Aims: To evaluate ethical and semiotechnique skills gain with intensive semiotechnique course to graduate medical students. Methods: Semiotics course was drawn up to 64 students of four medical courses of Belem, Para, Brazil. The course took place in two stages: the first for 32 students starting the third semester of the medical course, and the second for 32 students that started the internship. The course was taught intensively in two weekends, with didactic material prepared by the researchers. Pre-and post-training assessment was performed for verification of ethical skills needed in the doctor-patient relationship and the practical knowledge and skill in the technical implementation of the physical examination. Results: The students of 2nd year, in the eight proposed stations, have an average gain of 85.84%, reaching individually in some stations an improvement up to 120% as "Precordium” and “painful maneuvers of the abdomen" stations. The students of the 5th year initial notes average was 6.06, evolving to 9.21, with average percentage of 54.42% gain. For matters of ethical principles in dealing with the patient was observed initial average 5.05 that after the course has evolved to 9.36 to students of 2nd year and 6.16 to 9.60 in fifth year. In the evaluation of performance in implementing the semiotechnique maneuvers were observed initial notes of 4.76 and 5.95 to 8.51 and 8.82 respectively for students of 2nd and 5th year. Conclusion: The intensive course implemented proved to be effective in semiotechnique skills gain, both in improving ethical attitudes in dealing with the patient, as well as on the playing technique of physical examination.
Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado. Summary Purpose: to develop a course with an experimental alternative model on surgical incision for medical students without training. Methods: 10 male and 10 female students of the 2nd and 3rd years of medical school, without previous surgical training, participated. After an instructive class on surgical incisions, they underwent training in four alternative models: ham with cheese; banana; orange and bacon. In each model were executed linear incisions, circular, square and elliptical. The following were evaluated: the ability to perform a complete or incomplete incision, number of lesions in the fruits when the bark was completely sectioned or with exaggerated depth, and the time required to perform the task. The students were evaluated with the same exercises twice, with the gap of one week, in which they trained at home for approximately 15 minutes per day. The data from the evaluation were annotated in a standard form and statistically compared by the tests of Friedman and test T, being the data of each student control of his own. Results: Regarding the evolution in the time of the incisions, there was a non-significant decrease in the mean, of 29.8 sec. To 28.0 sec. (P = 0.11175). The same occurred with the number of lesions, which dropped from 9.95 to 8.70 (p = 0.8231). When the complete incisions were analyzed, there was a statistically significant increase in the means, which went from 12.55 to 17.85 (p = 0.0008), while the incomplete ones fell from 14.35 to 9.45 (p = 0.0017). Conclusion: The incision training with alternative models was efficient in gaining cognition and skills in all parameters analyzed, with a statistically significant gain in precision and dexterity in performing the incisions. ARTIGO DE
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