Evaluation of Teaching on Leprosy by Students at a Brazilian Public Medical School

Alves, Cynthia Rossetti Portela; Araújo, Marcelo Grossi; Ribeiro, Maria Mônica Freitas; Melo, Elza Machado de

doi:10.1590/1981-52712015v40n3e00522015

Cited by 4 publications

(10 citation statements)

References 14 publications

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“…Em Q4.1, o índice de acerto de 53%, portanto insatisfatório, levando-se em conta que são residentes de áreas clínicas e elas são referentes a noções básicas de um problema de Saúde Pública. Nas duas questões foi apresentado p não significante (0,5) (ALVES, et al, 2016;BRASIL, 2016).…”

Section: Questão 4 E Subitens (Quadro 2)unclassified

“…Os itens 4.3, 4.4, 4.5, 4.6 e 4.7 são conceitos simples relacionados à sintomatologia e aos sinais da DH; houve uma melhora nos conhecimentos adquiridos com boa performance no pós-teste (média de acertos 89%), mostrando que nestes quesitos, ao menos teoricamente, eles estariam preparados para o reconhecimento da doença, porém somente Q4.3 e Q4.7 foram significantes (ALVES, et al, 2016).…”

Section: Questão 4 E Subitens (Quadro 2)unclassified

“…Abordam o contágio que deve ser íntimo e prolongado e que ocorre por pacientes multibacilares não tratados. Foram encontrados bons índices de assertividade nos pós-testes em Q5, 79% e Q6, 89%, porém houve um decréscimo no conhecimento -5% e -11%, respectivamente, apesar de serem estatisticamente não significantes; essa abordagem da cadeia epidemiológica da moléstia pode ser reforçada e aprimorada a fim de consolidar conceitos básicos preconizados, pois durante a intervenção sempre foi explícito que pacientes em poliquimioterapia deixam de ser bacilíferos, ou seja, não serão contagiantes após introdução da PQT e o emprego desse termo suscitou dúvida na Q6 "Entre os que adoecem, alguns possuem poucos bacilos (PB), e outros apresentam muitos bacilos (MB) " levando a maior índice de erro (ALVES, et al, 2016;BRASIL, 2016).…”

Section: Questão 4 E Subitens (Quadro 2)unclassified

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Educação Em Hanseníase Para Médicos Residentes

Silva¹,

Neto²,

Rodrigues³

2021

TeS

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RESUMO -A hanseníase é uma doença negligenciada e um problema de Saúde Pública, sendo que o Brasil é o segundo país no mundo em número de casos novos. É uma condição infectocontagiosa que pode deixar sequelas que pioram seu estigma. Atualmente, no momento do diagnóstico, o grau de incapacidade física encontrado nos pacientes tem sido alto, o que demostra suspeição tardia. A realização de pesquisas que propiciem alerta às instituições de ensino médico sobre a necessidade de melhorar a qualificação de seus profissionais é de suma importância. Objetivo: Verificar o grau de conhecimento dos médicos residentes de áreas clínicas da Pontifícia Universidade Católica de São Paulo (PUC-SP), campus Sorocaba, no atendimento ao hanseniano. Método: Estudo quantitativo, descritivo e transversal realizado com 19 médicos residentes de áreas clínicas da PUC-SP em 2019. A coleta de dados foi feita em 2 questionários autoaplicáveis (o primeiro com perfil sociodemográfico e 4 perguntas fechadas, e o segundo respondido antes e após a intervenção educativa). Resultados e Discussão: A amostra foi composta predominantemente por mulheres (84%), com idade inferior a 30 anos (63%) e formadas nos últimos 5 anos (79%). O incremento no conhecimento imediato foi em média correspondente a 17,5%, sendo significante pelo teste t de Student. Constatou-se que as dificuldades encontradas em algumas perguntas fechadas (para cerca de 80% dos participantes) foram relacionadas a diagnóstico e 1 Dermatologista, CREMESP 66430, mestrado em Educação nas Profissões de Saúde pela PUC-SP, Brasil (2020) e Preceptora da disciplina de dermatologia do internato e residência de dermatologia da PUC-SP;

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Section: Questão 4 E Subitens (Quadro 2)unclassified

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Educação Em Hanseníase Para Médicos Residentes

Silva¹,

Neto²,

Rodrigues³

2021

TeS

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“…The World Health Organization (WHO) defined elimination of leprosy as a prevalence of below one case per 10,000 inhabitants, which was achieved for the world as a whole in 2000, and in most countries by 2005 [5]. The achievement of WHO's goal of eliminating leprosy was accompanied by a decrease in publicity about the disease and in teaching about leprosy in medical schools [6][7][8]. Despite effective leprosy treatment and massive public education efforts to facilitate leprosy control through the general health service in Brazil, clinical expertise (mainly among primary health care teams) regarding leprosy has declined [9,10], even among dermatologists.…”

