Banca de QUALIFICAÇÃO: PEDRO AUGUSTO DIAS TIMOTEO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : PEDRO AUGUSTO DIAS TIMOTEO
DATE: 05/11/2019
TIME: 13:30
LOCAL: EMCM - auditório I
TITLE:

TEACHING MUSCULOSKELETAL PHYSICAL EXAMINATION ASSOCIATED WITH CLINICAL ANATOMY: PROPOSAL FOR AN INTEGRATED MEDICINE CURRICULUM

KEY WORDS:

KEYWORDS: musculoskeletal system, clinical anatomy, physical examination, curriculum, medical education.

PAGES: 45
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Introduction: Musculoskeletal diseases have a significant impact on society, due to the morbidity and increased costs that accompany the aging of the population. However, despite the prevalence, teaching of the musculoskeletal system is often overlooked in medical school curricula, which reflects the difficulty reported by physicians in performing musculoskeletal physical examination in clinical practice. Objective: To implement the teaching of musculoskeletal physical examination associated with clinical anatomy, in an integrated medical curriculum seeking generalist training. Methodology: The study used as a methodological orientation of Action Research which investigates the practice itself in order to improve it. 40 medical students from the Multicampi School of Medical Sciences (EMCM) - Federal University of Rio Grande do Norte-UFRN participated during the fourth semester, in the module “Locomotion Module” and in the fifth semester in the component “Ambulatory and Hospital Practices”. In the fourth semester, there were 5 theoretical-practical activities of 3 to 4 hours focused on musculoskeletal physical examination associated with clinical anatomy, under the guidance of teachers of anatomy and rheumatology. At the end of 4 weeks, a practical assessment was performed using the Objective Structured Clinical Examination (OSCE), addressing the clinical anatomy and physical examination of the spine, upper and lower limbs. In the fifth semester the same students participated in rheumatology outpatient clinics, where they performed and physical examination of the patients under teaching supervision. During this period, a questionnaire (Likert) was applied on the perception of 36 students regarding the strategy used to teach the musculoskeletal examination and the level of safety in performing it. Results: Theoretical-practical activities used full-body mannequins, loose anatomical parts and students performed the abstract musculoskeletal examination in pairs, always based on a clinical context, contemplating the main musculoskeletal pain syndromes. In the practical evaluation through the OSCE the average grade obtained by the students was 8.4, being the lowest 6.3 and the highest 9.8. During outpatient physical examination practices, the responses to the perception questionnaire showed that 100% of them agreed that clinical anatomy guided learning of the physical examination aided clinical reasoning regarding related musculoskeletal complaints. However, regarding the safety of physical examination of some segments, such as shoulders and knees, there is still a higher percentage of insecurity in relation to the examination of the spine. On the other hand, 89% feel confident in identifying articular phlogistic signs. Conclusion: The use of clinical anatomy as a guide for qualified musculoskeletal physical examination may be a way to arouse students' interest in gradation and improve this skill in general medical education.         

KEYWORDS: musculoskeletal system, clinical anatomy, physical examination, curriculum, medical education.

 

 

BANKING MEMBERS:
Interno - 3050262 - MARCELO VIANA DA COSTA
Interna - 2172036 - MARIA JOSE PEREIRA VILAR
Externa ao Programa - 2171406 - ELAINE LIRA MEDEIROS
Externo ao Programa - 3578506 - SEBASTIAO PACHECO DUQUE NETO