Evaluation of medical students competence in pharmacological treatment of diabetes mellitus
Clinical Reasoning; Medical Education; Simulation Training; Metabolic Syndrome; Teaching.
Introduction: Brazilian medical education is structured on the National Curricular Guidelines (DCNs) that guide the skills to be acquired by future medical professionals. Among the regulations that contemplate the DCNs, the learning of chronic diseases with high morbidity and mortality, such as diabetes mellitus, stands out. The fact is that, despite the vast therapeutic arsenal of this pathology, there is still a delay in its pharmacological optimization. Thus, it becomes essential to understand which pedagogical teaching and assessment strategies are capable of training confident doctors who are able to prescribe appropriately. Objective: To evaluate and improve the therapeutic conduct of medical students in the approach to diabetes, in different clinical scenarios, through an educational intervention. Method: The study was a quasi-experimental before-and-after type, involving medical students from the UFRN course in 2024. It was developed in the following stages: 1) Assessment of clinical/therapeutic knowledge in diabetes of second-year undergraduates through OSCE and of sixth-year students through prescription simulation. 2) Student training through a dialogued lecture on the topic. 3) Reapplication of assessment methods to measure the students' learning curve. Results: The general averages of the second-year students before and after training were, respectively, 8.0 and 13.67, with p = 0.012. While the averages of the sixth-year were, respectively, 5.56 and 7.34, with p = 0.0000004. Conclusion: Medical education structured in active methodologies seems to be an effective strategy in the teaching-learning process, in order to train professionals who are more confident in the management of diabetes mellitus.