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1.
Rev. Assoc. Med. Bras. (1992) ; 68(2): 206-211, Feb. 2022. tab
Article in English | LILACS | ID: biblio-1365345

ABSTRACT

SUMMARY OBJECTIVE: A multicentric, cross-sectional study was carried out to determine the prevalence and risk factors for Coronavirus disease 2019 in medical students and residents from four universities and affiliated hospitals in Brazil. METHODS: A survey about contamination risk and symptoms was sent to all participants through email and WhatsApp. Prevalence was measured by the self-report of positive polymerase chain reaction or serological test. Univariate and multivariate analyses were performed, and odds ratio and 95% confidence interval were calculated. RESULTS: Prevalence of infection by Sars-CoV-2 was 14.9% (151/1011). The disease was more prevalent in residents and interns than in undergraduate students. Contact with an infected relative outside the hospital or with colleagues without using personal protective equipment was associated with higher contamination. Contact with patients without wearing goggles and higher weekly frequency of contact were the two factors independently associated with the infection by Coronavirus disease 2019 in the multivariate analysis. CONCLUSIONS: Medical students, interns, and residents have a higher prevalence of Coronavirus disease 2019 than the general population, in which the last two groups are significantly at higher risk. Contacting patients at a higher weekly frequency increases the risk for infection. The use of goggles should be reinforced when contacting patients.


Subject(s)
Humans , Students, Medical/statistics & numerical data , COVID-19/diagnosis , COVID-19/etiology , COVID-19/prevention & control , COVID-19/epidemiology , Internship and Residency/statistics & numerical data , Schools, Medical/statistics & numerical data , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Academic Medical Centers/statistics & numerical data , Personal Protective Equipment , SARS-CoV-2
2.
Coluna/Columna ; 20(3): 197-200, July-Sept. 2021. tab
Article in English | LILACS | ID: biblio-1339754

ABSTRACT

ABSTRACT Objective To identify the prevalence of low back pain and related factors among graduate medical students, and to measure the level of disability that this pain can cause in these students. Methods Data were collected virtually, through Google Forms. After signing an Informed Consent Form (ICF), the participants responded to a sociodemographic survey, and those who reported having low back pain responded to the Oswestry Disability Index. The data analysis was conducted in three stages, through the R Core Team 2020 statistic program, open-source and free software. The Chi-square Test and Fisher's Exact Test were used in the second and third stages. Results The study was composed of 200 participants, of whom 58% reported lumbar pain. Of those with pain, 94% had minimum scores on the disability scale. None of the variables showed a relevant connection, though BMI, sex, and use of Alcohol were notable for achieving p-values of around 0.05 or higher. Conclusion The prevalence of lumbar pain among the medical students was 58%, and no specific risk factors were identified. Furthermore, 94% of the students who reported lumbar pain had a minimum disability score and 6% a moderate score. None of the participants presented severe or greater disability. Level of evidence II; A descriptive cross-sectional study with a quantitative approach.


RESUMO Objetivo Identificar a prevalência de lombalgia e os fatores associados em acadêmicos de medicina e medir o grau de incapacidade que a dor pode causar nesses estudantes. Métodos Os dados foram coletados virtualmente, por meio do Google Forms. Depois da assinatura do Termo de Consentimento Livre e Esclarecido (TCLE), os participantes responderam a um questionário sociodemográfico e os que relataram dor lombar também preencheram o Índice de Incapacidade de Oswestry. A análise dos dados foi feita em três etapas, com o programa estatístico R Core Team 2020, software livre e de código aberto. Nas segunda e terceira etapas, foram aplicados o Teste do Qui-Quadrado e o Teste Exato de Fisher. Resultados O estudo constou de 200 participantes, dos quais 58% relataram dor lombar. Dentre as pessoas com dor, 94% tinham escore de incapacidade em escala mínima. Nenhuma das variáveis apresentou relação significativa, embora IMC, sexo e etilismo tenham demonstrado valor de p próximo de 0,05 ou superior. Conclusões A prevalência de dor lombar nos estudantes de medicina foi de 58%, e nenhum fator de risco específico foi identificado. Além disso, 94% dos acadêmicos que relataram dor lombar tiveram escore de incapacidade na escala mínima e 6% em escala moderada. Nenhum participante apresentou incapacidade grave ou maior. Nível de evidência II; Estudo descritivo transversal com abordagem quantitativa.


RESUMEN Objetivo Identificar la prevalencia de lumbalgia y factores asociados en estudiantes de medicina y medir el grado de discapacidad que el dolor puede causar en estos estudiantes. Métodos Los datos se recopilaron virtualmente a través de Google Forms. Después de firmar el Formulario de consentimiento informado (FCI), los participantes completaron un cuestionario sociodemográfico y aquellos que informaron dolor lumbar también completaron el Índice de Discapacidad de Oswestry. El análisis de los datos se realizó en tres etapas, con el programa estadístico R Core Team 2020, software libre y de código abierto. En la segunda y tercera etapa se aplicó la Prueba de Chi-Cuadrado y la Prueba Exacta de Fisher. Resultados El estudio consistió en 200 participantes, de los cuales, el 58% mencionó dolor lumbar. Entre las personas con dolor, el 94% tenía una puntuación de discapacidad en escala mínima. Ninguna de las variables mostró relación significativa, sin embargo se destacan IMC, sexo y consumo de alcohol que presentaron valor de p cercano a 0,05 o superior. Conclusiones La prevalencia de lumbalgia entre los estudiantes de medicina fue del 58% y no se identificó ningún factor de riesgo específico. Además, el 94% de los estudiantes que informaron dolor lumbar tenían puntuación de discapacidad en una escala mínima y el 6% en una escala moderada. Ningún participante tenía discapacidad grave o mayor. Nivel de evidencia II; Estudio descriptivo transversal con abordaje cuantitativo.


Subject(s)
Humans , Adolescent , Adult , Young Adult , Students, Medical/statistics & numerical data , Low Back Pain/epidemiology , Brazil/epidemiology , Prevalence , Cross-Sectional Studies
3.
Femina ; 49(6): 367-372, 20210630. tab
Article in Portuguese | LILACS | ID: biblio-1290580

ABSTRACT

Objetivo: Identificar os fatores associados à escolha da via de parto entre estudantes do curso de Medicina em uma universidade no Sul do país. Métodos: Estudo transversal realizado com estudantes de Medicina da Universidade do Sul de Santa Catarina (Unisul) ­ Tubarão, no período de julho a novembro de 2019. Resultados: Fizeram parte da pesquisa 423 alunos, homens e mulheres, dos aproximadamente 600 matriculados no período. A maioria dos alunos considerou o parto vaginal (PV) mais seguro, e 44,1% dos estudantes escolheriam essa via para si/sua companheira. O principal motivo pelo qual os alunos escolheram PV foi a "alta hospitalar precoce", e o principal motivo que levou à escolha de cesariana (PC) foi a "ausência de dor durante o parto". Houve associação entre renda mais baixa e a escolha do PV (p = 0,002). A via de parto pela qual o estudante nasceu também se associou com a que ele escolheria (p = 0,001). Ademais, houve significância estatística entre a via de parto que o aluno considerou mais segura e a que ele de fato escolheria (p = 0,001). Todas as alunas que já tiveram filhos realizaram PC. Conclusão: O fator mais relevante de escolha do PC foi a "ausência de dor durante o parto", enquanto do PV foi "alta hospitalar precoce".(AU)


