Pós-Graduação

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Competências clínicas essenciais em endocrinologia e metabologia para o médico generalista
(Centro Universitário do Estado do Pará, 2021) Bastos, Fabíola de Arruda; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Libonati, Rosana Maria Feio; http://lattes.cnpq.br/3818175484709618; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
Introduction: Teaching by Competencies mobilizes Knowledge, Skills and Attitudes. In the medical field, it is important to define the competences necessary for a general practitioner, contributing to the training of professionals more prepared for the job. A competence matrix expresses the collective consensus about the essential content for the student, being an instrument able to guide the teaching-learning processes. Objective: To develop a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabolism for the General Practitioner, to be achieved at the end of the undergraduate course in Medicine. Methodology: For the accomplishment of this work, the Delphi methodology was applied, in order to obtain consensus about the Essential Clinical Competencies. The study was divided into four phases: bibliographic survey and construction of the Pilot Matrix; opinion consultation with 07 local judges; analysis of the results obtained after the 1st evaluation cycle and elaboration of a questionnaire for a 2nd evaluation cycle; application of the questionnaire, analysis of responses and preparation of the Final Competency Matrix. Results: The Pilot Matrix was composed of 23 competencies, defined based on the main sub-areas of Endocrinology and Metabology, covering Knowledge, Skills and Attitudes. After the 1st evaluation cycle, alterations were suggested in 14 competences, totaling 22 alteration proposals. After the 2nd evaluation cycle, there was consensus on 16 of the 22 suggested changes, 05 for Increasing the Complexity of Competence, 07 for Reducing the Complexity of Competence and 04 for Changing the Competence. There was no situation of Exclusion from Competence. Conclusion: The elaboration of a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabology for the General Practitioner, to be achieved at the end of the graduation in Medicine, is fundamental, due to the increasing frequency of endocrine and metabolic diseases in the world population, the shortage of specialists and the reduced amount of adequate material on the subject. In this way, the Matrix proposal contributes to contemporary medical education based on Competencies, as well as to the qualified teaching of Endocrinology in undergraduate Medicine.
Competências na coleta do exame preventivo do câncer do colo uterino de graduandos do curso de enfermagem
(Centro Universitário do Estado do Pará, 2020) Olivi, Clara Ozeny Lima; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Pereira, Cynthia Mara Brito Lins; http://lattes.cnpq.br/3186657130674078; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Santana, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399
As a result of the screening of the precursor lesions of uterine cancer being the responsibility of the nurse in Primary Care, it is essential to deepen and appropriate the correct examination technique that detects the injury early. Therefore, when nursing students graduate, they should be able to perform the oncotic colpocytology exam. The oncotic colpocytology exam is useful in screening for cervical cancer lesions. Exam collection requires manual skill through practice and mastery of the correct technique. Therefore, the importance of the nursing student having a supervised internship in Primary Health Care to have the opportunity to acquire learning and minimal skills to perform the exam. The general objective of the present study was to identify the level of competence in the collection of the preventive exam of cervical cancer among Nursing students taking the supervised internship. Method: The study presented a quantitative approach and performed in the year 2019. 80 (eighty) students from the 9th semester of the Nursing Course at the University of the Amazon participated during three months of supervised internship in Primary Health Care. Twenty-one competencies in the collection of oncotic colpocytology exam. From the application of a checklist during the supervised internship, each student was evaluated five times. Results: The evolution of the minimum competencies of the nursing student during the five collections of the oncotic cytology exam was notorious. From the third collection, it was observed that 41.3% of students with unsatisfactory performance, there was a reduction to 5% in the fourth collection. In the fifth collection of the exam, 92.5% of students reach a satisfactory exam technique. Therefore, it suggested implementing the checklist during the collection of the oncotic cytology exam in the supervised internship, so that each student has the opportunity to make at least five collections.
