Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 22
Filter
1.
Medisan ; 25(2)mar.-abr. 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1250356

ABSTRACT

El plan de estudio, documento fundamental que establece la dirección general y el contenido principal de la preparación de los profesionales, se ha ido perfeccionamiento continuamente, en correspondencia con el desarrollo cientificotécnico alcanzado. El programa de la asignatura es el que refleja las características más importantes de esta, tiene validez científica y pedagógica y contribuye a la formación del médico general, según las demandas de la sociedad cubana actual. Teniendo en cuenta las consideraciones anteriores se realizó el presente estudio con el objetivo de analizar los elementos teóricos y metodológicos del programa de la asignatura Farmacología General en el plan de estudio D para la carrera de medicina.


The syllabus, fundamental document that establishes the general direction and the main content of the professionals training, has been continually improving, in correspondence with the scientific technical development achieved. The subject program is the one that reflects its most important characteristics; it has scientific and pedagogic validity and contributes to the general doctor training, according to the demands of the present Cuban society. Taking into account the previous considerations this study was carried out aimed at analyzing the theoretical and methodological elements of the General Pharmacology subject program in the syllabus D for the medicine career.


Subject(s)
Pharmacology/trends , Education, Medical , Professional Training , General Practitioners/education
3.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(3): 238-244, May-June 2019. tab
Article in English | LILACS | ID: biblio-1011494

ABSTRACT

Objective: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). Methods: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. Results: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. Conclusions: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Substance-Related Disorders/therapy , Substance-Related Disorders/epidemiology , Mental Disorders/therapy , Mental Disorders/epidemiology , Mental Health Services/statistics & numerical data , Argentina/epidemiology , Psychiatry/education , Socioeconomic Factors , Urban Population/statistics & numerical data , Patient Acceptance of Health Care/statistics & numerical data , Prevalence , Surveys and Questionnaires , Health Surveys , Substance-Related Disorders/diagnosis , General Practitioners/education , Health Services Accessibility/statistics & numerical data , Mental Disorders/diagnosis , Middle Aged
4.
Sci. med. (Porto Alegre, Online) ; 28(3): ID29642, jul-set 2018.
Article in Portuguese | LILACS, RHS | ID: biblio-909969

ABSTRACT

OBJETIVOS: Caraterizar como os especialistas e residentes de Pediatria e de Medicina Geral e Familiar consideram que abordam os adolescentes, identificar as suas habilitações em Medicina do Adolescente, averiguar que tópicos dessa área os médicos gostariam de ver abordados em futuros treinamentos e comparar as percepções dos médicos das duas especialidades em relação à sua experiência na prática em saúde do adolescente. MÉTODOS: Estudo transversal com base em inquérito enviado via correio eletrônico a 241 médicos da área de influência de um hospital de nível II, tendo-se incluído especialistas e residentes de Pediatria e de Medicina Geral e Familiar de centros de saúde do concelho de Viseu, Portugal. Utilizaram-se os testes Qui-quadrado ou teste Exacto de Fisher para testar associações entre variáveis, assumindo-se significado estatístico quando p<0,05. RESULTADOS: Um total de 113 médicos completou o inquérito, sendo 74% do gênero feminino, com uma mediana de anos de prática de 12 anos (intervalo interquartil 5-30, mínimo 2 anos, máximo 38 anos). O grupo de Pediatria tinha mais formação em Medicina do Adolescente (57%) do que o grupo de Medicina Geral e Familiar (25%) (p=0,007). Mais médicos com formação específica em Medicina do Adolescente consideravam-se preparados para a entrevista ao adolescente (51%, vs. 28% dos que não tinham formação específica, p=0,03). Os médicos Gerais e de Família orientavam mais os adolescentes sobre consumo de substâncias, contracepção e doenças sexualmente transmissíveis, enquanto os médicos de Pediatria identificavam mais adolescentes com depressão. A maioria dos médicos avaliou-se como tendo conhecimentos insuficientes em Medicina do Adolescente, sendo o treino insuficiente a barreira mais frequentemente referida. Cinquenta e sete por cento dos médicos de Pediatria, 78% dos médicos Gerais e de Família e 84% dos que não tinham formação específica em Medicina do Adolescente, considerando as duas especialidades, gostariam de aprofundar os seus conhecimentos nessa área. CONCLUSÕES: Este estudo permitiu identificar que áreas de conhecimento sobre Medicina do Adolescente estão deficitárias na formação dos pediatras e dos médicos gerais e de família. A maioria dos médicos, principalmente os que não tiveram formação em Medicina do Adolescente, mostraram-se interessados em preencher essa lacuna.