Objective: To identify the factors associated with the choice of birth delivery route among medical students at a university in the south of Brazil. Methods: Cross-sectional study carried out with medical students from the University of Southern Santa Catarina (Unisul) ­ Tubarão, from July to November 2019. Results: Four hundred twenty three students took part in the research, men and women, out of the approximately 600 enrolled in the period. Most students considered vaginal delivery (VD) to be safer, and 44.1% of students would choose this route for their partner. The main reason why students chose VD was "early hospital discharge", and the main reason that led to the choice of cesarean section (CS) was "no pain during childbirth". There was an association between lower income and the choice of VD (p = 0.002). The route of delivery that the student was born was also associated with the one he would choose (p = 0.001). In addition, there was statistical significance between the route of delivery that the student considered safer with the one he would actually choose (p = 0.001). All female students who already had children underwent CS. Conclusion: The most relevant factor for choosing CS was "no pain during delivery", while for VD was "early hospital discharge".(AU)


Subject(s)
Humans , Female , Pregnancy , Students, Medical/statistics & numerical data , Choice Behavior , Parturition , Obstetrics/methods , Brazil , Cesarean Section/methods , Cross-Sectional Studies , Natural Childbirth/methods
4.
J. bras. psiquiatr ; 70(2): 91-98, abr.-jun. 2021. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1279304

ABSTRACT

OBJETIVO: Identificar a prevalência e fatores associados à síndrome de Burnout nos estudantes de Medicina. MÉTODOS: Estudo transversal com estudantes de Medicina de uma instituição privada de ensino na região Sul do Brasil. Utilizou-se o Maslach Burnout Inventory ­ Student Survey para a identificação da síndrome e um instrumento para a coleta de informações sociodemográficas, hábitos, rotina e situação acadêmica. Realizou-se análise descritiva dos dados e avaliaram-se associações entre as informações obtidas a partir do instrumento de coleta com a presença da síndrome de Burnout, utilizando-se razões de prevalência por meio do teste qui-quadrado ou teste de Fisher. Associações com valor de p < 0,25 foram inseridas em um modelo multivariado, em formato step-forward, utilizando-se regressão de Poisson. Foram consideradas significativas associações com valor de p < 0,05. RESULTADO: Quinhentos e vinte e dois (88,2%) alunos participaram da pesquisa. A prevalência da síndrome de Burnout foi de 12,3%. As associações com síndrome de Burnout que possuíram valor de p < 0,25 foram "não viver com parceiro", "residir sozinho", "dormir até cinco horas por dia", "ter até cinco horas semanais de lazer", "possuir pensamento suicida" e "realizar acompanhamento psicológico". Após inserir essas variáveis no modelo multivariado, identificou-se apenas 10% de maior probabilidade de síndrome de Burnout no estudante que relatou pensamento suicida, sendo esse o único fator associado encontrado à ocorrência de burnout (p < 0,001). CONCLUSÃO: A prevalência de síndrome de Burnout entre os acadêmicos de Medicina foi de 12,3%, e apenas a presença de pensamentos suicidas durante o curso foi associada à sua ocorrência.


OBJECTIVE: To identify the prevalence and factors associated with Burnout syndrome in medical students. METHODS: Cross-sectional study with medical students from a private educational institution in southern Brazil. The Maslach Burnout Inventory ­ Student Survey was used to identify the syndrome and an instrument for collecting sociodemographic information, habits, routine and academic situation. Descriptive analysis of the data was carried out and associations between related information were assessed using the collection instrument with the presence of Burnout syndrome, using the prevalence ratios using the chi-test or Fisher's test. Associations with a p-value < 0.25 were inserted in a multivariate model, in a step-forward format, using Poisson regression. They were considered signed with p value < 0.05. RESULT: Five hundred and twenty-two (88.2%) students participated in the survey. The prevalence of Burnout syndrome was 12.3%. Associations with Burnout syndrome that had a value of p < 0.25 were "not living with a partner", "living alone", "sleeping up to five hours a day", "having up to five hours a week of leisure", "having thoughts suicide" and "psychological counseling". After inserting these variables in the multivariate model, only 10% higher likelihood of Burnout syndrome was identified in the student who reported suicidal thinking, which is the only associated factor found with the occurrence of burnout (p < 0.001). CONCLUSION: The prevalence of Burnout syndrome among medical students was 12.3% and only the presence of suicidal thoughts during the course was associated with its occurrence.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Students, Medical/psychology , Suicidal Ideation , Burnout, Psychological/psychology , Burnout, Psychological/epidemiology , Students, Medical/statistics & numerical data , Chi-Square Distribution , Prevalence , Cross-Sectional Studies , Multivariate Analysis , Surveys and Questionnaires/standards
5.
J. bras. psiquiatr ; 70(2): 117-125, abr.-jun. 2021. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1279310

ABSTRACT

OBJETIVOS: Descrever a prevalência e fatores associados ao uso de bebidas alcoólicas entre estudantes de Medicina. Estimar a prevalência de tabagismo. MÉTODOS: Corte transversal com questionário autoaplicado a todos os estudantes de Medicina de uma universidade pública na Bahia (n = 616), matriculados do primeiro ao oitavo semestre. Análise multivariada por meio de Regressão de Cox identificou os fatores associados ao uso de bebidas alcoólicas, por meio de três desfechos: presença e frequência de uso e o padrão de uso denominado binge drinking. RESULTADOS: Foram estudados 556 estudantes (90,2% de resposta), entre os quais 58,7% bebem, 21% consomem álcool com uma frequência de pelo menos uma vez por semana e 36% fazem binge drinking. O público masculino e os mais ativos fisicamente no lazer apresentaram maiores prevalências de uso de bebidas alcoólicas, seja pela maior frequência de uso ou uso de mais doses em uma ocasião. Variáveis escolares se associaram a uma ou outra modalidade de mensuração do uso de álcool. A prevalência de tabagismo foi de 4,8%. CONCLUSÃO: O uso de bebidas alcoólicas e seu padrão de consumo foram altos na população estudada, consistente com outras populações de estudantes já investigadas. A baixa prevalência de tabagismo é consistente com a literatura, que admite o êxito de políticas públicas destinadas ao controle desse consumo no Brasil.


OBJECTIVES: To describe the prevalence and factors associated with the use of alcoholic beverages among medical students. Estimate the prevalence of smoking. METHODS: Cross-sectional study (census) with a self-administered questionnaire in medical students at a public university in Bahia (n = 616) enrolled from the first to the eighth semester. Multivariate analysis using Cox Regression identified the factors associated with the use of alcoholic beverages, through three outcomes: presence and frequency of use and the pattern of use called binge drinking. RESULTS: 556 students were studied (90.2% response), among which, 58.7% drink, 21% consume alcohol at least once a week and 36% do binge drinking. The male population and those more physically active at leisure time showed a higher prevalence of alcohol use, either due to the higher frequency of use or the use of more doses on one occasion. School variables were associated with one or another method of measuring alcohol use. The prevalence of smoking was 4.8%. CONCLUSION: The use of alcoholic beverages and their consumption pattern were high in the studied population, consistent with other student populations already investigated. The low prevalence of smoking is consistent with the literature that admits the success of public policies aimed at controlling this consumption in Brazil.


