE PEREIRA VILAR
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 28 août 2015


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  • CONTEXTO: A Residência Médica de Doenças Infecciosas objetiva o desenvolvimento de habilidades psicomotoras, valores éticos, atitudes e comportamentos que são essenciais ao pleno exercício da especialidade. Sabe-se que o domínio cognitivo refere-se, exclusivamente, às habilidades de natureza intelectual, no entanto a avaliação destes alunos deve aferir, não apenas esses conhecimentos, mas englobar aspectos psicomotores e atitudinais.  Neste cenário, nos deparamos com o Clinical Evaluation Exercise (Mini-CEX) como ferramenta avaliativa adequada e largamente utilizada na verificação destas competências. OBJETIVOS: Capacitar docentes e preceptores do programa de residência médica em doenças infecciosas para utilização do Mini-CEx como  método avaliativo de competências clínicas e assim, iniciar a avaliação destas competências na residência. METODOLOGIA: Trata-se de estudo intervencional, seccional, a ser realizado com os preceptores médicos que atuam no Hospital Giselda Trigueiro e  residentes do primeiro, segundo e terceiro anos, da residência médica em Doenças Infecciosas da Universidade Federal do Rio Grande do Norte (UFRN), durante o semestre acadêmico 2015.1. RESULTADOS: A capacitação teórico-prática com os docentes e preceptores foi realizada no formato de oficina semipresencial, utilizando métodos ativos de ensino-aprendizagem, e contou com a participação de 54,16% dos convidados. No feedback final foram apontados como pontos fortes do processo de capacitação a oportunidade de participar e a aquisição de novos conhecimentos. Dentre as fragilidades elencadas, a  curta duração do evento foi destacada e, finalmente, como sugestão, foram propostas a repetição e ampliação do processo, convidando-se os colegas que não puderam participar deste momento. CONCLUSÃO: Após o encerramento da primeira etapa deste trabalho, pode-se constatar que, embora os preceptores que orientam os residentes nos cenários de práticas do hospital não tenham conhecimento das metodologias avaliativas, é possível envolvê-los neste processo através de capacitação utilizando-se metodologia adequada mostrando-lhes a importância de seu papel na formação destes profissionais. Não obstante, é imprescindível que a Universidade aproveite o clima de motivação criado pelo presente trabalho e estimule o copo clínico do hospital a dar continuidade ao processo de avaliação de competências clínicas utilizando esta ferramenta.

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  • PAULO SANTIAGO DE MORAIS BRITO
  • A SIMULAÇÃO COMO MÉTODO DE ENSINO DE HABILIDADES NO CURSO DE MEDICINA: RELATO DE UMA EXPERIÊNCIA COM PUNÇÃO LOMBAR.

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • HENIO GODEIRO LACERDA
  • MARIA JOSE PEREIRA VILAR
  • PEDRO BRAGA NETO
  • Data: 28 oct. 2015


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  • A análise do líquor obtido através de punção lombar é de importância ímpar na prática médica e ganha cada vez mais espaço no diagnóstico de doenças autoimunes primárias do sistema nervoso e nas demências. Os estudos mostram que o treinamento em simulador é capaz de proporcionar aprendizado de habilidades técnicas, aquisição e retenção do conhecimento, melhorar a autoconfiança do aprendiz e possibilita a transferência para a prática clínica. Nós pretendemos com esse estudo avaliar a efetividade do treinamento de estudantes de graduação de medicina com manequim simulador para punção lombar, levando em consideração aspectos quantitativos (desempenho em testes padronizados) e qualitativos (percepção dos estudantes a respeito do método e do processo de ensino-aprendizagem). Foi desenvolvida uma aula prática usando um guia de auto-avaliação que também serviu para avaliação entre pares. Realizamos instrução através de vídeo on line indicado para ser assistido antes do treinamento presencial. Os participantes foram divididos em grupos de 5 e tiveram treinamento seguindo os princípios da prática deliberada, fornecimento de feedback, e todos os participantes conseguiram executar pelo menos uma punção lombar no simulador. Foram aplicados questionários a respeito de autoconfiança e qualidade do treinamento. A temática do treinamento em punção lombar foi considerada relevante, e a aula prática foi bem avaliada em relação ao seu formato. Depois de dois anos do treinamento inicial, parte dos estudantes foi voluntariamente submetida a testes de retenção do conhecimento. A intervenção pontual mostrou-se capaz de promover retenção na técnica de punção lombar, sem equívocos significativos, sugerindo a transferência para uma situação real com paciente.

