Inclusion of advanced cardiopulmonary resuscitation in curricular education of medical doctors in Uruguay. First experience in the Rotating Internship between 2017-2018. School of Medicine, University of Uruguay
Communication and Evaluation
DOI:
https://doi.org/10.29193/RMU.37.2.3Keywords:
MEDICAL EDUCATION, CARDIOPULMONARY RESUSCITATION, CLINICAL MEDICINE, SIMULATION TECHNIQUE, MEDICAL SCHOOLS, INTERNSHIP AND RESIDENCY, URUGUAYAbstract
In 2017 the School of Medicine of the University of the Republic included advanced cardiopulmonary resuscitation as a mandatory curricular activity during the rotating internship. The decision is justified by morbility and mortality rates of heart disease, in particular cardiopulmonary arrests and sudden death. Resuscitation courses enable the acquisition of technical and non- technical skills to respond to a prevalent condition and to compensate the absence of this specific training in the training of medical doctors.
The study aimed to communicate and evaluate the first experience during the 2017-2018 rotating internship.
A transversal study was conducted to analyse the number of participants and the percentage of successful candidates. Likewise, a survey was designed to assess self-perception of skills prior to the course and skills acquired during the course, as well as a course satisfaction.
Results revealed the high acceptance rate of this first instance of the course and its positive assessment. Similarly, interns evidenced improvement in their self-perception of identified skills. As to a weaknesses found, the questionnaire used had not been validated and not all Interns completed the assessment, both aspects that will be improved in future assessments.
To conclude, we managed to inform about the experience, advanced cardiopulmonary resuscitation courses are an advantage in itself, and it has been a significant advance in the professional training of future medical doctors.
References
2) Reyes Caorsi W. Prevención de la muerte súbita: un compromiso de todos. Rev Urug Cardiol 2008; 23(3):247-8. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-04202008000300001&lng=es. [Consulta: 8 mayo 2020].
3) Niggemeyer Á, Machado F, Xalambrí F, Albornoz H, Sánchez A, López P, et al. Resultados iniciales de la implementación de programas de acceso público a la desfibrilación en Uruguay. Rev Urug Cardiol 2013; 28(3):334-44. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-04202013000300003&lng=es&tlng=es.[Consulta: 18 mayo 2020].
4) Cubero Pérez R. Perspectivas constructivistas: la intersección entre el significado, la interacción y el discurso. Graó: Barcelona, 2005.
5) Bayés de Luna A, Elosua R. Muerte súbita. Rev Urug Cardiol 2013; 28(2):257. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-04202013000200015&lng=es. [Consulta: 8 mayo 2020].
6) Ker J, Bradley P. Simulation in medical education. En: T. Swanwick T, ed. Understanding Medical Education: evidence, theory and practice. Edinburgh: ASME, 2010:164-80.
7) Santen S, Hemphill R, McDonald M, Jo CO. Patients´ willingness to allow residents to learn to practice medical procedures. Acad Med 2004; 79:144-7.
8) Santen SA, Hemphill RR, Spanier CM, Fletcher ND. “Sorry, its my first time” Will patients consent to medical students learning procedures? Med Educ 2005; 39:365-9.
9) Bain K. Lo que hacen los mejores profesores de universidad. Valencia: Universitat de València, 2007:33-112.
10) Bleakley A, Bligh A, Browne J. Learning from learning theory. En: Medical education for the future: identity, power and location. Springer, 2011:33-42.
11) Biggs J. Cambiar la enseñanza universitaria. En: Biggs J. Calidad del aprendizaje universitario. Madrid: Narcea, 2006:19-28.
12) Bransfod J, Vye N. Una perspectiva sobre la investigación cognitiva y sus implicaciones para la enseñanza. En: Resnick L, Klopfner L. Currículum y cognición. Bs As: Aique Grupo Editor, 1996:275-324.
13) Iglesias Vázquez J, Penas Penas M, Rodríguez Núñez A, Cegarra García M, Barreiro Díaz J, Varela-Portas J. Estudio coste-efectividad de la enseñanza de la reanimación cardiopulmonar con simuladores. Emergencias 2007; 19:312-8. Disponible en: https://www.researchgate.net/profile/Jose_Iglesias-Vazquez/publication/28203841_Estudio_coste-efectividad_de_la_ensenaza_de_la_reanimacion_cardiopulmonar_con_simuladores/links/0fcfd50ab64411c2b8000000/Estudio-coste-efectividad-de-la-ensenaza-de-la-reanimacion-cardiopulmonar-con-simuladores.pdf [Consulta: 18 mayo 2020].
14) Carrillo Álvarez A, López-Herce Cid J, Moral Torrero R, Sancho Pérez L, Vigil Escribano D. Evaluación de los cursos de reanimación cardiopulmonar básica y avanzada en pediatría. An Pediatr (Barc) 2000; 53:125-34.
15) Villagrán I, Tejos R, Chahuan J, Uslar T, Pizarro M, Varas J, et al. Percepción de estudiantes de pregrado de Medicina de talleres de simulación de procedimientos médico-quirúrgicos. Rev méd Chile 2018; 146(6):786-95.
16) Yang CW, Yen ZS, McGowan JE, Chen HC, Chiang WC, Mancini ME, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation 2012; 83(9):1055-60.
17) Aspectos destacados de la actualización de las Guías de la AHA para RCP y ACE de 2015. Dallas: American Heart Association, 2015:36 p. Disponible en: https://www.cercp.org/images/stories/recursos/Guias%202015/2015-AHA-Guidelines-Highlights-Spanish.pdf [Consulta: 18 mayo 2020].
18) Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Médicas; Busquets Marcelo P. Especialización en Docencia Universitaria. La simulación clínica: nueva herramienta para la enseñanza de la Medicina. Aplicación en la currícula de los alumnos de la Facultad de Ciencias Médicas de la Universidad Nacional de La Plata. La Plata, 2017. Disponible en: http://sedici.unlp.edu.ar/bitstream/handle/10915/63060/Documento_completo.pdf-PDFA.pdf?sequence=1&isAllowed=y [Consulta: 18 mayo 2020].