AIMS: To characterize the way in which General and Family physicians and Pediatricians consider approaching adolescents, identify their qualifications in Adolescent Medicine, ascertain which topics of this specialty these physicians would like to see addressed in future training, and to compare the perceptions of physicians of both specialties with respect to their experience in adolescent health practice. METHODS: Cross-sectional study based on a survey sent by e-mail to 241 physicians in the area of influence of a level II hospital, including specific training interns or experts in Pediatrics and General and Family Medicine from health centers of the municipality of Viseu, Portugal. Chi-square tests or Fisher's exact test were used to test associations between variables, assuming statistical significance when p<0.05. RESULTS: A total of 113 physicians completed the survey, of them 74% female, with a median of 12 years of practice (interquartile range 5-30, minimum 2 years, maximum 38 years). The Pediatrics group had more training in Adolescent Medicine (57%) than the General and Family Medicine group (25%) (p=0.007). More physicians with specific training in Adolescent Medicine considered themselves prepared for the adolescent interview (51%, vs. 28% of those who did not have specific training, p=0.03). Family and General practitioners guided adolescents more about substance use, contraception, and sexually transmitted diseases, while Pediatrics doctors identified more adolescents with depression. Most physicians rated themselves as having insufficient knowledge in Adolescent Medicine, with insufficient training being the most frequently referred barrier. Fifty-seven percent of Pediatrics doctors, 78% of General practitioners and 84% of those with no specific training in Adolescent Medicine, considering the two specialties, would like to deepen their knowledge in this area. CONCLUSIONS: This study allowed identifying which areas of knowledge on Adolescent Medicine are deficient in the training of Pediatricians and General practitioners. Most physicians, especially those with no training in Adolescent Medicine, showed interest in filling this gap.


Subject(s)
Adolescent Medicine , Adolescent Health , Education, Medical , Pediatrics , Family Practice , General Practitioners/education
7.
Educ. med. super ; 29(3): 0-0, jul.-set. 2015.
Article in Spanish | LILACS | ID: lil-769330

ABSTRACT

Se realizó una reflexión acerca del alcance social que ejercen las influencias contextuales en la impartición del análisis de la situación de salud (ASIS), como contenido en la formación médica. En consonancia con las potencialidades formativas que aporta la sistematización de la participación social en salud para lograr su efectividad, se realizó una revisión bibliográfica sobre el contexto político de la participación, la trascendencia del ASIS como herramienta científica y su alcance en la docencia, y las condiciones contextuales donde se realiza la formación. Se destaca que la participación social continúa siendo mundialmente proclamada y nacionalmente promulgada, como condición necesaria en la transformación del cuadro de salud; se reconoce que a pesar del perfeccionamiento del sistema sanitario ha sido compleja su aplicación en la práctica de sus sustentos teóricos y que subyacen insuficiencias en su aplicabilidad que repercuten en la formación, constituyendo un desafío en la contemporaneidade.


A reflection was made on the social scope of setting influences in teaching of the health situation analysis (HSA) as contents in the medical formation. In line with the formative potentialities of the systematization of social participation in health to attain effectiveness, a literature review was made about the political context of participation, the significance of HAS as a scientific tool and its scope in teaching as well as the setting conditions where formation takes place. It is stressed that social involvement remains a claimed aspect nationally and internationally since it is a must in health picture changes; it is also recognized that despite the improvement of the health system, the implementation of its theoretical fundamentals has been complex and there still are deficiencies in applicability that have an effect on formation and represents a contemporary challenge.