Conhecimento de profissionais de saúde na mobilização de paciente politraumatizado no âmbito hospitalar
(Centro Universitário do Estado do Pará, 2022) Maciel, Flávia Lobato; Caldato, Milena Coelho Fernandes; Costa, Leonardo Ramos Nicolau da; http://lattes.cnpq.br/0412027987799407; http://lattes.cnpq.br/9477878606835309; Miranda, Ariney Costa de; http://lattes.cnpq.br/0967752058385887; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Souza, Givago da Silva; http://lattes.cnpq.br/5705421011644718
This is a cross-sectional study of a quantitative nature. Physiotherapists, Nurses and nursing technicians who work in the adult Intensive Care Unit (ICU) of the trauma urgency and emergency referral hospital. The professionals participating in the research answered a questionnaire on a virtual platform about the mobilization of polytrauma patients. 31 professionals participated, among them, 6 physiotherapists (19.4%), 6 nurses (19.4%) and 19 nursing technicians (61, 3%). It is evident that 77.4% of the professionals participating in the research did not obtain training or qualification courses to mobilize polytraumatized patients. 64.5% of the participants claim that there are no mobilization protocols in their service and also 96.8% of the professionals assign importance to training and participation in the elaboration of mobilization protocols and 100% accept to participate in an improvement. Finally, the final product was the construction of a didactic material for virtual support, video-class, for the management and mobility in bed of patients with polytrauma sequelae, aiming to contribute to the scientific technical improvement and to provide security in the mobilization of these patients.
Elaboração e implementação de um guia didático para construção compartilhada de projeto terapêutico singular (PTS) no ensino médico
(Centro Universitário do Estado do Pará, 2024) Gaia, Gabriel Nogueira; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Brito, Caio Vinicius Botelho; http://lattes.cnpq.br/9231585273571040; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
The Singular Therapeutic Project is an instrument used in the Family Health Strategy in Primary Health Care in Brazil, as well as in other countries, in order to understand the family composition, its interactions between family members and with members that make up its social nucleus and expectations regarding the illness process. The objectiveof this study was to propose and apply a matrix tool to ensure dialogue between the different levels of the health care network, the interdisciplinary team and, above all, guarantee the user's autonomy and protagonism in their health-disease process. A descriptive study was carried out, with a qualitative approach, based on the elaboration of a systematized instrument, a guide for the construction of a Unique Therapeutic Project with undergraduate medical students, directed towards the Community Health Care Interaction Module and Integrative and Complementary Health Practices workshop in the State of Pará, Brazil, in addition to students from the medical residency program in family and community medicine, highlighting the protagonism of the user so that it can be possible to coordinate and matrix care. The study resulted in the development of a guide titled “EDUCATIONAL GUIDE FOR SHARED CONSTRUCTION IN NETWORK CARE MANAGEMENT”, focusing on the role of the user and the attributions of each actor. In conclusion, the primary use of the Singular Therapeutic Project served to achieve the proposed objectives - to coordinate and matrix care and ensure the user's role in their health-disease process, noting that the use of this method is positive for clinical practice through the Person-centered clinical approach.
Medicina do adolescente - matriz de competências para a graduação médica
(Centro Universitário do Estado do Pará, 2024) Pinho, José Francisco Carvalho de; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Chermont, Aurymery Gomes; http://lattes.cnpq.br/4212769913736000; Franco, Mariane Cordeiro Alves; http://lattes.cnpq.br/6022804097411305; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Palacios, Vera Regina da Cunha Menezes
The competency-based education aims at the formation of a professional that, beyond dominating knowledge, possesses the necessary abilities and skills to face complex challenges that will appear in professional life. The present work has as an objective to contribute for the creation of a competency matrix ordered to the Adolescent Medicine during medical graduation with the scope that the egressed may, at the end of the course, carry it out with autonomy and safety. The work in sight consists of a quantitative exploratory study, which utilized the Delphi Methodology, and was realized in four phases: first a bibliografic survey and the creation of a pilot matrix were made; in sequence a research was performed with specialists (pediatricians and adolescent medics) – first evaluation cycle of pilot matrix; in the third phase, research was done alongside a panel of local judges – second evaluation cycle of pilot matrix; and at last, the results were analysed and the definitive matrix was elaborated. At the end of the two evaluation cycles a matrix proposal composed of 24 essential competencies in Adolescent Medicine was structured upon 3 thematic axies: the first axis, containing competencies linked to adolescent care; the second, containing competencies over the main themes in Adolescent Medicine; and the third axis, with the general competencies concentrated in the acknowledgement of the main pathologies that affect adolescents. The results allowed to trace a profile of competencies in accordance with the proposed objective and will permit the fullfilment of an existent gap in professional formation, guaranting a training in Adolescent Medicine, suplying the necessity of dealing with questions more directed to psicossocial and sexual problems, and the physical and emotional developement of that part of the population which necessitates higher atention.

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