Subject(s)
Humans , Male , Female , Adult , Students, Medical/psychology , Students, Medical/statistics & numerical data , Tobacco Use Disorder/epidemiology , Alcohol Drinking/epidemiology , Prevalence , Cross-Sectional Studies , Multivariate Analysis , Surveys and Questionnaires/standards , Binge Drinking/psychology , Life Style
6.
Rev. Hosp. Ital. B. Aires (2004) ; 41(2): 61-70, jun. 2021. graf, ilus, tab
Article in Spanish | LILACS | ID: biblio-1254381

ABSTRACT

Introducción: el ejercicio de la docencia universitaria por parte de estudiantes de Medicina ofrecería múltiples beneficios. Sin embargo, no hay evidencia de que mejore el desempeño en los exámenes estandarizados en el posgrado. El objetivo de este estudio fue describir la diferencia de los puntajes en el examen de residencias médicas municipales entre ayudantes y no ayudantes, y evaluar la autopercepción del efecto de ser ayudante sobre el desempeño en dicho examen y sobre las habilidades académicas. Métodos: estudio observacional, descriptivo, de corte transversal, con un muestreo por conveniencia de médicos participantes del examen de residencias médicas municipales de la Ciudad Autónoma de Buenos Aires (CABA) de 2018, a partir del listado oficial. Se excluyeron aquellos a quienes fue imposible contactar, que se negaran a participar o cuya identidad discrepara con la de la persona seleccionada para incluir en el estudio. Resultados: de los 3579 médicos que concursaron en el examen de residencias médicas básicas municipales de CABA 2018, se tomó una muestra aleatoria de 300 sujetos, de los cuales se contactó a 87. De ellos, 20 sujetos cumplían con criterios de exclusión; por lo tanto fueron 67 sujetos los que finalmente participaron del estudio. La proporción de respuestas con respecto a los sujetos que pudieron ser contactados mediante redes sociales fue 77%. El puntaje de examen entre los ayudantes fue de 32,3 ± 5,7 puntos mientras que entre los no ayudantes fue 29,5 ± 6,1 puntos. Entre los ayudantes, el 68% informó percibir que el hecho de haber realizado una ayudantía en el pregrado tuvo un efecto de levemente a muy positivo sobre su desempeño en el examen, un 76% refirió la profundización de conocimientos específicos, el 73% informó una mejoría en sus habilidades comunicacionales y el 59% una mayor capacidad para jerarquizar contenidos. Conclusión: el desarrollo de una actividad docente en el pregrado sería percibida por quienes la desarrollan como una actividad promotora de habilidades comunicacionales y de jerarquización de contenidos y, ulteriormente, como una influencia positiva en el desempeño académico en el examen de residencias médicas municipales. Estas conclusiones deben confirmarse con estudios futuros. (AU)


Introduction: medical students could benefit from teaching university courses. However, there is no evidence showing that this activity improves academic performance on standardized tests in graduate school. The objective of this study was to describe the differences in scores on the municipal medical residency exam between physicians who were teaching assistants and those who weren't, and to evaluate the self-perception of the effect of being a teaching assistant on the performance on this exam and on academic skills in general. Methods: this is an observational, descriptive, cross-sectional study, with a convenience sample of physicians participating in the 2018 municipal medical residency exam of the Autonomous City of Buenos Aires (CABA) based on official lists. Those who could not be contacted, refused to participate, or whose identity diverged from the person selected to include in the study, were excluded. Results: of the 3,579 physicians who participated in the basic municipal medical residency exam in CABA 2018, a random sample of 300 subjects was taken, of which 87 were contacted. Of those, 20 subjects met the exclusion criteria, having 67 subjects finally participating in the study. The proportion of subjects who could be contacted through social networks was 77%. The exam score among physicians who were teaching assistants was 32.3 ± 5.7 points while among the non-teaching assistants it was 29.5 ± 6.1 points. Among the teaching assistants, 68% perceived that the fact of having been a teaching assistant as an undergraduate had a slight to very positive effect on their performance in the exam, 76% referred the deepening of their specific knowledge on the subject they taught, 73% reported an improvement in their communication skills, and 59% referred a greater ability to rank content. Conclusions: undergraduate teaching would be perceived as an activity that promotes communication skills and ability to rank content and, therefore, as a positive influence on academic performance in the municipal medical residency exam. These conclusions need to be confirmed with future studies. (AU)


Subject(s)
Humans , Students, Medical/statistics & numerical data , Academic Performance/statistics & numerical data , Internship and Residency/statistics & numerical data , Argentina , Professional Competence , Self Concept , Teaching , Universities , Cross-Sectional Studies , Learning
7.
Rev. ANACEM (Impresa) ; 15(1): 56-61, 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1281221

ABSTRACT

INTRODUCCIÓN: La producción científica ocupa un lugar importante en la formación de estudiantes de medicina. Siendo el objetivo de la Revista ANACEM la promoción temprana de la formación científica de los futuros profesionales médicos, es importante conocer quiénes publican en la revista y sus afiliaciones universitarias. OBJETIVO: Caracterizar a los autores de la revista ANACEM entre los años 2007 y 2018. Material y método: Estudio retrospectivo. La población estudiada fueron todos los autores con publicaciones en la revista ANACEM, excluyendo publicaciones dentro del mismo Volumen. Datos obtenidos directamente de los números publicados por ANACEM digitalmente. Se utilizó el programa Microsoft Excel® para el análisis estadístico. Resultados: Los Volúmenes 5, 6 y 7 fueron los que tuvieron más autores de pregrado. En la totalidad de los Volúmenes la mayoría de los autores fueron hombres, tanto estudiantes como docentes. Un 52,1% de los autores de pregrado fueron internos; mientras que la mayoría de los docentes, 43,7%, fueron médicos especialistas. La Universidad de Concepción fue la universidad con mayor cantidad de autores de pregrado y de docentes. Un 51,8% de los docentes informó afiliación a un hospital. La nacionalidad más común fue la chilena, con un 90,1% de la totalidad de los autores. Discusión: Se vio un aumento en la cantidad de autores de pregrado hasta el Volumen N°7, con un descenso posterior. Se atribuyó el cambio en la cantidad de autores a problemas en la gestión y divulgación de la revista. Las afiliaciones universitarias no fueron informadas siempre por los docentes. Las otras categorías siguen patrones esperados.


INTRODUCTION: Scientific production has an important place in the training of medical students, but there is no clear pictureof the authors in the ANACEM journal. For this reason, it is important to know who publishes in the magazine and their affiliations. OBJECTIVE: To characterize the authors of the ANACEM journal between 2007 and 2018. Material and method: Retrospective study. The population studied were all authors with publications in the ANACEM journal, excluding repeating publications within the same volume. The data was obtained directly from the numbers published by ANACEM digitally. The software used for statistical analysis was Microsoft Excel®. Results: Volumes 5, 6 and 7 had the most undergraduate authors. When analyzing all volumes, the majority of both student authors and professional authors were men. 52.1% of undergraduate authors were interns; while 43.7% of tutors were medical specialists. The university with the largest number of authors was Universidad de Concepción. 51.8% of professional authors reported affiliation to a hospital. The most common nationality was Chilean, with 90.1% of all authors. Discussion: There was an increase in the number of undergraduate authors up to volume n°7, with a subsequent decrease. Changes in the number of authors were attributed to problems in management and divulgation of the journal. Affiliation to universities was not always informed by professionals. The other categories follow expected patterns.


