Acta Cirúrgica Brasileira (May 2016)

Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model

  • Milton Ignacio Carvalho Tube,
  • Fernando Antonio Campelo Spencer Netto,
  • Elaine Costa,
  • Daniell de Siqueira Araújo Lafayette,
  • George Augusto da Fonseca Carvalho Antunes Lima,
  • Jamile Isabela Santos de Menezes,
  • Vinicius Gueiros Buenos Aires,
  • Álvaro Antônio Bandeira Ferraz,
  • Josemberg Marins Campos,
  • Fernando Ribeiro de Moraes Neto

DOI
https://doi.org/10.1590/S0102-865020160050000010
Journal volume & issue
Vol. 31, no. 5
pp. 353 – 363

Abstract

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ABSTRACT PURPOSE: Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students. METHODS: Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation. Inclusion criteria: a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) Exclusion criteria: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale. RESULTS: Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001). CONCLUSION: Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.

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