IMPROVING HEART DISEASE AND PREGNANCY TEACHING IN CARDIOLOGY AND GYNECOLOGY AND OBSTETRICS RESIDENCES.
Medical Residency; Medical Education; Interprofessional Education; Competency Framework; Heart Diseases; Pregnancy.
Introduction: Heart disease is the leading non-obstetric cause of maternal mortality. Despite its clinical relevance, the teaching of cardio-obstetrics remains incipient in both medical and multiprofessional training. Objectives: This dissertation aimed to design, implement, and evaluate an interprofessional educational model on heart disease and pregnancy in medical and multiprofessional residency programs in cardiology and obstetrics and gynecology. Methods: This is a quasi-experimental study with a quantitative approach, involving 26 participants from various health professions. The educational intervention consisted of a theoretical-practical course, with pre- and post-intervention assessments, including cognitive tests, clinical simulations (OSCE/TOSCE), and perception questionnaires. Results: The results showed a significant improvement in overall theoretical performance (mean score from 6.35 to 8.92, p < 0.0001) for both medical and multiprofessional participants. There was also an increase in self-reported confidence (mean from 2.71 to 4.51) and in practical competencies demonstrated during clinical simulations. Practical evaluation scores (communication, collaboration, roles and responsibilities) increased significantly in both simulated stations, particularly in communication (Group B: 4.58 to 7.54; p < 0.0001). Subjective evaluations revealed high participant satisfaction with the course content, structure, and applicability, with suggestions for its inclusion in residency curricula. Conclusion: The pedagogical approach developed proved to be effective, replicable, and applicable in various educational settings, showing promise for enhancing cardiovascular care during pregnancy and contributing to the reduction of maternal mortality.