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  • JOSAIR CUSTODIO DE MESQUITA
  • AVALIAÇÃO DA PERCEPÇÃO DA ASSISTÊNCIA AO PARTO PELOS ALUNOS DOS CURSOS DE GRADUAÇÃO EM MEDICINA E ENFERMAGEM DA UFRN.

  • Leader : TECIA MARIA DE OLIVEIRA MARANHAO
  • MEMBRES DE LA BANQUE :
  • JOSE EDVAN DE SOUZA JUNIOR
  • ROBINSON DIAS DE MEDEIROS
  • TECIA MARIA DE OLIVEIRA MARANHAO
  • Data: 6 nov. 2015


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  • A partir das inquietações sobre a forma tecnológica e mecanicista que o parto vem sendo abordado, e na busca pelo resgate do parto como um evento natural, com o mínimo de intervenções possíveis, surgem os primeiros ideais sobre a humanização do parto. No campo da assistência ao pré-natal, parto e puerpério, as discussões sobre a humanização trazem demandas antigas e, nos últimos anos, vários autores e organizações não governamentais têm demonstrado suas preocupações com a melhoria da assistência à gestante, parto e puerpério, propondo modificações no modelo de assistência. Então, a graduação em Medicina e Enfermagem é um momento oportuno e promissor para se discutir e analisar a assistência ao parto normal, pois constrói nos discentes perspectivas e posturas adequadas para uma assistência à mulher no processo parturitivo, e assim livres de intervenções desnecessárias e maléficas neste momento tão singular que é o parto normal. Objetivo: Promover a avaliação da percepção da assistência ao parto pelos alunos dos cursos de Medicina e Enfermagem da UFRN e contribuir para a avaliação e uma modificação curricular adequada aos princípios da humanização do parto. Metodologia: Foi realizado um estudo de abordagem qualitativa e de caráter descritivo, com estudantes da graduação em Medicina e Enfermagem, da Universidade Federal do Rio Grande do Norte, que estavam cursando ou já haviam cursado as disciplina de obstetrícia, na medicina; e saúde da mulher, na enfermagem. Os dados foram coletados utilizando-se um questionário, contendo questões objetivas e subjetivas. Para abordagem do material empírico coletado, foi utilizado a Análise de Conteúdo, sendo pautada pelo referencial teórico de Bardin, o qual caracteriza como um conjunto de técnicas de análise das comunicações, que pode expressar uma análise de significados, como também uma análise dos significantes. O Estudo se apresenta como de grande relevância, pois os resultados encontrados podem contribuir para avaliação e modificação curricular do ensino da obstetricia e podem servir como subvenção para a análise das práticas de humanização que devem ser desenvolvidas nas instituições de ensino e que são preconizadas pelo Ministério da Saúde.

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  • ADEMAR ALEXANDRE DE MORAIS
  • ESTRATÉGIA DE CAPACITAÇÃO PEDAGÓGICA DO RESIDENTE: UMA PERSPECTIVA PARA A MELHORIA DO ENSINO NA UNIVERSIDADE FEDERAL DO RIO GRANDO DO NORTE.

  • Leader : ROSIANE VIANA ZUZA DINIZ
  • MEMBRES DE LA BANQUE :
  • CLECIO DE OLIVEIRA GODEIRO JUNIOR
  • PAULO JOSE DE MEDEIROS
  • PAULO MARCONDES CARVALHO JUNIOR
  • RICARDO NEY OLIVEIRA COBUCCI
  • ROSIANE VIANA ZUZA DINIZ
  • Data: 15 déc. 2015