Section: Introductionmentioning

confidence: 99%

Active search strategies, clinicoimmunobiological determinants and training for implementation research confirm hidden endemic leprosy in inner São Paulo, Brazil

et al. 2021

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Background This study evaluates implementation strategies for leprosy diagnosis based on responses to a Leprosy Suspicion Questionnaire (LSQ), and analyzes immunoepidemiological aspects and follow-up of individuals living in a presumptively nonendemic area in Brazil. Methodology/Principal findings Quasi-experimental study based on LSQ throughout Jardinópolis town by community health agents, theoretical-practical trainings for primary care teams, dermatoneurological examination, anti-PGL-I serology, RLEP-PCR, and spatial epidemiology. A Leprosy Group (LG, n = 64) and Non-Leprosy Group (NLG, n = 415) were established. Overall, 3,241 LSQs were distributed; 1,054 (32.5%) LSQ were positive for signs/symptoms (LSQ+). Among LSQ+ respondents, Q2-Tingling (pricking)? (11.8%); Q4-Spots on the skin? (11.7%); Q7-Pain in the nerves? (11.6%); Q1-Numbness in your hands and/or feet? (10.7%) and Q8-Swelling of hands and feet? (8.5%) were most frequently reported symptoms. We evaluated 479 (14.8%) individuals and diagnosed 64 new cases, a general new case detection rate (NCDR) of 13.4%; 60 were among 300 LSQ+ (NCDR-20%), while 4 were among 179 LSQ negative (NCDR-2.23%). In LG, Q7(65%), Q2(60%), Q1(45%), Q4(40%) and Q8(25%) were most frequent. All 2x2 crossings of these 5 questions showed a relative risk for leprosy ranging from 3 to 5.8 compared with NLG. All patients were multibacillary and presented hypochromatic macules with loss of sensation. LG anti-PGL-I titers were higher than NLG, while 8.9% were positive for RLEP-PCR. The leprosy cases and anti-PGL-I spatial mappings demonstrated the disease spread across the town. Conclusions/Significance Implementation actions, primarily LSQ administration focused on neurological symptoms, indicate hidden endemic leprosy in a nonendemic Brazilian state.

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“…Furthermore, medical interns in the same study were of the opinion that the practical teaching they received on leprosy during their stay in medical school was not sufficient. 6 Unfortunately, in Nigeria the medical curriculum accommodates only classroom lectures on leprosy and other skin NTDs without any form of clinical demonstrations. An attempt by the Medical and Dental Council of Nigeria, an arm of government in charge of medical training to introduce clinical demonstrations on leprosy into the medical curriculum in 2009 did not yield the desired results.…”

Section: Introductionmentioning

confidence: 99%

Are there knowledge and attitude deficits on leprosy? A study among medical interns and final year medical students in southeast Nigeria

Ekeke¹,

Chukwu²,

Nwafor³

et al. 2020

LEPROSY

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Background: Lack of knowledge about leprosy exists even among medical practitioners around the world. This study was designed to assess the knowledge, attitude and treatment practice regarding leprosy among final year medical students and medical interns in southeast Nigeria. Methods: This was a comparative cross sectional study. All final year medical students and all medical interns in five tertiary health institutions in southeast Nigeria were included in the study. Information was obtained using pre-tested, self-administered, semi-structured questionnaires. Chi square test and multivariate analysis using binary logistic regression were used in the analysis. Significance was determined to be p < 0.05. Results: Of the 1045 respondents (interns 477, response rate: 81.1% and medical students 568, response rate: 97.2%), only 29.0% of medical interns and 24.7% of medical students had a good knowledge of leprosy. A positive attitude towards leprosy care was found in 49.9% and 38.4% of medical interns and students respectively. Clinical demonstration workshops on leprosy were attended by 24.5% and 25.7% of medical interns and students, respectively. Predictors of a good knowledge of leprosy included having attended a clinical demonstration on leprosy,

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Evaluation of Teaching on Leprosy by Students at a Brazilian Public Medical School

Cited by 4 publications

References 14 publications

Educação Em Hanseníase Para Médicos Residentes

Educação Em Hanseníase Para Médicos Residentes

Active search strategies, clinicoimmunobiological determinants and training for implementation research confirm hidden endemic leprosy in inner São Paulo, Brazil

Are there knowledge and attitude deficits on leprosy? A study among medical interns and final year medical students in southeast Nigeria

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