Avaliação de treinamento cirúrgico na graduação de medicina

Santos, Laila Djensa Souza dos; Murara, Gabriel Treml; Maluf, Eliane Mara Cesário Pereira; Fernandes, Julio Wilson; Skinovsky, James

doi:10.1590/s0100-69912013000200012

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…Portanto, o aprimoramento e a aquisição de habilidades cirúrgicas devem ser a pedra angular a ser buscada pelos centros de ensino médico. Entretanto, o desenvolvimento de certas habilidades exige certo refinamento técnico em relação ao ensino de tais habilidades, pois estas não são de execução simples e dependem de diversas variáveis 3,4,6 . No tocante às incógnitas que dizem respeito ao processo de aprendizado, o tempo de prática constitui uma variável fundamental, uma vez que, quanto mais experiente for o médico, mais aprimoradas serão as suas tarefas em termo de eficiência e também de eficácia.…”

Section: Discussionunclassified

Modelos experimentais alternativos para o treinamento de incisões cirúrgicas

Brito¹,

Mainardi²,

Silva³

et al. 2017

PRMJ

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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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Section: Discussionunclassified

Modelos experimentais alternativos para o treinamento de incisões cirúrgicas

Brito¹,

Mainardi²,

Silva³

et al. 2017

PRMJ

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“…Several pedagogical methods and strategies have been developed in order to cover the needs of surgical technique teaching during graduation [11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

“…Other studies that used swine pieces and from other biological sources 5,12 , for surgical training during graduation, highlight the need for further research in order to evaluate the use of this type of instrument (models) associated with tangible results 17 .…”

Section: Chest Drainage Teaching and Training For Medical Students Umentioning

confidence: 99%

Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model

et al. 2016

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PURPOSE: Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students. METHODS:Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation. Inclusion criteria: a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) Exclusion criteria: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale. RESULTS:Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001). CONCLUSION:Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.

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“…The graduation course must emphasize on methodologies that promote the active participation at the student educational process, early introducing him in practical activities indispensable for the medical career 5 .…”

Section: Discussionmentioning

confidence: 99%

Experience report on teaching surgical technique without animal use

Andrade¹,

Lopes²,

Felício³

et al. 2015

Acta Cir. Bras.

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PURPOSE:To report the experience of the school in implementing the 3 Rs replace, reduce and refine; showing time and assembling cost of the experimental models used in the teaching of Surgical Technique and Experimental Surgery. METHODS:Assembly time and costs of models: grafts and flaps performed in pork belly, model of intestinal anastomosis and jejunostomy done in Bahiana box and black box model for training videosurgery.

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Avaliação de treinamento cirúrgico na graduação de medicina

Abstract: The methodological approach and monitoring of techniques' reproduction were adequate. The training offered complemented cutaneous surgical skills of undergraduate medicine students.

Cited by 10 publications

References 6 publications

Modelos experimentais alternativos para o treinamento de incisões cirúrgicas

Modelos experimentais alternativos para o treinamento de incisões cirúrgicas

Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model

Experience report on teaching surgical technique without animal use

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