RESUMO
INTRODUCTION: Medical education has been changing, and the evaluation strategies that make it possible to address not only theoretical knowledge but also clinical skills. In Mental Health, these skills play a central role. The Objective Structured Clinical Examination (OSCE) is one of the evaluations that could assess clinical skills. This article describes the implementation and performance for the evaluation of undergraduate students since the OSCE's introduction in 2015. METHODS: An explanation of the implementation is made, and a description of the OSCEs carried out to undergraduate medical students in the second semester of mental health, using the databases of the final practical examinations during those years. The perception of mental health teachers is also described. RESULTS: The mental health OSCE implemented in 2015-2, is developed in the Simulated Hospital of the University and has five stations (interview, mental examination, diagnosis, treatment and information to the family and ethics). Between 2016-2 and 2019-2, 486 students performed OSCE with an average score of 3.85 (scale 0-5). It was observed that the grade obtained when evaluating anxiety disorders was below average, that of affective disorders above average, while that of psychotic disorders was within the average. The professors highlight the versatility, the comprehensive objective evaluation of the practical and theoretical aspects, and the possibility of comparison between the different groups. CONCLUSIONS: The OSCE is an examination that provides the possibility to evaluate the competences in psychiatry of medical students and allows the identification of the aspects to be improved in the teaching learning process.
Assuntos
Competência Clínica , Educação de Graduação em Medicina , Avaliação Educacional , Psiquiatria , Estudantes de Medicina , Humanos , Psiquiatria/educação , Avaliação Educacional/métodos , Educação de Graduação em Medicina/métodosRESUMO
INTRODUCTION: The COVID-19 pandemic was declared in early 2020, requiring different prevention and intervention measures on a large scale. In the case of Colombia, a series of measures focused on isolation and remote services provision were introduced in a context marked by health inequities. This article reviews the theoretical and normative references on primary care interventions in the Colombian response to the COVID-19 pandemic. METHODS: A literature review was conducted in PubMed, LILACS, MEDLINE, and official documents and regulations issued in Colombia, the World Health Organization, and the Pan American Health Organization. A narrative synthesis was done of 33 documents based on their contribution to the implementation of primary care in Colombia and their role in the pandemic. RESULTS: The information was organized into two categories: Actions taken in Colombia in response to COVID-19 and Opportunities in primary care in response to COVID-19. Colombias actions were contrasted with world experience. Better pandemic control was found in countries that adopted primary care as a response. Primary care has strengthened the handling of the pandemic through community action, the provision of coordinated services, mental health inclusion, and the adoption of telemedicine processes. CONCLUSIONS: In Colombia, primary care is presented as an opportunity to respond to the COVID-19 pandemic and the problems and needs derived from this situation. However, despite the above, there is resistance in the country to adopt this type of approach and complement the hospital-centric model to face the pandemic.
INTRODUCCIÓN: A comienzos de 2020 se declaró la pandemia por COVID-19, lo cual requirió adoptar diferentes medidas de prevención e intervención a gran escala. En el caso de Colombia, implicó tomar una serie de medidas enfocadas en aislamiento y prestación de servicios a distancia, en un contexto marcado por las inequidades de salud del país. El presente artículo revisa la literatura disponible sobre las intervenciones fundamentadas en atención primaria para responder al COVID-19 en Colombia. MÉTODOS: Se realizó una búsqueda de la literatura en PubMed, LILACS, MEDLINE, así como documentos y normativas oficiales expedidas en Colombia, la Organización Mundial de la Salud y la Organización Panamericana de la Salud. Se realizó una síntesis narrativa de 33 documentos en función de su aporte a la implementación de la atención primaria en Colombia y su papel frente a la pandemia. RESULTADOS: La información se organizó en dos categorías: acciones tomadas en Colombia frente al COVID-19 y oportunidades en atención primaria frente al COVID-19. Se contrastaron las acciones de Colombia con la experiencia mundial, encontrando un mejor control de la situación en países que adoptaron la atención primaria como respuesta. La atención primaria se consolida como el principal mecanismo para enfrentar la pandemia a través de acciones comunitarias, prestación de servicios articulados, inclusión de la salud mental y adopción de procesos de telemedicina. CONCLUSIONES: En Colombia, la atención primaria se presenta como una oportunidad para responder al COVID-19, y a los problemas y necesidades derivados de esta situación. Sin embargo, en el país, a pesar de lo anterior, hay resistencia para adoptar este tipo de enfoque y complementar el modelo hospitalocentrista para enfrentar la pandemia.
