RECOGNITION OF SKILLS IN LIFESTYLE MEDICINE: FROM CLINICAL CYCLE TO INTERNSHIP
do ciclo clínico ao internato
DOI:
https://doi.org/10.22478/ufpb.2359-7003.2024v33n1.66191Keywords:
estilo de vida, educação médica, nutrição saudável, abandono do tabagismo, exercício físicoAbstract
A Medicina do Estilo de Vida (MEV) baseia-se no aconselhamento médico sobre a adoção de um estilo de vida saudável para pacientes com fatores de risco para doenças crônicas, sendo imprescindível implementá-la na educação médica. Dessa forma, este estudo objetivou avaliar o reconhecimento de habilidades em MEV por estudantes de medicina, comparando entre etapa clínica e internato. Foi realizado um estudo observacional e transversal, de abordagem quantitativa, com estudantes do curso de medicina de três instituições de ensino com a aplicação de um questionário sobre experiência em MEV. Como resultado observou-se que a maioria dos estudantes eram familiarizados com a prática de MEV, entretanto os níveis de experiência e grau de confiança variaram significativamente. Houve menores níveis de confiança acerca do aconselhamento sobre sono e redução de confiança entre estudantes da etapa clínica e internato nas habilidades em cessação do tabagismo. Em geral, discentes do curso de medicina possuem conhecimentos no que concerne às orientações de hábitos saudáveis, entretanto a profundidade do conhecimento no que concerne às habilidades práticas são relativas. Nesse sentido, a inclusão de competências voltadas para essas lacunas de conhecimento poderia auxiliar na formação de médicos generalistas focados na prevenção e manejo de doenças crônicas.
Downloads
References
BRASIL, MEC, Conselho Nacional de Educação (CNE). Resolução n. 3, de 23 de junho de 2014. Institui Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina. Diário Oficial da República Federativa do Brasil, Brasília, 2014.
BRASIL, MS, Secretária de Atenção à Saúde. Guia Alimentar para a População Brasileira. Brasília; 2014. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf. Acesso em: 16 abr 2022.
BRASIL, MS, Universidade de São Paulo. Protocolos de uso do guia alimentar para a população brasileira na orientação alimentar: bases teóricas e metodológicas e protocolo para a população adulta. Brasília; 2021. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/protocolos_guia_alimentar_fasciculo1.pdf. Acesso em: 22 mai 2022.
BRENNAN, A. M. et al. Integrating Exercise Counseling into the Medical School Curriculum: A Workshop-Based Approach Using Behavior Change Techniques. American Journal of Lifestyle Medicine, v. 15, n. 1, p. 84-107, 2017.
CANTONE, R. E. et al. Insomnia Telemedicine OSCE (TeleOSCE): A Simulated Standardized Patient Video-Visit Case for Clerkship Students. MedEdPORTAL, v. 27, n. 15, 2019.
CHERNYAK, Y. A Practical Application Primer on Cognitive Behavioral Therapy for Insomnia for Medical Residents. MedEdPORTAL, v. 13, n. 15, 2019.
CHO, A. et al. Effects of education methods on self efficacy of smoking cessation counseling among medical students. PeerJ, v. 7, n. 9, 2021.
CROWLEY, J.; BALL, L.; HIDDINK, G. J. Nutrition in medical education: a systematic review. Lancet Planet Health, v. 3, n. 9, p. 379-389, 2019.
DOLATKHAH, N., et al. Nutrition knowledge and attitude in medical students of Tabriz University of Medical Sciences in 2017–2018. BMC Research Notes, v. 12, n. 1, 2019.
FRAME, L. A. Nutrition, a Tenet of Lifestyle Medicine but Not Medicine. International Journal of Environmental Research and Public Health, v. 18, n. 11, 2021.
FRANÇA-JUNIOR, R. R.; MAKNAMARA, M. A literatura sobre metodologias ativas em educação médica no Brasil: notas para uma reflexão crítica. Trabalho, Educação e Saúde, v. 17, n. 1, p. 1-22, 2019.
FRANÇA-JUNIOR, R. R.; MAKNAMARA, M. Metodologias ativas como significado transcendental de currículos de formação médica. Educação em Revista, v. 36, 2020.
HAQ, I. U. et al. A Comparative Study of Nutritional Status, Knowledge Attitude and Practices (KAP) and Dietary Intake between International and Chinese Students in Nanjing, China. International Journal of Environmental Research and Public Health, v. 15, n. 9, p. 1910, 2018.
JAROUDI, S. S. et al. Impact of culinary medicine elective on medical students’ culinary knowledge and skills. Baylor University Medical Center Proceedings, v. 31, n. 4, p. 439-442, 2018.
KEEL, T., et al. Impact of an Expansion of a Clinical Nutrition Curriculum on Pre-Clerkship Medical Students’ Perception of Their Knowledge and Skills Related to Performing a Nutritional Assessment. Nutrients, v. 13, n. 11, 2021.
KEYES, S. A, GARDNER, Aimee. Educating physician-assistant students as agents of lifestyle medicine. The Clinical Teacher, v. 17, n. 6, p. 638-643, 2020.
