Banca de DEFESA: PEDRO AUGUSTO DIAS TIMOTEO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : PEDRO AUGUSTO DIAS TIMOTEO
DATE: 22/01/2021
TIME: 14:00
LOCAL: Online - link: meet.google.com/xrc-bzmu-qpk
TITLE:

THE MUSCULOSKELETAL PHYSICAL EXAM ASSOCIATED WITH CLINICAL ANATOMY: PROPOSAL FOR AN INTEGRATED CURRICULUM IN MEDICINE

KEY WORDS:

Musculoskeletal system; clinical anatomy; physical examination; 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 costs they entail. Despite its high prevalence, the teaching of the musculoskeletal system is neglected in medical schools, making it difficult to address these complaints, especially in primary care. Efforts are made to fill this gap and, among these, the teaching of musculoskeletal physical examination associated with clinical anatomy. Objective: to implement the teaching of the musculoskeletal physical examination, associated with clinical anatomy, in an integrated medical curriculum and to evaluate the students' perception of the strategy used and the skills acquired about it. Methodology: Descriptive study, of qualitative nature, which used the methodology of action research. Forty students from the Escola Multicampi de Ciênci09as Médicas (EMCM) of the Federal University of Rio Grande do Norte (UFRN) participated during two curricular components. In the second year, there were 5 theoretical-practical activities, aimed at teaching the musculoskeletal physical examination associated with clinical anatomy. An Objective Structured Clinical Examination (OSCE) assessment was applied. In the third year, the same students performed a musculoskeletal physical examination in outpatients. At the end, a questionnaire (Likert) was applied to assess the students' perception of the strategy used to teach the musculoskeletal physical exam and the acquired skills. Results: Using clinical vignettes of the main painful syndromes (upper and lower limbs and spine), teachers of rheumatology and anatomy led students to search for related anatomical structures in full-body mannequins and parts of the axial and appendicular segments, leading to understanding relevant points of the musculoskeletal examination. Subsequently, based on these activities, another physical examination training was carried out by students in pairs. In the third year, the physical examination of the various segments was performed by all students on real patients, under the supervision of a teacher. Regarding the strategy used, all students agreed that clinical anatomy guided the learning of the physical examination and helped with clinical reasoning regarding musculoskeletal complaints. The students also replied that they are safe in performing the physical examination of most of the surveyed segments. Final Considerations: The use of clinical anatomy for training the musculoskeletal physical examination within an integrated curriculum, may be a way to improve this clinical skill of the future doctor thinking about general training. The maintenance and improvement of the curriculum strategy at EMCM, can be experienced in other medical schools, especially those with a curriculum based on active and student-centered methodologies.

BANKING MEMBERS:
Presidente - 2172036 - MARIA JOSE PEREIRA VILAR
Interno - 1348383 - GEORGE DANTAS DE AZEVEDO
Externo à Instituição - TANIA MARIA DA SILVA MENDONÇA - UFU