Depois de lembrar as bases da comunicação analógica e digital, os autores apresentam as hipóteses de seu programa de pesquisa atual a respeito dos precursores corporais e comportamentais do acesso à linguagem verbal na criança. As análises do olhar, das vocalizações e dos movimentos das mãos do bebê são os principais elementos estudados nesta pesquisa colaborativa. O surgimento da intersubjetividade parece depender fundamentalmente de um equilíbrio entre os processos de desmantelamento intersensorial e de segmentação intrasensorial dos diferentes fluxos perceptivos.
Background: The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation. Methods: A pilot-tested, expert developed, bilingual on-line survey consisting of 15 questions was sent to all clerkship directors (23) in December 2019. The survey included questions regarding the expectations of medical students with respect to physical examination and PoCUS using the RIME Framework: none, reporter, interpreter, manager, educator. Results: The response rate was 60.9% (14/23). With regards to physical exam skills, 82.8% of directors had no expectations or expected students to be reporters when starting clerkship. At graduation, 77.5% of directors expected students to be interpreters, managers, or educators. For PoCUS, 100.0% of directors had no expectations or expected students to be reporters when starting clerkship. At clerkship completion, 33.0% of directors felt that students should be interpreters or managers for PoCUS skills. Conclusions: Clerkship directors have low expectations of PoCUS skills for entering and graduating clerks when compared with their physical examination skills despite formal pre-clerkship PoCUS objectives. Enhanced communication and targeted education of directors could improve the PoCUS curriculum.
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