Subject(s)
Humans , Periodicals as Topic/statistics & numerical data , Authorship , Students, Medical/statistics & numerical data , Universities/statistics & numerical data , Retrospective Studies , Biomedical Research
8.
Rev. bras. educ. méd ; 45(1): e031, 2021. tab, graf
Article in English | LILACS | ID: biblio-1155912

ABSTRACT

Abstract: Introduction: Excessive daytime sleepiness (EDS) is characterized by an increased likelihood of initiating sleep at inappropriate times through involuntary naps and it negatively impacts performance in studies, work, family, and social relationships and increases the risk of accidents. Objective: This study evaluated the schedule and prevalence of EDS and its associated factors in medical students (using the PBL method), comparing it with students from other health courses (using the Traditional method). Methods: A cross-sectional study was carried out with 1152 university students who were attending courses in the health area. The presence of EDS was defined when scores >10 in the Epworth Sleepiness Scale (ESS) and the chronotype was assessed by means of the Morningness-Eveningness Questionnaire (MEQ). Using Stata 13.0 software, descriptive statistics, bivariate and multivariate analyses were performed, including interactions to fit the model. Results: The prevalence of EDS was 56.5% (95% CI, 53.6-59.4), and the mean ESS score was 11.1 (95% CI, 10.8-11.3). This value was lower among those who had morning chronotypes and was higher among medical students. 10.3% (n=119) of the students had a chronotype that was incompatible with the period of the course. The associated and independent factors for EDS were: female gender (PR, 1.14, 95% CI, 1.01-1.29), age between 16 and 19 years (PR, 1.20, 95% CI, 1.04-1.39), studying late at night and using cell phones before falling asleep (PR, 1.56, 95% CI, 1.02-2.38), not doing weekly physical activity (PR, 1.13, 95% CI, 1.02-1.25), and morning chronotype (PR, 0.87, 95% CI, 0.76-0.99). Not using cell phones before bedtime reduced the prevalence of EDS by 14%. Conclusions: This study demonstrated that the morning chronotype behaved as an independent protective factor for disorders of the circadian cycle. Performing weekly physical activity reduces EDS among students with intermediate and evening chronotypes.


Resumo: Introdução: A sonolência diurna excessiva (SDE) é caracterizada por uma maior probabilidade de o indivíduo iniciar o sono em horários inadequados por meio de cochilos involuntários, afeta negativamente o desempenho nos estudos, no trabalho e nas relações familiares e sociais, e aumenta o risco de acidentes. Objetivo: Este estudo teve como objetivo avaliar o cronotipo e a prevalência de SDE e seus fatores associados em estudantes de Medicina (método PBL). Para tanto, compararam-se os discentes de Medicina com os de outros cursos da área da saúde (método tradicional). Métodos: Trata-se de estudo transversal com 1.152 estudantes universitários matriculados em cursos de graduação da área da saúde. Definiu-se a presença de SDE quando se observaram escores > 10 na Epworth Sleepiness Scale (ESE), e o cronótipo foi avaliado por meio do instrumento Morningness-eveningness Questionnaire (MEQ). Por meio do software Stata 13.0, realizaram-se estatística descritiva e análises bivariadas e multivariadas, além de interações para que o estudo pudesse se ajustar ao modelo. Resultados: A prevalência de SDE foi de 56,5% (IC 95%, 53,6-59,4), e a pontuação média na ESE foi de 11,1 (IC 95%, 10,8-11,3). Esse valor foi menor entre os que apresentaram cronotipo matutino e maior entre os estudantes de Medicina. Dos alunos que participaram do estudo, 10,3% (n = 119) apresentaram um cronotipo incompatível com o período do curso. Os fatores associados e independentes para a SDE foram: sexo feminino (RP, 1,14, IC 95%, 1,01-1,29), idade entre 16 e 19 anos (RP, 1,20, IC 95%, 1,04-1,39), hábito de estudar de madrugada, uso de celular antes de dormir (RP, 1,56, IC 95%, 1,02-2,38), não praticar atividade física semanal (RP, 1,13, IC 95%, 1,02-1,25) e cronótipo matutino (RP, 0,87, IC 95%, 0,76-0,99). Não usar telefones celulares antes de dormir reduziu a prevalência de SDE em 14%. Conclusões: Este estudo demonstrou que o cronotipo matutino se comportou como um fator protetor independente para distúrbios do ciclo circadiano. A prática de atividade física semanal reduziu a prevalência SDE entre universitários com cronotipos intermediário e noturno.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Students, Health Occupations/statistics & numerical data , Students, Medical/statistics & numerical data , Circadian Rhythm , Disorders of Excessive Somnolence/epidemiology , Brazil/epidemiology , Exercise , Prevalence , Cross-Sectional Studies , Sleep Disorders, Circadian Rhythm/epidemiology
9.
Rev. bras. educ. méd ; 45(4): e193, 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1341007

ABSTRACT

Resumo: Introdução: Um dos maiores desafios em avaliar a formação médica é mensurar habilidades práticas, transpondo os limites do conhecimento teórico. O OSCE é uma alternativa de avaliação ativa e padronizada das competências clínicas. Apesar da sua crescente implementação, ainda são escassos os estudos longitudinais que subsidiem seu potencial avaliativo. Objetivo: Analisar a curva de aprendizagem dos estudantes de medicina com base na avaliação evolutiva de seus desempenhos nos OSCE de Urgência e Emergência. Método: Estudo retrospectivo a partir da análise de checklists avaliativos de três OSCE consecutivos, aplicados ao longo de 2019 a alunos do sexto ano de medicina da Universidade Positivo, na disciplina de Urgência e Emergência. Resultado: Foram analisados 270 checklists, aplicados a 90 alunos. Desse grupo, 51 (56,7 pontos percentuais) eram do gênero feminino e 69 (76,7 pontos percentuais) tinham entre 23 e 26 anos. Entre o primeiro e terceiro OSCE, 67 alunos (74,4 pontos percentuais) obtiveram um acréscimo significativo na nota final, cuja mediana foi elevada em 1,5 ponto. A partir da análise da evolução por componentes - conduta, reconhecimento, interação e seguimento - observou-se aumento no percentual de acertos em conduta (15,5 pontos percentuais), manutenção em reconhecimento, decréscimo tanto em interação (19,4 pontos percentuais) quanto em seguimento (16,1 pontos percentuais). Conclusão: O estudo aponta uma curva crescente das notas nos exames OSCE, sugerindo um aumento no aprendizado geral em Urgências e Emergência ao longo do ano. No entanto, a análise minuciosa dos componentes revela diferentes curvas de desempenho. Não sendo possível supor as causas destes contrapontos, são sugeridos mais estudos na área.