Subject(s)
Curriculum , Diagnosis of Health Situation , General Practitioners/education , Community Participation , Epidemiology, Descriptive
8.
Rev. méd. Chile ; 143(4): 512-519, abr. 2015. tab
Article in Spanish | LILACS | ID: lil-747556

ABSTRACT

Background: The professional profile of health care professionals should incorporate recommendations of international agencies and adapt to the local conditions of each country. Aim: To conduct a qualitative analysis of Medical Graduate Profiles of universities grouped in the Chilean Association of Medicine Faculties (ASOFAMECH), characterizing its Social Focus, Humanist Approach, Social and Communication Skills. Material and Methods: Documentary analysis of profiles published on the respective web pages, using Atlas Ti software, establishing emerging categories and subcategories. These profiles were compared with the recommendations of the Pan-American Health Organization. Results: Data in Social Focus suggests that although community issues are a common element, the work in primary health and health promotion are rarely included. The Humanist Approach is addressed more commonly than the Social Focus, emphasizing humanization of care, ethical and religious values. Although, social and communication skills are scarcely acknowledged, those mentioned are teamwork and leadership role. Conclusions: There is a marked heterogeneity in the information declared and universities have not fully incorporated the recommendations of international organizations.


Subject(s)
Humans , Education, Medical, Undergraduate/standards , Primary Health Care , Chile , Competency-Based Education , Educational Measurement , Evaluation Studies as Topic , Ethics, Medical/education , General Practitioners/education , Health Promotion , Humanities/education , Leadership , Pan American Health Organization
9.
Edumecentro ; 6(3): 6-19, sep.-dic. 2014. ilus
Article in Spanish | LILACS | ID: lil-721251

ABSTRACT

Fundamento: la preparación del profesional de la salud para enfrentar las consecuencias de las armas químicas y biológicas en humanos, es una misión de la universidad médica cubana. Objetivo: evaluar la factibilidad y pertinencia de una estrategia pedagógica de superación profesional médica para la enseñanza del diagnóstico y tratamiento de las consecuencias del empleo de las armas químicas y biológicas en humanos. Métodos: se realizó una investigación que culminó con la aplicación de un pre-experimento pedagógico en la sede universitaria Hospital Militar de Holguín, durante el curso 2010-2011. La muestra estuvo constituida por 20 especialistas en Medicina General Integral. Se utilizaron métodos teóricos: histórico-lógico, analítico-sintético y sistémico estructural y funcional; empíricos: la encuesta, criterio de especialistas por el método Delphi; del matemático: la estadística descriptiva con distribución de frecuencias absoluta y en porcientos y la prueba de signos. Resultados: se identificaron insuficiencias en los médicos para el diagnóstico y tratamiento de las consecuencias de las armas químicas y biológicas en humanos, por lo cual se diseñó y aplicó una estrategia pedagógica para la apropiación de los conocimientos y habilidades necesarios en estos casos. Conclusiones: la estrategia elaborada permitió resolver las dificultades para el desarrollo del proceso enseñanza aprendizaje de las enfermedades que resultan del empleo de las armas químicas y biológicas, y una mejor preparación en los médicos en cuanto al diagnóstico y tratamiento de ellas. Los especialistas consideran la estrategia de muy adecuada y bastante adecuada, lo que demuestra el grado de pertinencia y relevancia para su aplicación.


Background: the professional training in order to face the consequences in human beings of the chemical and biological weapons is a mission of the Cuban medical university. Objective: to devise a strategy for the teaching of the diagnosis and treatment of the effects in human beings of the chemical and biological weapons. Methods: a research project was done that culminated in the application of a pedagogical pre-experiment at the University Venue Military Hospital of Holguín during the 2010-2011 academic year. The sample was chosen through a non-probabilistic sampling, composed of 20 specialists in Integral General Medicine. Theoretical methods were used: historical-logical, analytical-synthetic, inductive-deductive, modeling and systemic, structural and functional; empirical: Delphi method and survey; mathematical: descriptive statistics with distribution of absolute frequency and in percentage. Results: insufficiencies were identified among the doctors for the diagnosis and treatment of the effects in human beings of chemical and biological weapons, being this reason why a pedagogical strategy was designed and applied for the acquisition of the knowledge and skills that are necessary in these cases. Conclusions: the designed strategy allows to solve the difficulties for the development of the learning-teaching process of the illnesses resulting from the use of chemical and biological weapons, as well as a better training in doctors regarding their diagnosis and treatment. The specialists assessed the strategy in general as very adequate, what shows the degree of relevance and pertinence for its application.


