02/05/12 Adaltech Soluções para Evento - www.adaltech.com.br

1/1www.adaltech.com.br/sigeventos/wtc2012/inscricao/mostra_resumo.asp?traId=4

200 hours of clerkship: Is it the threshold for performing procedures safely in the Surgical

Emergency Room?

Autores:Phillipe Abreu Reis 1,2, Guilherme Oliveira 1,2, Arthur Curtarelli 3,2, Hammad Sadique 4,

Adonis Nasr 1,2, Flávio Daniel Saavedra Tomasich 1,2

Institución: 1 UFPR - Universidade Federal do Parana (Rua XV de Novembro, 1299 | CEP 80.060-000 |

Centro | Curitiba | PR | Brasil ), 2 HT/UFPR - Hospital do Trabalhador (Av. República

Argentina, 4406 - Novo Mundo - 81050-000 - Curitiba - PR), 3 UP - Universidade Positivo

(Rua Prof. Pedro Viriato Parigot de Souza, 5300 - Campo Comprido - Curitiba - PR ), 4 UB -University of Birmingham (Birmingham B15 2TT)

Resumen:

Introduction: The field of emergency medicine arouses great fascination in most medical students. In Brazil, who are interestedon Surgery get involved in clerkships through Academic Leagues. The range of activities that can be undertaken in eachclerkship, is very and the minimum hours required to complete the clerkship is 250 hours. The objective of this clerkship is toexpose the student to everyday situations in trauma, teach how to diagnose and treat these diseases as well as help indecisions about their future specialty. Objectives: The objectives of this study are to assess the influence of hours undertakenin the clerkship on the performance and safety of students in carrying out the different procedures in the emergencydepartment, and on their own perception of how well they did. Also to determine the influence that the clerkship has on thestudent´s future choice of specialty. Methods: A Cross-sectional study conducted by collecting data through a questionnairedeveloped by the research group (attached). The inclusion criteria of the study were all students who were studying medicineand participated in the surgical emergency medicine clerkship of the Hospital do Trabalhador in the second half of 2011.Theexclusion criteria of the study were all students who did not attend the annual meeting (where data was collected) or whorefused to complete the questionnaire. 102 eligible individuals were divided into two groups according to the number of hoursserved in the clerkship (Group 1- up to 200 hours and Group 2- over 200 hours). Results: Students in Group 2 (over 200 hours)had a greater number of procedures performed on all variables evaluated, in particular, history taking (mean 363.8 vs.136.905 inGroup 1 - p = 0.001), Simple Sutures (mean of 96.2 vs 33.980 respectively) ( p = 0.00003). To determine patient follow-up bythe student, the number of histories taken was correlated with number of discharge procedures performed (in Group 1, 49.6%of patients were not followed up and discharged by the same students who took their clinical history. While in Group 2, thisvalue becomes 29.4 % - values for Group 1 - p = 0.011 and Group 2 - p = 0.117). Regarding the influence of the clerkship,76.5% of the total reported that the clerkship had influenced their choice of future specialty. Conclusion: The aptitude, safetyand skill of students are closely linked to the practice time (number of training hours served). Two hundred hours appeared tobe a relatively significant time for the student to demonstrate good conduct and ability. The clerkship had the ability toinfluence the future choice of specialty, either positively or negatively.

Palabras clave: Clerkship, Medical Students, Emergency Room