Abstract: Introduction: One of the major challenges in evaluating medical education is measuring practical skills, crossing the limits of theoretical knowledge. The Objective Structured Clinical Examination (OSCE) is an alternative for active and standardized assessment of clinical competencies. Despite its growing implementation, longitudinal studies that support its evaluative potential are still scarce. Objective: To analyze the learning curve of medical students based on continuous assessment of their OSCE exams and individual performances within the discipline of Urgent and Emergency Care. Method: This retrospective study is based on the analysis of data taken from assessment checklists from three consecutive OSCEs applied to sixth-year Brazilian medical students within the Urgent and Emergency Care program of the 2019 academic year. Result: 270 assessment sheets from a total of 90 students were analyzed. The group was made up of 51 females (56.7 percentage points) and 69 of the students (or 76.7 percentage points) were aged between 23 and 26 years old. Between the first and third OSCE, 67 students (74.4 percentage points) increased their final grade, the median of which increased by an average of 1.5 points. Of the four medical components evaluated - conduct, recognition, interaction and follow-up - there was an improvement of 15.5 percentage points in correct conduct, zero impact on the results concerning recognition and drops of 19.4 and 16.1 percentage points in the areas of communication and follow-up, respectively. Conclusion: The study points to an increasing curve in OSCE scores, suggesting an increase in general learning in Urgent and Emergency Care over the course of the year. However, careful analysis of the components reveals different performance curves. Since it is not possible to presume the causes of these counterpoints, further studies in the area are suggested.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Students, Medical/statistics & numerical data , Clinical Competence , Educational Measurement/methods , Emergency Medical Services , Retrospective Studies , Checklist , Learning
10.
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1152774

ABSTRACT

Este artículo es un análisis de la composición por grado y sexo del plantel docente de la Facultad de Medicina. Se espera contribuir a la discusión sobre los factores estructurales que determinan y condicionan las trayectorias docentes en la facultad. Estos factores generan y reproducen desigualdades de género, que podrían ser anuladas modificando los esquemas explícitos e implícitos que habilitan su existencia. Se relevó y procesó información (de grado y sexo) proveniente de las páginas web actualizadas de 36 servicios de la Facultad que incluyó a 887 docentes. Luego del análisis de los datos analizados en el artículo, enfatizamos que es necesario romper con los esquemas que producen y reproducen los modelos hegemónicos, dando lugar a nuevas formas de relacionamiento entre los géneros, a deconstruir el formato tradicional de la carrera docente. Es una discusión que debería involucrar a todos los órdenes universitarios y a todos los individuos que los componen, independientemente del género.


This article is an analysis of the composition by grade and sex of the teaching staff of the Faculty of Medicine. It is expected to contribute to the discussion on the structural factors that determine and condition the teaching paths in the faculty. These factors generate and reproduce gender inequalities, which could be annulled by modifying the explicit and implicit schemes that enable their existence. Information (of grade and gender) was collected and processed from the updated web pages of 36 services of the Faculty, which included 887 teachers. After analyzing the data analyzed in the article, we emphasize that it is necessary to break with the schemes that produce and reproduce the hegemonic models, giving rise to new forms of relationship between genders, to deconstruct the traditional format of the teaching career. It is a discussion that should involve all university orders and all the individuals that compose them, regardless of gender.


Este artigo é uma análise da composição por série e sexo do corpo docente da Faculdade de Medicina. Espera-se contribuir para a discussão sobre os fatores estruturais que determinam e condicionam os percursos pedagógicos na faculdade. Esses fatores geram e reproduzem as desigualdades de gênero, que poderiam ser anuladas modificando os esquemas explícitos e implícitos que possibilitam sua existência. As informações (de série e gênero) foram coletadas e processadas nas páginas atualizadas da web de 36 serviços da Faculdade, que incluíram 887 professores. Após a análise dos dados analisados ​​no artigo, destacamos que é necessário romper com os esquemas que produzem e reproduzem os modelos hegemônicos, dando origem a novas formas de relação entre os gêneros, para desconstruir o formato tradicional da carreira docente. É uma discussão que deve envolver todas as ordens universitárias e todos os indivíduos que as compõem, independentemente do gênero.


Subject(s)
Humans , Male , Female , Faculty, Medical/statistics & numerical data , Gender Inequality , Students, Medical/statistics & numerical data , Uruguay , Sex Distribution
11.
Rev. Hosp. Ital. B. Aires (2004) ; 40(3): 127-131, sept. 2020. tab
Article in Spanish | LILACS | ID: biblio-1129089

ABSTRACT

Introducción: Los aspirantes a las residencias en salud pertenecen a una generación que suele preferir instituciones flexibles y poco estructuradas para avanzar en su desarrollo profesional. Objetivo: Nos propusimos explorar cuáles son las motivaciones de los aspirantes en la elección de la institución en donde llevarán a cabo su residencia. Material y métodos: Se realizó un estudio de corte transversal a través de una encuesta anónima a todos los aspirantes a las residencias médicas. Se evaluaron edad, sexo, universidad de procedencia, especialidad elegida, preferencia de tipo de gestión y la descripción de las tres condiciones que consideran más importantes para elegir una institución en orden de importancia. Resultados: Se analizaron 1113 encuestas y el 59% correspondieron a mujeres. Las primeras tres condiciones elegidas fueron: 1.°) calidad académica (65,4%), prestigio institucional (16%) y caudal y complejidad de pacientes (5,9%); 2.°) clima de aprendizaje (21,6%), calidad académica (20%) y prestigio institucional (18,8%) y 3.°) clima de aprendizaje (16,1%), condiciones laborales (16,1%) y calidad académica (14,5%). No se encontró asociación entre las motivaciones para elegir una institución y sexo, universidad de origen, tipo de especialidad o preferencia de gestión. Conclusión: Los aspirantes a las residencias valoran en primer lugar los aspectos vinculados con su formación académica. Por otra parte, es relevante la importancia adjudicada al clima de aprendizaje y las condiciones laborales. (AU)


Introduction: Applicants to health care residences belong to a generation that often prefers flexible and unstructured institutions to develop their professional development. Objective: We set out to explore what the applicants' motivations are in choosing the institution where they will carry out their residence. Material and methods: A cross-sectional study was conducted through an anonymous survey of all applicants to medical residences. Age, sex, university of origin, chosen specialty, management type preference and the description of the three conditions that they consider most important to choose an institution in order of importance were evaluated. Results: 1,113 surveys were analyzed and 59% were women. The first three conditions chosen were: 1st) academic quality (65.4%), institutional prestige (16%) and wealth and complexity of patients (5.9%); 2nd) learning climate (21.6%), academic quality (20%) and institutional prestige (18.8%) and 3rd) learning climate (16.1%), conditions labor (16.1%) and academic quality (14.5%). No association was found between the motivations for choosing an institution and sex, home university, type of specialty or management preference. Conclusion: Applicants to residences value first the aspects related to their academic training. On the other hand, the importance attached to the climate of learning and working conditions. (AU)


Subject(s)
Humans , Male , Female , Students, Medical/statistics & numerical data , Internship and Residency/trends , Argentina , Physicians/trends , Schools/statistics & numerical data , Working Environment/statistics & numerical data , Working Conditions , Cross-Sectional Studies , Surveys and Questionnaires , Professional Training , Burnout, Psychological , Health Facility Environment/statistics & numerical data , Internship and Residency/statistics & numerical data , Job Satisfaction
12.
Int. j. morphol ; 38(4): 825-830, Aug. 2020. tab, graf
Article in English | LILACS | ID: biblio-1124861

ABSTRACT

In Southern Medical University, China, 1,200 medical students study neuroanatomy every year, whereas in Ajou University, Korea, only 45 medical students study neuroanatomy. The considerable difference of student numbers results in differences in educational situations. The purpose of this study was to investigate desirable neuroanatomy education methods for large and small numbers of students. The situations of neuroanatomy education in China and Korea were compared systematically. With a questionnaire survey, positive comments and recommendations for their counterparts were collected from the medical students (168 Chinese and 41 Koreans) and anatomists (6 Chinese and 3 Koreans). By reviewing the opinions, the Chinese and Korean anatomists could learn from each other to improve their strong points and make up for the weak points. The results also disclosed the common problems of neuroanatomy education, which could be relieved by developing the fitting book and the self-learning tools, such as lecture videos and stereoscopic computer models.


