Abstract
OBJECTIVE To describe the fifth-year medical students' self-evaluation based on the reflexive discourse of the Activities Diaries (portfolio) from the Pediatric Internship I and Child Care Rotations. METHODS Cross sectional, qualitative and descriptive study using the collective subject discourse of the diaries used during the internship of the Medical School, in Catanduva, São Paulo, from January to November, 2011. The registered students' testimonials in the portfolio sections called self-assessment and students' impression were assessed according to their central ideas (discipline organization, breastfeeding outpatient clinic, number of admissions in the pediatric hospital ward and satisfaction with the Child Health training ), related to the teaching of Pediatrics and Child Care. The portfolios with incomplete registers were excluded. RESULTS The testimonials of 47 interns (75% of the students) were analyzed, and 21.3% of them expressed satisfaction with the discipline organization and 27.7% praised the inclusion of the breastfeeding outpatient clinics in the course. For 25.5% of the academics, the number of admissions in the pediatric wards was insufficient for an ideal learning; however, 70.2% were satisfied with the Child Health training. CONCLUSIONS This critical analysis allowed a summary of the reflections, suggestions and critics registered by the interns and can be used as a tool for improvement of the professional cycle.
Highlights
The increasing demand for better life conditions in communities, the change in the epidemiological profile of diseases, the identification of risk factors and new physical and psychosocial diseases, and the development of increasingly more sophisticated and high cost technologies are some of the problems faced by healthcare professionals of the twentyfirst century
Incluíram-se no estudo todos os depoimentos dos alunos, registrados nas seções do portfólio, denominadas autoavaliação e impressão do aluno, as quais contêm as ideias centrais relacionadas ao ensino de Pediatria e Puericultura
It is observed that the main concern of medical schools is teaching the theoretical background of prevalent childhood diseases
Summary
The increasing demand for better life conditions in communities, the change in the epidemiological profile of diseases, the identification of risk factors and new physical and psychosocial diseases, and the development of increasingly more sophisticated and high cost technologies are some of the problems faced by healthcare professionals of the twentyfirst century. The current context of changes and challenges in training healthcare professionals requires alterations in different spheres — conceptual, interpersonal, social, institutional, and that of values, in order for the training of these professionals to take place in a solid and critical way and to include the construction of as yet unknown alternatives[2] In this context, it is observed that the main concern of medical schools is teaching the theoretical background of prevalent childhood diseases. Their Epidemiology, Etiopathogenesis, Pathophysiology, diagnosis and treatment are studied on different occasions of medical training, from first to sixth year[1] Based on this concern with teaching, the Pediatric course at the Medical School of Faculdades Integradas Padre Albino implemented the use of Activities Diary (reflexive portfolio) for intern students, in order to stimulate self-reflection and solidification of the content learned, as well as to know students’ opinion on Pediatric training[3,4,5,6,7,8]. This allows them to be aware of the learning process, because it highlights the dissonances between the intended result and the real one, besides providing data and allowing to review goals, methodology and contents[9]
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