The perception of health professionals about the insertion of medical students in Primary Health Care: A literature review
DOI:
https://doi.org/10.33448/rsd-v12i10.43409Keywords:
Medical Students; Health Professions; Primary Health Care.Abstract
This study aimed to identify in the literature the perception of health professionals about the insertion of medical students in Primary Health Care. For this, an integrative literature review was carried out, following the steps: Identification of the problem; Literature search; Data Analysis and Conclusion. Initially, 490 articles were obtained, and there were no duplicates. After reading the title and abstract, 443 articles were excluded, including 47 articles, which were read in full. Of these, 34 documents were excluded, as they did not respond to the study's guiding question. Thus, 10 articles were included in this study. From the analysis of the articles, three categories emerged: I - The context in which the curricular internship in medicine was carried out; II - Perceptions of the health team, patients and students in relation to the curricular internship III - Challenges for the performance and well-being of the medical student during the curricular internship. Finally, it is understood that the context of Primary Health Care is essential for the training of medical students, as it is a conducive environment for undergraduates to have contact with practice from the first months of graduation and because it provides them with a full contact with patients.
References
Albuquerque, V. S., Gomes, A. P., Rezende, C. H. A. de, Sampaio, M. X., Dias, O. V., & Lugarinho, R. M. (2008). A integração ensino-serviço no contexto dos processos de mudança na formação superior dos profissionais da saúde. Revista Brasileira de Educação Médica, 32(3), 356–362. https://doi.org/10.1590/S0100-55022008000300010
Ansell, S., Read, J., & Bryce, M. (2020). Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies. Postgrad Med J, 96(1136), 325–330. https://dx.doi.org/10.1136/postgradmedj-2019-137076
Bartlett, M., Pritchard, K., Lewis, L., RB, H., & RK, M. (2016). Teaching undergraduate students in rural general practice: an evaluation of a new rural campus in England. Rural and Remote Health, 16(2), 3694. https://pubmed.ncbi.nlm.nih.gov/27316380/
Biesma, R., MC, K., Pawlikowska, T., Brugha, R., Conroy, R., & Doyle, F. (2019). Peer assessment to improve medical student’s contributions to team-based projects: randomised controlled trial and qualitative follow-up. BMC Medical Education, 19(1), 371. https://pubmed.ncbi.nlm.nih.gov/31615489/
Bossé, J., Woolcott, C., & Coolen, J. (2019). Barriers Preventing Medical Students From Performing Pelvic Examinations During Obstetrics and Gynaecology Clinical Clerkship Rotations. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal d’obstetrique et Gynecologie Du Canada: JOGC, 41(8), 1093–1098. https://pubmed.ncbi.nlm.nih.gov/30803877/
Braccialli, L. A. D., & Oliveira, M. A. C. de. (2012). Desafios na formação médica: a contribuição da avaliação. Revista Brasileira de Educação Médica, 36(2), 280–288. https://doi.org/10.1590/S0100-55022012000400018
Bulcão, L. G., El-Kareh, A. C., & Sayd, J. D. (2007). Ciência e ensino médico no Brasil (1930-1950). História, Ciências, Saúde-Manguinhos, 14(2), 469–487. https://doi.org/10.1590/S0104-59702007000200005
Butterworth, K., Rajupadhya, R., Gongal, R., Manca, T., Ross, S., & Nichols, D. (2018). A clinical nursing rotation transforms medical students’ interprofessional attitudes. PloS One, 13(5), e0197161. https://pubmed.ncbi.nlm.nih.gov/29795598/
Caldeira, É. S., Leite, M. T. de S., & Rodrigues-Neto, J. F. (2011). Estudantes de Medicina nos serviços de atenção primária: percepção dos profissionais. Revista Brasileira de Educação Médica, 35(4), 477–485. https://doi.org/10.1590/S0100-55022011000400006
Camilo, C., & Garrido, M. V. (2019). A revisão sistemática de literatura em psicologia: Desafios e orientações. Aná. Psicológica, 37, 535–552. http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0870-82312019000400009&nrm=isso
Campos, F. E. de, & Belisário, S. A. (2001). O Programa de Saúde da Família e os desafios para a formação profissional e a educação continuada. Interface - Comunicação, Saúde, Educação, 5(9), 133–142. https://doi.org/10.1590/S1414-32832001000200009
Campos, G. W. S. (2005). Papel da Rede de Atenção Básica em Saúde na Formação Médica: diretrizes.