En la Universidad de Medicina del Sur, China, 1.200 estudiantes de medicina estudian la neuroanatomía cada año, mientras que en la Universidad de Ajou, Corea, solo 45 estudiantes de medicina estudian neuroanatomía. Esta considerable variable del número de estudiantes resulta en diferencias en las situaciones educativas. El propósito de este estudio fue investigar métodos de educación en neuroanatomía deseables para cantidades mayores y menores de estudiantes. Se compararon sistemáticamente las situaciones de educación en neuroanatomía en China y Corea. Por medio de una encuesta por cuestionario, se obtuvieron comentarios positivos y recomendaciones para sus contrapartes de los estudiantes de medicina (168 chinos y 41 coreanos) y anatomistas (6 chinos y 3 coreanos). Al revisar las opiniones, los anatomistas chinos y coreanos podrían aprender unos de otros para mejorar sus puntos de fortaleza y compensar los aspectos débiles. Los resultados también revelaron los problemas comunes de la educación en neuroanatomía, que podrían aliviarse desarrollando el libro de adaptación y las herramientas de autoaprendizaje, como videos de conferencias y modelos de computadora estereoscópica.


Subject(s)
Humans , Students, Medical/psychology , Anatomists/psychology , Neuroanatomy/education , Students, Medical/statistics & numerical data , China , Surveys and Questionnaires , Republic of Korea , Neuroanatomy/methods
14.
Gac. méd. Méx ; 156(1): 40-46, ene.-feb. 2020. tab
Article in Spanish | LILACS | ID: biblio-1249868

ABSTRACT

Resumen Introducción: Estudiantes de medicina reportan mayor ansiedad que estudiantes de otras carreras. El conocimiento sobre su bienestar psicológico es escaso. Objetivo: Identificar factores sociodemográficos y académicos predictores del nivel de ansiedad y bienestar psicológico en estudiantes mexicanos de medicina. Método: Estudio transversal de estudiantes mexicanos de medicina de primer (n = 59), tercer (n = 43) y quinto semestre (n = 59), que contestaron un cuestionario sociodemográfico, la Escala de Ansiedad de Beck, la Escala de Bienestar Psicológico para Adultos y la Escala de Evaluación de la Cohesión y la Adaptabilidad Familiar. Resultados: Las mujeres presentaron mayor ansiedad (p < 0.01). La ansiedad en hombres fue similar en los distintos semestres (p > 0.05); las mujeres de tercer y quinto semestre fueron más ansiosas que las del primero (p < 0.01). Ansiedad y bienestar psicológico correlacionaron negativamente (p < 0.001). Se identificaron los subgrupos “Menor ansiedad, mayor bienestar” y “Mayor ansiedad, menor bienestar”, y una regresión logística identificó que ser mujer (OR = 4.70) y no profesar alguna religión (OR = 2.49) son factores predictores de mayor ansiedad. Conclusiones: Las estudiantes de medicina constituyen una población de riesgo para mayor ansiedad y menor bienestar psicológico, lo que compromete su aprendizaje, calidad de vida y futuro ejercicio profesional.


Abstract Introduction: Medical students report higher levels of anxiety than students from other majors. Knowledge about their psychological well-being is scarce. Objective: To identify sociodemographic and academic factors that predict the level of anxiety and psychological well-being in Mexican medical students. Method: Cross-sectional study of Mexican medical students of first (n = 59), third (n = 43) and fifth semester (n = 59), who answered a sociodemographic questionnaire, Beck Anxiety Inventory, the Psychological Well-being Scale for adults and the Family Adaptability and Cohesion Evaluation Scale. Results: Females showed higher levels of anxiety (p < 0.01). Anxiety in males was similar in the different semesters (p > 0.05); women of third and fifth semesters were more anxious than those at first semester (p < 0.01). Anxiety and psychological well-being were negatively correlated (p < 0.001). The “Less anxiety, higher level of well-being” and “More anxiety, lower level of well-being” subgroups were characterized, and a logistic regression identified that being a woman (OR = 4.70) and not practicing any religion (OR = 2.49) are predictive factors of higher levels of anxiety. Conclusions: Female medical students constitute a population at risk for higher levels of anxiety and less psychological well-being, which compromises their learning, quality of life and future professional practice.


Subject(s)
Humans , Male , Female , Young Adult , Anxiety/epidemiology , Students, Medical/psychology , Mental Health/statistics & numerical data , Psychological Tests , Religion and Psychology , Students, Medical/statistics & numerical data , Logistic Models , Sex Factors , Cross-Sectional Studies , Academic Performance , Mexico/epidemiology
15.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(6): 556-567, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1055335

ABSTRACT

Objective: To examine predictors associated with quality of life (QoL) in Brazilian medical students. Methods: PubMed, PsycINFO, EMBASE, LILACS, and Google Scholar were searched for research articles in English or Portuguese published through August 2018. Observational studies that measured QoL with standard instruments were selected. Three instruments were used to evaluate QoL: the World Health Organization QoL questionnaires (WHOQOL-Bref and WHOQOL-100) and 36-item Short Form Health Survey (SF-36). Hedges' g was used to calculate effect sizes. A random-effects model was used in meta-analyses. PRISMA guidelines were followed. Results: The initial search retrieved 8,504 articles; 24 met the eligibility criteria for systematic review, and seven for meta-analyses of gender (n=3,402 students). Predictors of QoL such as gender, years of medical school(years of study), economic class, educational environment, academic efficacy, depression, burnout, resilience, empathic concern, sleep difficulties, chronic illness, body mass index, and leisure-time physical activity were identified in the systematic review. The most frequent predictors of QoL detected in Brazilian medical students were associated with gender and years of study. Conclusions: Female medical students had lower QoL scores in the physical health and psychological domains of WHOQOL-Bref compared to male students. Specific interventions should be designed for this group as appropriate. Systematic review registry number: PROSPERO CRD-42018102259.


Subject(s)
Humans , Male , Female , Quality of Life/psychology , Students, Medical/statistics & numerical data , Brazil , Surveys and Questionnaires , Mental Disorders/psychology
16.
Rev. Assoc. Med. Bras. (1992) ; 65(12): 1454-1458, Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1057083

ABSTRACT

SUMMARY OBJECTIVE Evaluate the quality of sleep and its association with the use of computers and cell-phones among medicine and dentistry students. METHODS Cross-sectional and comparative study, which evaluated 425 students through a socioeconomic questionnaire, the Pittsburgh Sleep Quality Index(PSQI), and a questionnaire on their use of computers and cell phones. RESULTS Poor sleep quality was observed in 61.4% of medical students and in 60.1% of dentistry students. Medical students with poor sleep quality had a higher mean time of computer use at night when compared to those with good sleep quality (p=0.04), as well as for computer (p<0.001) and cell phone use (p<0.01) immediately before bedtime. Dentistry students with poor sleep quality had a higher average time of computer use before bedtime than those with good sleep quality (p=0.03). CONCLUSION Students should receive guidance on prevention strategies and quality of sleep care.


