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2013, Number 3

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Revista Cubana de Educación Médica Superior 2013; 27 (3)

Use of the objective structured clinical examination in the evaluation of cardiopulmonary semiology

Bezerra SJG, De Francesco DE, Fontenele MAP, Torres AMN, Goretti FRM, Carneiro CLM

Language: Spanish
References: 21
Page:
PDF size: 136.59 Kb.


ABSTRACT

The aim of this study is to present a strategy for the teaching practice and evaluation of cardiopulmonary semiology through an objective structured clinical examination. Practical lessons were developed with medical students. The students did anamnesis and physical exams to patients and later, each sign and symptom that was found was analyzed. At the end of practical lessons, a practical evaluation based on the objective structured clinical examination was applied. We have established a clinical situation in which the student had to do anamnesis, physical and cardiopulmonary exam and describe the results. Using computing software, cardiopulmonary sounds present in some diseases were shown to ask the students to identify them. An evaluation of the activity was done by means of a questionnaire applied to each student. Average mark in practical evaluation was 8, 93. The students' evaluation of the activity was very positive, with marks ranging from 3 to 5 in a scale from 0 to 5. Qualities of lessons and clinical histories have also been evaluated with an average mark of 4. The implementation of an objective structured clinical examination in Semiology has proved to be an efficient and useful tool in the evaluation of the medical student together with the practical lessons that made the students apt to recognize main signs and symptoms in cardiopulmonary diseases.


REFERENCES

  1. Benseñor IM, Atta JA, Martins MA. Semiologia Clínica. São Paulo: Editora Sarvier; 2002.

  2. Laurentys-Medeiros J, López M. Semiologia Médica - As bases do diagnóstico clínico. 5ª edição. Rio de Janeiro: Editora Revinter; 2005.

  3. Porto CC. Semiologia Médica. 6a Edição. Rio de Janeiro: Editora Guanabara-Koogan; 2009.

  4. Sociedades Brasileiras de Nefrologia, Cardiologia e Hipertensão Arterial. Diretrizes Brasileiras de Hipertensão Arterial VI. J Bras Nefrol 2010;32(Supl. 1):S1-S64.

  5. Carvalho VO, Souza GEC. O estetoscópio e os sons pulmonares: uma revisão da literatura. Rev Med (São Paulo). 2007;86(4):224-31.

  6. César de Jesus P, Carvalho HS, Vasconcelos DF, Junqueira Jr LF. Semiologia cardiovascular: Exemplos de descrição do exame físico do aparelho cardiovascular. [consultado 2 Ene 2013]. Disponible en:http://vsites.unb.br/fs/clm/l abcor/descexam.htm

  7. Heinisch RH. Ausculta cardiaca. [consultado 2 Ene 2013]. Disponible en:http://www.hu.ufsc.br/~cardiologia/ausculta.htm

  8. Junqueira Jr LF, César de Jesus P, Carvalho HS, Vasconcelos DF. Roteiro de semiologia cardiovascular. [consultado 2 Ene 2013]. Disponible en: http://vsites.unb.br/fs/clm/labcor/rotsemio.htm

  9. Martinez JAB, Padua AI, Terra Filho J. Dispnéia. Medicina (Ribeirão Preto). 2004;37:199-207.

  10. Pazin-Filho A, Schmidt A, Maciel BD. Ausculta cardiaca: bases fisiológicas - fisiopatológicas. Medicina (Ribeirão Preto). 2004;37:208-26.

  11. Rosa AA, Barros E, Soares JLMF. Sintomas e sinais na prática médica. Porto Alegre: Editora ArtMed; 2006.

  12. Norcini JJ. ABC of learning and teaching in medicine: Work based assessment. BMJ 2003;326:753-5.

  13. Smee S. ABC of learning and teaching in medicine: Skill based assessment. BMJ. 2003;326:703-6.

  14. Pinsky LE, Wipf JE. Learning and teaching at the bedside. University of Washington Department of Medicine. [consultado 2 Ene 2013]. Disponible en: http://depts.washington.edu/physdx/index.html

  15. Texas Heart Institute. Heart sounds and murmurs. [consultado 2 Ene 2013]. Disponible en:http://www.texasheart.org/education/cme/explore/events/eventdetail_5469.cfm

  16. Amaral FTV, Troncon LEA. Participação de estudantes de Medicina como avaliadores em exame estruturado de habilidades clínicas (Osce). Rev Bras Educ Med. 2007;31:81-9.

  17. Nunes SOV, Vargas HO, Liboni M, Martins Neto D, Vargas LHM, Turini B. O ensino de Psiquiatria, habilidades de comunicação e atitudes no currículo integrado do curso de Medicina da Universidade Estadual de Londrina. Rev Bras Educ Med. 2008;32:210- 16.

  18. Sturpe DA. Objective structured clinical examination in doctor of pharmacy programs in the United States. Am J Pharm Educ. 2010;74:148.

  19. Baid H. The objective structured clinical examination within intensive care nursing education. Nurs Crit Care. 2011;16:99-105.

  20. Dadgar SR, Saleh A, Bahador H, Baradaran HR. OSCE as a tool for evaluation of practical semiology in comparison to MCQ & oral examination. J Pak Med Assoc. 2008;58:506-7.

  21. Kern DH, Mainous AG 3rd, Carey M, Beddingfield A. Simulation-based teaching to improve exam skills performance among third-year medical students. Teach Learn Med. 2011;23:15-20.




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