Banca de QUALIFICAÇÃO: DENED MYLLER BARROS LIMA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : DENED MYLLER BARROS LIMA
DATE: 17/12/2024
TIME: 15:00
LOCAL: https://conferenciaweb.rnp.br/rute/ppg-es-ufrn
TITLE:

THE IMPLEMENTATION TRAINING MODEL FOR THE EFAST PROTOCOL IN MEDICAL UNDERGRADUATE COURSES AND MEDICAL RESIDENCY.

KEY WORDS:

Competency-Based Education; Problem-Based Learning; Educational Technics; Ultrasonography; eFAST Exam

PAGES: 104
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Introduction: Point-of-Care Ultrasound (POCUS) is an effective diagnostic tool for the rapid assessment of critically ill patients, with the eFAST protocol (Extended Focused Assessment with Sonography for Trauma) being widely used to identify severe injuries in trauma settings. Despite advancements in POCUS training since the 1990s, its implementation in Brazilian institutions remains limited. Objectives: This study aimed to develop and implement a training model to prepare medical students and residents to perform the eFAST protocol, evaluate knowledge acquisition before and after training, and propose the inclusion of this methodology in the formal curriculum of the Federal University of Rio Grande do Norte (UFRN) Medical School. Methods: A quasi-experimental, descriptive, analytical, and prospective study was conducted, approved by the Ethics Committee of the Onofre Lopes University Hospital (HUOL). A total of 157 participants were divided into three groups: clinical cycle students (N=51) from the Emergency Medicine course, internship students (N=78) from the Emergency and Trauma rotation, and medical residents (N=28) affiliated with HUOL. Thirteen individuals were excluded due to lack of consent, withdrawal, or institutional disengagement. The training program comprised three phases: (1) a 60-minute interactive lecture on the basics of ultrasound and the eFAST protocol; (2) a 2-hour practical session to learn equipment handling and protocol execution on volunteers; and (3) supervised practice on adult ICU patients, exclusively for the resident group. Evaluations included an 11-item knowledge test administered before and after training (immediately after phases 1 and 2), a retention assessment for clinical cycle students, an Objective Structured Clinical Examination (OSCE) for internship students, and Direct Observation of Procedural Skills (DOPS) for residents. A satisfaction survey was also conducted. Data were analyzed with a 5% significance level. Results: All groups showed significant knowledge improvement after training (p-value < 0.0001), with post-test scores of 8.11, 8.75, and 8.79 for the clinical cycle, internship, and residency groups, respectively. Clinical cycle students who did not participate in practical sessions scored lower in the retention assessment (p-value = 0.015). Internship students achieved an average OSCE performance of 78%, while 70% of residents were deemed competent to perform the eFAST protocol under supervision, and 30% independently, according to DOPS evaluations. Regarding satisfaction, 79.4% of participants reported confidence in applying the eFAST protocol, and over 90% positively evaluated the training model. Conclusion: The proposed training model effectively enhanced participants’ performance across various evaluations. Furthermore, the methodology was well-received by students and residents, demonstrating its potential as a promising tool for ultrasonography training in Brazilian medical education.

COMMITTEE MEMBERS:
Presidente - 2495713 - ROSIANE VIANA ZUZA DINIZ
Interna - 2172036 - MARIA JOSE PEREIRA VILAR
Interno - 2171948 - PAULO JOSE DE MEDEIROS