Abstract
Abstract: Introduction: Population aging, longer life expectancy and the increase in the prevalence of chronic diseases have brought new health demands, among them, palliative care (PC). Although present in the clinical routine, this topic has not yet been included in most medical schools in Brazil. Objective: To know the teaching-learning process in PC according to the perception of medical students from schools that have this subject. Method: Qualitative method through interviews with 35 medical students from 14 medical schools located in the Northeast, Southeast and South regions of the country. Results: The reports were classified into three categories: conception of PC, changes perceived after exposure to PC teaching, challenges and successful strategies identified in PC teaching. Students recognize the value of teaching in PC and have a greater understanding of PC approach and its early indication for people with complex chronic conditions. The inclusion of the topic contributed to the overcoming of fears and taboos related to death, providing greater comfort to deal with human suffering, adding emotional skills. The formal education in PC allowed understanding the person in their biopsychosocial and spiritual dimension. They stressed the importance of communication skills to communicate difficult news, symptom management, teamwork and an individualized approach to the person and their family. Although they identify little theoretical-practical integration in the teaching-learning scenario in PC, they report an interest in the topic, and indicated successive experiences as strategies throughout the training, in a humanist axis. Conclusion: PC teaching brings contributions to medical training that go beyond the learning of the subject and reinforces the development of empathy and compassion, recognized as essential in this profession, as well as the relevance of assertiveness in the management of suffering and the comprehensive care of people with advanced diseases.
Highlights
Population aging, longer life expectancy and the increase in the prevalence of chronic diseases have brought new health demands, among them, palliative care (PC)
The reports were classified into three categories: conception of PC, changes perceived after exposure to PC teaching, challenges and successful strategies identified in PC teaching
Students recognize the value of teaching in PC and have a greater understanding of PC approach and its early indication for people with complex chronic conditions
Summary
Andrea Augusta Castro[1] iD Stella Regina Taquette[1] iD Caio Assunção Rocha Pereira[1] iD. Objetivo: Este estudo teve como objetivo conhecer o ensino-aprendizagem em CP na percepção do estudante de Medicina de escolas que dispõem dessa disciplina. Os estudantes reconhecem o valor do ensino de CP e têm maior compreensão sobre a abordagem em CP e sua indicação precoce às pessoas com condições crônicas complexas. Embora tenham identificado pouca integração teórico-prática no cenário de ensino-aprendizagem de CP, os alunos referiram interesse na temática e apontaram como estratégias aproximações sucessivas ao longo da formação, em um eixo humanista. Conclusão: O ensino de CP traz contribuições à formação médica para além da aprendizagem do tema e reforça o desenvolvimento da empatia e compaixão, reconhecidas como essenciais nessa profissão, assim como a relevância da assertividade no manejo do sofrimento e do cuidado integral de pessoas com doenças avançadas.
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