  • Afficher le Résumé
  • Diversos estudos têm demonstrado que o residente exerce informalmente o papel de docente. Estima-se que até 25 % do tempo dos residentes é dedicado ao ensino, contribuindo principalmente como facilitador. Apesar dessa contribuição, a quase totalidade dos programas de residência médica do Brasil não oferecem capacitação docente, justamente o inverso que ocorre em programas de demais países, sobretudo América do Norte e Europa. Este trabalho tem como objetivo elaborar uma estratégia de capacitação pedagógica do residente que possa ser inserida formalmente na estrutura curricular do programa de residência médica do HUOL. Trata-se de estudo exploratório, prospectivo e descritivo, realizado HUOL da Universidade Federal do Rio Grande do Norte. Três etapas foram idealizadas: (1) elaboração e planejamento de um workshop de capacitação pedagógica para o residente, associado a um conteúdo técnico motivador (suporte básico e a avançado à vida); (2) primeira intervenção com estudantes do curso de medicina e residentes, para testagem do modelo pedagógico escolhido, proporcionando ajustes no planejamento para a intervenção com residentes; e (3) segunda intervenção com replicação do curso para residentes. Nas intervenções foram feitas duas estações de prática de suporte à vida com a avaliação do desempenho em atividade prática através do OSPE (Objective and Structured Practical Examination). A capacitação pedagógica foi pautada na técnica de ensino preceptoria minuto e feedback. A avaliação de desempenho nas estações foi feita através de um checklist e das demais atividades da capacitação, através de uma ficha de avaliação preenchida no final do curso. As estações de suporte à vida foram bem avaliadas pelos participantes nas duas intervenções e permitiu o ensino da técnica de feedback positivo e corretivo. A técnica de preceptoria minuto foi feita através de dramatização, aula expositiva dialogada e vídeos. As duas técnicas de ensino foram avaliadas como importante para o aprendizado e ensino. Aspectos positivos citados pelos participantes foram mais relacionados a intervenção pedagógica, do que ao conteúdo técnico. Assim acreditamos que a estratégia de workshop de capacitação pedagógica elaborada para os residentes foi factível e bem aceita pelos participantes. Assim, tais conteúdos pedagógicos representam uma opção para inserção pioneira no currículo formal dos programas de residência médica do HUOL.

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  • RODRIGO TRIGUEIRO MORAIS DE PAIVA
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    Objective Structured Practical Examination (OSPE) como instrumento de avaliação de habilidades no internato de cirurgia geral da Universidade Federal do Rio Grande do Norte – UFRN

  • Leader : MARIA JOSE PEREIRA VILAR
  • MEMBRES DE LA BANQUE :
  • GEORGE DANTAS DE AZEVEDO
  • MARIA JOSE PEREIRA VILAR
  • MARINALDO HORACIO DE OLIVEIRA MEDEIROS
  • Data: 30 déc. 2015


  • Afficher le Résumé
  • Introdução: Objective Structured Practical Examination (OSPE), é um método de avaliação de habilidades práticas que utiliza de ambiente simulado e controlado, de eficiência comprovada no processo ensino-aprendizagem. O internato de Cirurgia Geral do curso de medicina da UFRN ainda necessita de adequações quanto à avaliação de habilidades em ambiente simulado, sendo essa uma demanda dos estudantes. A UFRN dispõe de Laboratório de Habilidades Clínicas, contudo observa-se que ainda é pouco utilizado por docentes e discentes e a avaliação estruturada de habilidades ainda não está devidamente estruturada nas áreas cirúrgicas. Metodologia: foi proposta a elaboração de 10 protocolos contendo as listas de materiais para montagem de cenários e checklists de 10 estações de OSPE. A seguir foram selecionadas 04 estações e aplicadas a 32 estudantes do internato de Cirurgia Geral, onde estes além de serem avaliados, desempenharam, em algum momento da atividade, os papéis de estudante “avaliador” e ator/figurante. Um questionário foi aplicado para avaliar este tipo de atividade na perspectiva destes estudantes do internato. Resultados: os10 protocolos referentes às estações de I a X, foram elaborados e ficarão sob a responsabilidade da coordenação do Laboratório de Habilidades da UFRN. Na atividade realizada, as notas dos checklists dos professores e estudantes “avaliadores” mostraram uma associação moderada em duas estações (R = 0,70 e p=0,012) e (R = 0,44 e p=0,152) e uma ssociação forte nas outras duas estações (R = 0,79 e p=0,002) e (R = 0,78 e p=0,003). Os estudantes avaliaram positivamente a atividade nos três blocos do questionário: grau de satisfação em relação à avaliação, avaliação com relação às estações e avaliação sobre sua participação na atividade. Conclusão: a realização de avaliação pelo método OSPE apresenta requisitos estruturais favoráveis para sua implantação na avaliação dos estudantes do curso de medicina da UFRN, reestruturando a avaliação de habilidades no internato de cirurgia geral.

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