The perception of health professionals about the insertion of medical students in Primary Health Care: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i10.43409

Keywords:

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&amp

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

Published

09/10/2023

How to Cite

VENTURA, P. .; MION, A. B. Z. .; CINTRA, N. de S. .; GAZAFFI, L. M. L. . The perception of health professionals about the insertion of medical students in Primary Health Care: A literature review . Research, Society and Development, [S. l.], v. 12, n. 10, p. e70121043409, 2023. DOI: 10.33448/rsd-v12i10.43409. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43409. Acesso em: 23 dec. 2024.

Issue

Section

Health Sciences