Análise da percepção dos alunos de medicina sobre o método clínico centrado na pessoa: dimensão cuidar e compartilhar

Abstract

This study aims to avaluate the perception of medical students about Patient-centered Clinical Method, highlighint the Sharing and Caring dimensons of the Patient-Practitioner Orientation Scale (PPOS), associating the average scores with the semesters from Centro Universitário do Estado do Pará (CESUPA). The research was held between February and December/2022 and was analysed between June/2023 and June 2024. It was approved by the Ethics Comittee according to the resolution n° 466/12 under the approval n° 5.635.569. The data collection happened through questionnaires applied in classrooms and on Google Forms. The results: the highest scores in the Sharing scale came from fourth, seventh and eighth semester. The fourth semester had the highest score, with 46 participants, a score of 4 and a standard deviation of 0,0293 - revealing a narrow variation between the students and a high consistency of data. In contrast, the eighth semester didn't fulfil the expectations, obtaining a similar score to the others despite the educational project indicating that at this point the students had already had classes dedicated to said theme, which may indicate dificulties to apply theoretical concepts in real life. On the Caring scale, the highest scores belonged to the first, sixth and fifth semesters, with the first semester being the highest; exposing the positive impact of the initial curriculum and the early exposure to patients. However, the third semester had lower results, probably due to the low number of participants - 13 students. The Caring scale had an average score of 4,4 and standard deviation of 0,088. Lastly, all semesters where graded as moderately patient-centered. In order to achieve better results, highly patient-centered, improvements like the enhancement in teaching and teacher training may be applied, as well as the development of new methodologies and revision of teaching practices.