Chini, H., Osis, M. J. D., & Amaral, E. (2018). A Aprendizagem Baseada em Casos da Atenção Primária à Saúde nas Escolas Médicas Brasileiras. Rev. bras. educ. méd, 42(2), 45–53. http://www.scielo.br/scielo.php?script=sci_arttext&
Conill, E. M. (2008). Ensaio histórico-conceitual sobre a Atenção Primária à Saúde: desafios para a organização de serviços básicos e da Estratégia Saúde da Família em centros urbanos no Brasil. Cadernos de Saúde Pública, 24(suppl 1), s7–s16. https://doi.org/10.1590/S0102-311X2008001300002
Costa, N. M. da S. C. (2007). Docência no ensino médico: por que é tão difícil mudar? Revista Brasileira de Educação Médica, 31(1), 21–30. https://doi.org/10.1590/S0100-55022007000100004
Custódio, J. B., Peixoto, M. das G. B., Arruda, C. A. M., Vieira, D. V. F., Sousa, M. do S. de, & Ávila, M. M. M. (2019). Desafios Associados à Formação do Médico em Saúde Coletiva no Curso de Medicina de uma Universidade Pública do Ceará. Revista Brasileira de Educação Médica, 43(2), 114–121. https://doi.org/10.1590/1981-52712015v43n2rb20180118
Galvão, T. F., Pansani, T. de S. A., & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde, 24(2), 335–342. https://doi.org/10.5123/S1679-49742015000200017
Goulart, L. M. H. F., Alves, C. R. L., Belisário, S. A., Abreu, D. M. X. de, Lemos, J. M. C., Massote, A. W., França, M. B., Mendes, K. F., & Silva, T. A. F. da. (2009). Abordagem pedagógica e diversificação dos cenários de ensino médico: projetos selecionados pelo PROMED. Revista Brasileira de Educação Médica, 33(4), 605–614. https://doi.org/10.1590/S0100-55022009000400011
Hudson, J. N., Weston, K. M., Farmer, E. E., Ivers, R. G., & Pearson, R. W. (2010). Are patients willing participants in the new wave of community‐based medical education in regional and rural Australia? Medical Journal of Australia, 192(3), 150–153. https://doi.org/10.5694/j.1326-5377.2010.tb03454.x
Hur, Y., AR, C., & CJ, C. (2017). Medical students’ and patients’ perceptions of patient-centred attitude. In Korean journal of medical education (Vol. 29, Issue 1, pp. 33–39). https://pubmed.ncbi.nlm.nih.gov/28264552/
Irby, D. M. (1995). Teaching and learning in ambulatory care settings. Academic Medicine, 70(10), 898–931. https://doi.org/10.1097/00001888-199510000-00014
JOANNA BRIGGS INSTITUTE. (2014). Reviewer’s Manual. Adelaide (Australia). Royal Adelaide Hospital. http://joannabriggs.org/assets/docs/sumari/reviewersmanual-2014.pdf
MC, M., S, van S., DR, P., MB, K., & MS, M. (2019). Enhancing learning in longitudinal clinical placements in community primary care clinics: undergraduate medical students’ voices. Education for Primary Care: An Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors, 30(5), 301–308. https://pubmed.ncbi.nlm.nih.gov/31362601/
MR, H., & Dinh, A. (2017). Meeting the demand of the future: a curriculum to stimulate interest in careers in primary care internal medicine. Medical Education Online, 22(1), 1340780. https://pubmed.ncbi.nlm.nih.gov/28670982/
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210. https://doi.org/10.1186/s13643-016-0384-4
Partanen, R., Ranmuthugala, G., Kondalsamy-Chennakesavan, S., & M, van D. (2016). Is three a crowd? Impact of the presence of a medical student in the general practice consultation. Medical Education, 50(2), 225–235. https://pubmed.ncbi.nlm.nih.gov/26813001/
Paz-Lourido, B., & Kuisma, R. M. E. (2013). General practitioners' perspectives of education and collaboration with physiotherapists in Primary Health Care: a discourse analysis. J Interprof Care, 27(3), 254–260. https://dx.doi.org/10.3109/13561820.2012.745487
Regan-Smith, M., Young, W. W., & Keller, A. M. (2002). An Efficient and Effective Teaching Model for Ambulatory Education. Academic Medicine, 77(7), 593–599. https://doi.org/10.1097/00001888-200207000-00003
Roquete, A. M. (2001). Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina. Conselho Nacional de Educação.
Salminen, H., Öhman, E., & Stenfors-Hayes, T. (2016). Medical students’ feedback regarding their clinical learning environment in primary healthcare: a qualitative study. BMC Medical Education, 16(1), 313. https://pubmed.ncbi.nlm.nih.gov/27964713/
Teixeira, E., Medeiros, H. P., Nascimento, M. H. M., Silva, B. A. C. e, & Rodrigues, C. (2014). Integrative literature review step-by-step & convergences with other methods of review / Revisão Integrativa da Literatura passo-a-passo & convergências com outros métodos de revisão. Revista de Enfermagem Da UFPI, 2(5), 3. https://doi.org/10.26694/reufpi.v2i5.1457
Weng, H.-C., Steed, J. F., Yu, S.-W., Liu, Y.-T., Hsu, C.-C., Yu, T.-J., & Chen, W. (2011). The effect of surgeon empathy and emotional intelligence on patient satisfaction. Advances in Health Sciences Education, 16(5), 591–600. https://doi.org/10.1007/s10459-011-9278-3
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pedro Ventura; Ana Beatriz Zanardo Mion; Núbia de Souza Cintra; Lívia Maria Lopes Gazaffi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.