Subject(s)
Professional Competence , Chemical Warfare Agents , Biological Warfare Agents , General Practitioners/education
10.
Article in English | AIM | ID: biblio-1269916

ABSTRACT

The main purpose of this study was to determine whether general practitioners (GPs) in the Cape Town metropole have sufficient knowledge to diagnose and treat primary care ophthalmic conditions correctly; and to assess their own perceptions of their levels of knowledge. Secondary objectives included identifying the need for courses to improve the ophthalmic knowledge of GPs and assessing whether there is a need to revise the undergraduate curriculum in ophthalmology in general.Method: A cross-sectional survey was done. A questionnaire of 10 primary care level ophthalmology questions; including a self-assessment section; was sent to each of 140 randomly chosen GPs in Cape Town.Results: A response rate of 79.2). The mean test score was 52.5 (standard deviation [SD]: 22.2). The mean self-rating was 51.9 (SD: 14.5). There was no statistically significant difference between the test score and the self-rating score (p = 0.5840). Responding GPs felt that there is a need for ophthalmology up-skilling courses and 99.9 of them would attend such courses. Also; 82 of GPs felt that primary care doctors; not optometrists; should deliver primary eye care. Conclusion: GPs appear to lack sufficient knowledge to manage primary health eye care problems; presumably due to a lack of adequate training in the field. Clinical up-skilling courses are needed to improve core knowledge in ophthalmology


Subject(s)
General Practitioners/education , Health Care Surveys , Ophthalmology/education , Primary Health Care , Quality of Health Care
12.
JPMI-Journal of Postgraduate Medical Institute. 2010; 24 (4): 318-322
in English | IMEMR | ID: emr-117950

ABSTRACT

To obtain information about the number of patients attended by general practitioners in different stages of schizophrenia; relevant knowledge, diagnostic skills and ongoing practice concerning management of patients suffering from severe mental illness. For this cross sectional survey conducted from May to September 2010, a semi-structured questionnaire, obtained and modified from that of Simon AE et al was distributed among general practitioners working in Bannu district. The participants were requested to fill the questionnaire anonymously and return it to research worker. Out of 100, 72 general practitioners responded to the request of filling the questionnaire. Among them 60 [85%] were males. Only 17% replied that they could spare more than half an hour for the assessment of schizophrenic patients. Sixty four percent reported delusions and hallucinations as the most frequent symptoms of schizophrenia. Seventy percent relied on personal history for diagnosis of schizophrenia. Sixty percent practitioners considered pharmacotherapy as the first line therapy. More than half of them wanted to continue treatment for six to twelve months in first psychotic episode. Seventy percent preferred to refer the patients to specialist care for complete handover. No one of the working practitioners participated in continuing medical education CME on schizophrenia during the past few months of their professional life. The knowledge of general practitioners about signs and symptoms of schizophrenia is reasonable but they lack interventional skills. They need easily accessible specialized services for referral and regular training programmes to update their knowledge


Subject(s)
Humans , Male , Female , General Practitioners/education , Schizophrenia , Surveys and Questionnaires
13.
Article in Spanish | LILACS, CUMED | ID: lil-414186

ABSTRACT

Se realizó un análisis de contenido de los programas de formación que se han aplicado desde el inicio de la especialidad, seleccionando aquellos vigentes en los momentos en que se producen los cambios y que determinan los etapas de referencia. En ellos se estudiaron las modificaciones aprobadas en cada uno, utilizando una guía de análisis de contenido de documentos escritos, elaborada a partir del modelo descrito en el Programa de Formación de este especialista. En los resultados se aprecia con claridad cómo el modelo del primer programa mantiene vigencia en su contenido y que las diferencias principales están basadas en el modo de estructurarlo. Se recomienda la necesidad de profundizar en investigaciones pedagógicas que aborden el proceso para alcanzar este modelo(AU)