LAMMERS, D. et al. Students working against tobacco: A novel educational program to improve Canadian medical students’ tobacco counselling skills. Canadian Medical Education Journal, v. 31, n. 9, p. 72-78, 2018.
LEPRE, B. et al. Australian and New Zealand Medical Students' Attitudes and Confidence Towards Providing Nutrition Care in Practice. Nutrients, v. 13, n. 3, p. 598, 2020.
LORANGER, M.; SIMMS, K.; PIPE, A. Smoking cessation counselling training in the pre-clerkship curriculum of Canadian medical schools: A national survey. Canadian Medical Education Journal, v. 31, n. 9, p. 5-10, 2018.
MCFADDEN, T. et al. Demographic differences in Canadian medical students' motivation and confidence to promote physical activity. Family Practice, v. 37, n. 1, p. 56-62, 2020.
MOGRE, V. et al. Why nutrition education is inadequate in the medical curriculum: a qualitative study of students' perspectives on barriers and strategies. BMC Medical Education, v. 18, n. 1, 2018.
MOTA, I. B. et al. Nutrition Education in Portuguese Medical Students: Impact on the Attitudes and Knowledge. Acta Medica Portuguesa, v. 33, n. 4, p. 246-251, 2020.
MUSCATO, D.; PHILLIPS, E. M.; TRILK, J. L. Lifestyle Medicine Education Collaborative (LMEd): "Champions of Change" Medical School Leaders Workshop. American Journal of Lifestyle Medicine, v. 12, n. 5, p. 382-386, 2018.
OCK, S.; DEMERS, L. B.; MCDOUGAL, J. C. Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians. MedEdPORTAL, v.20, n.16, 2020.
PARK, K. Y.; PARK, H. K.; HWANG, H. S. Group randomized trial of teaching tobacco-cessation counseling to senior medical students: a peer role-play module versus a standardized patient module. BMC Medical Education, v. 19, n. 1, 2019.
PASARICA, M.; KAY, D. Teaching evidence-based lifestyle management in family medicine training. Education for Primary Care, v. 29, n. 1, p. 60-61, 2018.
PASARICA, M.; KAY, D.. Teaching lifestyle medicine competencies in undergraduate medical education:active collaborative intervention for students at multiple locations. Advances in Physiology Education, v. 44, n. 3, p. 488-495, 2020.
RADENKOVIC, D., et al. Lifestyle medicine and physical activity knowledge of final year UK medical students. BMJ Open Sport and Exercise Medicine, v. 5, n. 1, 2019.
REA, B., et al. Medical Education Transformation: Lifestyle Medicine in Undergraduate and Graduate Medical Education, Fellowship, and Continuing Medical Education. American Journal of Lifestyle Medicine, v. 15, n. 5, p. 514-525, 2021.
RECKER, A. J. et al. Knowledge and Habits of Exercise in Medical Students. American Journal of Lifestyle Medicine, v. 15, n. 3, p. 214-219, 2020.
SATO, D. et al. Effectiveness of Unguided Internet-Based Cognitive Behavioral Therapy and the Three Good Things Exercise for Insomnia: 3-Arm Randomized Controlled Trial. Journal of Medical Internet Research, v. 24, n. 2, p. 28747, 2022.
STEWART, M. et al. Medicina centrada na pessoa: transformando o método clínico. 3 ed. Porto Alegre: Artmed, 2017.
THOMPSON, W. R. et al. Exercise is medicine. American Journal of Lifestyle Medicine, v. 14, n. 5, p. 511-523, 2020.
TRILK, J. L. et al. Design and Implementation of a Lifestyle Medicine Curriculum in Undergraduate Medical Education. American Journal of Lifestyle Medicine, v. 13, n. 6, p. 574-585, 2019a.
TRILK, J. L. et al. Including Lifestyle Medicine in Medical Education: Rationale for American College of Preventive Medicine/American Medical Association Resolution 959. American Journal of Preventive Medicine, v. 56, n. 5, p. 169-175, 2019b.
WATTANAPISIT, A., TUANGRATANANON, T., THANAMEE, S. Physical activity counseling in primary care and family medicine residency training: a systematic review. BMC Medical Education, v. 18, n. 1, 2018.
WATTICK, R. A., SAURBORN, E. G., OLFERT, M. D. Impact of a Brief Culinary Medicine Elective on Medical Students' Nutrition Knowledge, Self-efficacy, and Attitudes. Medical Science Educator, v. 32, n. 4, p. 785-792, 2022.
YANG, C. et al. Perceptions and preparedness toward tobacco cessation counseling amongst clinical medical students in Chongqing, Southwest China: A cross-sectional study. Frontiers in Public Health, v. 1, n. 10, 2022.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista Temas em Educação
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
. Authors retain the copyright and grant the journal the right to first publication, with the work simultaneously licensed under the Licença Creative Commons Attribution that allows the sharing of the work with acknowledgment of authorship and initial publication in this magazine. . Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
. Authors are permitted and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See O Efeito do Acesso Livre).