RESUMO OBJETIVO Avaliar a qualidade de sono e sua associação com uso de computadores e celulares em estudantes de medicina e odontologia. MÉTODOS Estudo transversal e comparativo, que avaliou 425 estudantes por meio de questionário socioeconômico, Índice de Qualidade do Sono de Pittsburgh (PSQI) e uso de computador e telefone celular. RESULTADOS Sono de má qualidade foi observado em 61,4% dos estudantes de medicina e em 60,1% de odontologia. Para os estudantes de medicina, os tempos médios de uso de computador durante a noite (p=0,04) e computador (p<0,001) e celular (p<0,001) imediatamente antes de dormir foram maiores para os estudantes com má qualidade de sono. Para os estudantes de odontologia, o tempo médio de uso do computador imediatamente antes de dormir foi maior para aqueles com má qualidade de sono (p=0,03). CONCLUSÃO Os estudantes devem receber orientações sobre estratégias de prevenção e cuidados com a qualidade do sono.


Subject(s)
Humans , Male , Female , Sleep , Sleep Wake Disorders/epidemiology , Students, Dental/statistics & numerical data , Students, Medical/statistics & numerical data , Computers/statistics & numerical data , Cell Phone Use/statistics & numerical data , Socioeconomic Factors , Time Factors , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Statistics, Nonparametric
17.
Rev. Assoc. Med. Bras. (1992) ; 65(11): 1362-1367, Nov. 2019. tab
Article in English | LILACS | ID: biblio-1057078

ABSTRACT

SUMMARY BACKGROUND: We intend to estimate the Burnout Syndrome prevalence and its associated factors among medical internship students at a public university in northeastern Brasil, besides investigating the Balint Group (BG) contribution in its prevention. METHODS: We conducted a cross-sectional study in February/2018 with Medical Internship Students at the University researched. We applied a structured questionnaire developed by the authors about socio-demographic data, educational process with BG participation, and current psycho-emotional experiences, in addition to the Maslach Burnout Inventory - Student Survey (MBI-SS), for Burnout Syndrome screening. We performed descriptive data analysis, logistic regression, and cluster analysis. RESULTS: A total of 184 students (98%) participated in the study, with a mean age of 25.9±3.9 years, of which 54.9% were men. The prevalence of Burnout Syndrome was 10.3% based on the three-dimensional criterion and 35.9% on two-dimensional criterion (Exhaustion and Cynicism); it was higher in those who thought about quitting the program (OR=2.14), were dissatisfied with the teaching strategies (OR=2.67) and their performance (OR=2.64) and made use of licit drugs (OR=2.37). The variables associated with Burnout Syndrome allowed individuals to be discriminated, classifying them into three subgroups. Burnout Syndrome prevalence decreased, and vulnerability factors were attenuated when there was a higher frequency of students participating in BG. CONCLUSIONS: The prevalence of two-dimensional Burnout Syndrome was high, with factors associated with the educational process. Participation in BG was associated with a lower Burnout rate prevalence. Longitudinal studies should be conducted.


RESUMO OBJETIVO: Estimar a prevalência de Síndrome de Burnout (SB) e fatores associados entre os internos de medicina de uma universidade pública no Nordeste do Brasil, além de investigar a contribuição do Grupo Balint (GB) na sua prevenção. MÉTODOS: Estudo transversal em fevereiro/2018 com os internos de medicina da universidade pesquisada. Aplicou-se um questionário estruturado elaborado pelos autores sobre características sociodemográficas, processo educacional com participação do GB e vivências psicoemocionais atuais, além do Maslach Burnout Inventory - Student Survey (MBI-SS) para triagem de SB. Realizaram-se análise descritiva, regressão logística e análise de agrupamentos. RESULTADOS: Participaram 184 estudantes (98%), com idade média de 25,9±3,9 anos, sendo 54,9% do sexo masculino. A prevalência de SB foi 10,3% pelo critério tridimensional e 35,9% pelo bidimensional (Exaustão e Descrença), sendo maior naqueles que pensaram em abandonar o curso (OR=2,14), estavam insatisfeitos com as estratégias de ensino (OR=2,67) e com seu desempenho acadêmico (OR=2,64) e faziam uso de drogas lícitas (OR=2,37). As variáveis associadas à SB permitiram discriminar os indivíduos classificando-os em três subgrupos. A prevalência de SB diminuiu e fatores de vulnerabilidade foram atenuados quando houve maior frequência de estudantes participantes do GB. CONCLUSÕES: A prevalência de SB pelo critério bidimensional foi alta, com fatores associados ao processo educacional. A participação no GB foi associada à menor prevalência de SB. Estudos longitudinais devem ser realizados.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Students, Medical/psychology , Burnout, Psychological/epidemiology , Internship and Residency/statistics & numerical data , Socioeconomic Factors , Students, Medical/statistics & numerical data , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Risk Factors , Middle Aged
18.
Medicina (B.Aires) ; 79(5): 384-390, oct. 2019. tab
Article in Spanish | LILACS | ID: biblio-1056735

ABSTRACT

Según la Asociación Americana de Facultades de Medicina existen 13 actividades profesionales confiables que los graduados de medicina deberían poder realizar en su primer día de residencia sin supervisión directa. Esas actividades no están claramente definidas en nuestro país. Además, no existen datos locales sobre la necesidad de su supervisión. Nuestro objetivo fue evaluar la opinión de residentes y docentes acerca del nivel de supervisión que requieren los médicos ingresantes al sistema de residencias para realizar esas actividades. Se efectuó un estudio de corte transversal. Se incluyeron residentes de primer año de especialidades clínicas y quirúrgicas y sus docentes. Se enviaron encuestas electrónicas o en papel, con participación voluntaria y anónima. Se investigó la estimación sobre el nivel de supervisión que requerían los médicos ingresantes durante el primer mes de formación para 13 actividades. Se observaron diferencias significativas entre la evaluación hecha por residentes (n = 71) y los docentes (n = 39) en 11 de 13 de esas actividades. Más de la mitad de los docentes consideró que los residentes requerían supervisión directa para realizarlas, con las excepciones de formular interrogatorios clínicos y buscar evidencia. La mayoría de los residentes consideró que se requería supervisión directa solo en seis de ellas. En conclusión, los residentes estimaron requerir menor supervisión que sus docentes, quienes pensaban que los ingresantes al sistema de residencia no eran capaces de realizar la mayoría de las competencias clínicas de manera autónoma. Sería importante mejorar esta evaluación en los recién graduados, para definir con mayor precisión los niveles de supervisión.