Subject(s)
Family Practice/methods , General Practitioners/education , Models, Educational
14.
Washington; Organizaçäo Pan-Americana da Saúde. Human Resources Development Program; 1999. 29 p. ilus, tab.(OPAS. Series Human Resources Development, 17).
Monography in English | LILACS | ID: lil-247984

ABSTRACT

The present proporsal seeks to promote lines of action geared toward developing closer links between medical practice and medical education. Emphasis on the initial decentralized and generalist professional practice and preprofessional practice will in all probality provide feedback for the development of other aspectos of medical practice and education. To that end, two areas - international and national - have been targeted to foster greater coordination among the various efforts under way or waiting to be implemented


Subject(s)
Education, Medical , Professional Practice , Certification , Evidence-Based Medicine , Health Planning , General Practitioners/education , Delivery of Health Care/organization & administration
16.
RBM rev. bras. med ; 51(5): 527-33, maio 1994. tab, ilus
Article in Portuguese | LILACS | ID: lil-152144

ABSTRACT

Objetivando investigar as interacoes entre psiquiatras e clinicos na cidade de Uberaba, elaborou-se questionario com perguntas opinativas e descritivas acerca de psiquiatria, que foi enviado por carta a 321 medicos inscritos na Sociedade de Medicina de Uberaba. Recebidas 56 respostas seis foram exclidas por razoes tecnicas sendo entao analisadas 50 respostas (15,87) por centodas 315 consideradas. Os dados obtidos sugerem: 1- e precaria a comunicacao entre psiquiatras e clinicos; 2- ha uma insatisfacao do cllinico quanto ao atendimento psiquiatrico; 3- os clinicos usam frequentemente psicofarmacos e o fazem de maneira inadequada; 4-ha desconhecimentodo clinico quanto aos aspectos psicodinamicos da relacao medico-paciente.


Subject(s)
Humans , Education, Medical , General Practitioners/education
18.
In. Médici, André Cezar; Paim, Elsa Ramos; Machado, Maria Helena; Sayeg, Mario A; Nogueira, Roberto Passos. Textos de apoio: recursos humanos en saúde. s.l, Escola Nacional de Saúde Pública, 1987. p.65-88, tab. (ABRASCO/ENSP. Planejamento, 1).
Monography in Portuguese | LILACS | ID: lil-60979
19.
Rev. bras. educ. méd ; 9(3): 154-8, set.-dez. 1985. tab
Article in Portuguese | LILACS | ID: lil-68771

ABSTRACT

Em 1978, os docentes da Faculdade de Medicina de Botucatu expressaram, em questionário, as habilidades indispensáveis `a formaçäo do médico geral. As respostas do bloco clínico e cirúrgico foram classificadas em habilidades cognitivas, psicomotoras, afetivas e de senso crítico. Num total de 335 itens (näo repetidos), 61% relacionavam-se `a area cognitiva, 31,6% `a psicomotora, 4,2 `a efetiva e 3,2% a de senso crítico. No bloco clínico, as habilidades cognitivas foram mencionadas quase seis vezes mais que as psicomotoras. Quanto `as respostas de internos e residentes a 40 itens relativos a habilidades adquiridas ao final da graduaçäo, verificou-se maior percentual médio de SIM para capacitaçäo cognitiva do que para psicomotora, com percentual médio de afirmativas pouco maior para os residentes. A aquisiçäo de habilidades cognitivas importantes, como diagnóstico e tratamento do choque, de distúrbios funcionais de origem psíquica e de transtornos menstruais foi poucas vezes mencionada. Habilidades técnicas, como realizar pequenas cirurgias, punçäo torácica, manobras de reanimaçäo, imobilizaçäo de membros fraturados, exames ginecológico, tiveram pequena porcentagem de respostas afirmativas. Comparando-se respostas de internos e residentes, quanto ao desempenho psicomotor indispensável, segundo os docentes, conclui-se que o treinamento prático näo assegurou a capacitaçäo necessária `a formaçäo do médico geral. Säo discutidas hipóteses explicativas para o descompasso no treinamento nessas duas áreas


Subject(s)
Aptitude , Education, Medical , General Practitioners/education , Surveys and Questionnaires
SELECTION OF CITATIONS
SEARCH DETAIL