Ensino baseado em casos clínicos

Jorge Calmon, Almeida Biolchini, Rio De Janeiro
unpublished
Agradecimentos Aos meus colegas, amigos carinhosos e essenciais nesse desbravamento e busca do conhecimento, à Dra. Claudia Martins Vasconcellos Midão e Aos meus professores, guias e motivadores ao longo desta jornada; À toda a equipe de profissionais da MEDPUC, sempre solícitos, gentis e competentes, dando apoio incondicional; Em especial ao Professor Jorge Biolchini, que soube conduzir como um maestro, de maneira exemplar, as capacidades e diferenças individuais de cada aluno, valorizando
more » ... personagem dessa longa história; À Deus, por nos guiar e fortalecer na nossa jornada em busca do conhecimento, nosso bem mais valioso. Palavras-Chave: Educação médica; aprendizado baseado em casos; metodologia ativa; ensino ABSTRACT The medical education based on clinical cases was applied to fourth year pediatrics students of the Fundação Técnico Educacional Souza Marques medical school seeking to assess the transmission of knowledge and opinion about the method. The necessary skills for the physician formation include acquiring specific knowledge, clinical skills and attitudes toward the professional practice that can be evaluated and validated by the forming institution, whereas the association of cognitive, psychomotor and affective abilities in historical and socio-cultural environment context and individualized by the personal experiences of the apprentice. The hypothetic-deductive characteristic of clinical reasoning requires development of a knowledge base and the process of its application. The earlier the contact with this method, more easily students will absorb the language and the process. The deliberate repetition of cases is an essential component in this learning. We use four forms of lecture, actual clinical cases at the beginning or end of the exhibition, created by the students after the lecture and without presentation of cases. A theoretical survey applied showed, on average, that 80% answered correctly 2/3 or more of the questions. After application of all formats an opinionated questionnaire was conducted with very favorable response. The application of Bardin method reinforced the result and highlighted the effectiveness of audiovisual resources and the desire for more dedication to practical activities. The students result in the test held at the end of the module has been compared with the previous class, showing superior knowledge apprehension (79.5%/49.6% with over 2/3). Keywords: medical education; case-based learning; active methodology; teaching "O método natural de ensino começa com o paciente, continua com o paciente e termina com o paciente, usando livros e aulas como ferramentas para este fim". William Osler (1849-1919)
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