According to the Association of American Medical Colleges, there are thirteen core Entrustable Professional Activities (EPAs) that medical graduates should be able to perform in their first day of residency, without direct supervision. In Argentina EPAs are not clearly defined. Moreover, there is no local data about the need of supervision regarding these activities. The aim of this study was to assess residents' and teaching physicians' estimations about the level of supervision that physicians in their first month of residency needed in order to perform EPAs. A cross-section study was conducted. First-year medical residents and teaching physicians were included. Electronic or paper surveys were sent, asking the level of supervision the participants estimated that residents needed to perform the 13 core EPAs, during their first month of residency. Participation was voluntary and anonymous. There were significant differences between the opinion of residents (n = 71) and teaching physicians (n = 39), for 11 out of 13 EPAs. More than half of the teaching physicians considered that residents needed direct supervision when performing EPAs, except for asking clinical questions and looking for evidence. Most residents thought that they required direct supervision in 6 EPAs. In conclusion, medical residents perceived the need of lower levels of supervision when compared to teaching physicians, who considered that medical graduates were not capable of performing most EPAs without direct supervision upon entering residency. Thus, it would be important to improve the procedures to evaluate the competences of medical graduates in order to establish more accurate supervision levels.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Students, Medical/statistics & numerical data , Faculty, Medical/statistics & numerical data , Internship and Residency/organization & administration , Internship and Residency/statistics & numerical data , Medical Staff, Hospital/organization & administration , Medical Staff, Hospital/statistics & numerical data , Argentina , Reference Values , Cross-Sectional Studies , Surveys and Questionnaires , Clinical Competence/statistics & numerical data , Educational Measurement/statistics & numerical data
19.
Rev. Hosp. Ital. B. Aires (2004) ; 39(3): 86-93, sept. 2019. graf., tab.
Article in Spanish | LILACS | ID: biblio-1048273

ABSTRACT

Introducción: en el proceso de enseñanza-aprendizaje existen múltiples conflictos al momento de seleccionar el tipo de evaluación que debería aplicarse a estudiantes de Medicina. Nuestro objetivo es comparar diferencias en la media de notas de tres modalidades de examen (oral, escrito para desarrollar y preguntas de opción múltiple) para así determinar cómo estas podrían afectar el desempeño de los estudiantes de Medicina en el campo de la Farmacología. Material y métodos: estudio cuasi experimental con una intervención no aleatorizada en una muestra por conveniencia de estudiantes de Medicina. A fin de evaluar diferencias en la media de notas se hizo un análisis ANOVA para muestras pareadas y luego los correspondientes tests de T para muestras pareadas. Resultados: enrolamos inicialmente a 36 estudiantes; 7 fueron excluidos (4 por ausencia y 3 por abandono), y se obtuvieron 29 participantes. La media de notas del examen oral y la de preguntas de opción múltiple fueron ambas significativamente superiores a la del examen escrito para desarrollar (oral vs. escrito: diferencia 1,8 puntos; IC 95% 0,8 a 2,7; p < 0,01; opción múltiple vs. escrito: diferencia 2,1 puntos; IC 95% 1,4 a 2,9; p < 0,01). No hubo diferencias estadísticamente significativas entre las notas medias del examen oral y del examen de preguntas de opción múltiple (p = 0,37). Conclusión: los estudiantes de Medicina obtienen peores notas en el examen escrito para desarrollar en Farmacología, en relación con los exámenes oral y de preguntas de opción múltiple. Esto posiblemente se asocie al hecho de que aquella modalidad es menos frecuentemente empleada en la carrera de Medicina. (AU)


Introduction: in the teaching-learning process, there are many problems in the selection of the most suitable type of exam for evaluating medical students. Our target was to compare differences in the average grade of medical students upon taking three different types of exam (oral, written, and multiple-choice questions) to determine how these different types of exam may affect the performance of medical students in the area of Pharmacology. Material and methods: we conducted a quasi experimental study by applying a non-randomized intervention to a convenience sample of medical students. To evaluate differences in the average grades among three groups, an ANOVA analysis was applied followed by paired T-tests. Results: we initially enrolled 36 students; 7 were excluded (4 were absent and 3 abandoned the intervention), arriving at a total sum of 29 participants. The average grades of the oral exam and multiple-choice questions were both significantly higher than the written exam (oral vs. written: difference 1.8 points; 95%CI 0.8 to 2.7, p < 0.01; multiple-choice vs. written: difference 2.1 points, 95%CI 1.4 to 2.9, p < 0.01). There were no significant differences between the average grades on the oral exam and the multiple-choice exam (p = 0.37). Conclusion: medical students have worse grades on written exams in Pharmacology, as compared to oral and multiple-choice exams. This could possibly be associated with the fact that this type of exam is less frequently applied in Medical School. (AU)


Subject(s)
Humans , Male , Female , Adult , Young Adult , Pharmacology/education , Educational Measurement/statistics & numerical data , Test Taking Skills/statistics & numerical data , Students, Medical/statistics & numerical data , Teaching/education , Examination Questions , Academic Performance/statistics & numerical data , Learning
20.
Rev. bras. neurol ; 55(3): 5-8, jul.-set. 2019.
Article in Portuguese | LILACS | ID: biblio-1022871

ABSTRACT

Cefaleia é um sintoma de alta prevalência, com importante impacto nas atividades da vida diária. Estudante de medicina é uma população vulnerável à cefaleia, tanto devido a uma carga de trabalho exaustiva, como hábitos favoráveis como a privação do sono, alimentação irregular, sedentarismo e estresse. O objetivo foi avaliar a prevalência da cefaleia e seu impacto nos estudantes de medicina de uma universidade pública de Alagoas. Foram selecionados, de forma aleatória, 97 estudantes de medicina regularmente matriculados do 1º ao 6º ano. Foi aplicado um questionário padronizado e validado contendo questões objetivas e subjetivas sobre condições sociodemográfcas e aspectos clínico-epidemiológicos. A prevalência de cefaleia foi de 95,9%. A maioria do gênero feminino (55,3%). Todos que alegaram cefaleia, a relataram em algum momento, como causa de absenteísmo e comprometimento de rendimento nos estudos. A maioria dos casos positivos afrmaram nunca ter realizado tratamento com neurologista (95,9%). 76,5% alegaram automedicação com analgésicos comuns, apresentando relevância estatística (p:0,0). Foi encontrado um percentual de prevalência maior no sexo feminino, corroborando com a literatura. Houve uma atribuição da cefaleia a períodos de maior estresse durante o semestre letivo, logo é sabido que são vários os fatores descritos como desencadeantes ou atenuantes no aparecimento. Tendo em vista o relato de absenteísmo e comprometimento de rendimento, bem como a não procura de especialista e automedicação, é necessário que haja uma orientação a estes estudantes a fm de incentivá-los à busca pelo tratamento adequado, a fm de terem uma melhor qualidade de vida.


Headache is a symptom of high prevalence, with important impact on the activities of daily living. Medical student is a vulnerable population to headache due to an exhausting workload, as well as favorable habits like sleep deprivation, irregular eating, physical inactivity and stress. The objective was to evaluate the prevalence of headache and its impact on medical students at a public university in Alagoas. 97 medical students from the 1st to the 6th grade were randomly selected. A standardized and validated questionnaire containing objective and subjective questions about sociodemographic conditions and clinical-epidemiological aspects was applied. The prevalence of headache was 95.9%. The majority was female gender (55.3%). All the positives cases reported the headache as a cause of absenteeism and impaired performance in the studies, it at some point. Most of the positive cases reported never having treated with a neurologist (95.9%). 76.5% claimed self-medication with common analgesics, presenting statistical relevance (p: 0.0). A higher prevalence rate was found in females, corroborating with the literature. There was an attribution of headache to periods of greater stress during the school semester, so it is well known that several factors are described as triggering or attenuating. In view of the report of absenteeism and academic performance impairment, added to a non-search of medical care and and self-medication, it is necessary to provide guidance in order to encourage these students to seek appropriate treatment and then achieve a better quality of life.


Subject(s)
Humans , Male , Female , Students, Medical/psychology , Headache/diagnosis , Headache/therapy , Headache/epidemiology , Self Medication , Stress, Psychological , Students, Medical/statistics & numerical data , Activities of Daily Living , Prevalence , Surveys and Questionnaires/standards , Analgesics/therapeutic use
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