ENDO-Study: Um estudo qualitativo para avaliar o impacto de um curta-metragem na compreensão e percepção da endometriose pelos estudantes de medicina
ENDO-Study
Resumo
Este estudo investiga a eficácia de um curta-metragem, END-O, como uma ferramenta educacional para melhorar a compreensão dos estudantes de medicina sobre a endometriose e seu impacto na qualidade de vida dos pacientes. A endometriose, uma condição prevalente, mas frequentemente subdiagnosticada que afeta mulheres, apresenta desafios físicos e emocionais significativos. Foi utilizada uma abordagem qualitativa, envolvendo 23 estudantes de medicina do sexto ano, aleatoriamente designados a um grupo de estudo (n=11), que assistiu ao filme, ou a um grupo de controle (n=12), que não o assistiu. Após uma aula sobre endometriose, ambos os grupos completaram questionários para avaliar sua compreensão e percepções sobre a doença. O grupo de estudo demonstrou um reconhecimento significativamente maior dos sintomas (p = 0,005) e expressou percepções mais detalhadas sobre o impacto da doença na vida, incluindo dimensões emocionais e sociais. Os resultados sugerem que o filme promove eficazmente a empatia e uma compreensão mais profunda da endometriose entre futuros profissionais de saúde, destacando a importância de integrar abordagens humanísticas na educação médica. Essa intervenção pode contribuir para enfrentar o subdiagnóstico e o subtratamento críticos da endometriose.
Downloads
Metrics
Referências
Taylor HS, Kotlyar AM, Flores VA. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet. 2021;397(10276):839-52. https://doi.org/10.1016/s0140-6736(21)00389-5
Clement PB. The pathology of endometriosis: a survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv Anat Pathol. 2007;14(4):241-60. https://doi.org/10.1097/PAP.0b013e3180ca7d7b.
Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362(25):2389-98. https://doi.org/10.1056/NEJMcp1000274.
Greene R, Stratton P, Cleary SD, Ballweg ML, Sinaii N. Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis. Fertil Steril. 2009;91(1):32-9. https://doi.org/10.1016/j.fertnstert.2007.11.020.
Baczek G, Mietus M, Klimanek J, et al. The impact of endometriosis on the quality of women's life. Ginekol Pol. 2024;95(5):356-64. https://doi.org/10.5603/gpl.93995.
Association of American Medical Colleges (AAMC). Learning Objectives for Medical Student Education: Guidelines for Medical Schools.
Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014;14:219. https://doi.org/10.1186/1472-6920-14-219.
Patel S, Pelletier-Bui A, Smith S, et al. Curricula for empathy and compassion training in medical education: a systematic review. PLoS One. 2019;14(8):e0221412. https://doi.org/10.1371/journal.pone.0221412.
Sinclair S, Norris JM, McConnell SJ, Chochinov HM, Hack TF, Hagen NA, et al. Compassion: a scoping review of the healthcare literature. BMC Palliat Care. 2016;15:6. https://doi.org/10.1186/s12904-016-0080-0.
Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80(2):164-7. https://doi.org/10.1097/00001888-200502000-00013.
Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38(9):934-41. https://doi.org/10.1111/j.1365-2929.2004.01911.x
Neumann M, Edelhauser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996-1009. https://doi.org/10.1097/ACM.0b013e318221e615
Law M, Kwong W, Friesen F, Veinot P, Ng SL. The current landscape of television and movies in medical education. Perspect Med Educ. 2015;4(5):218-24. https://doi.org/10.1007/s40037-015-0205-9
Blasco PG, Moreto G, Roncoletta AFT, Levites MR, Janaudis MA. Using movie clips to foster learners’ reflection: improving education in the affective domain. Fam Med. 2006;38:94-6. https://sobramfa.com.br/wp-content/uploads/2019/07/2006_fev_Movie_Clips..pdf
Taylor JS. Learning with emotion: a powerful and effective pedagogical technique. Acad Med. 2010;85:1110. https://doi.org/10.1097/acm.0b013e3181e202d3
McConnell MM, Eva KW. The role of emotion in the learning and transfer of clinical skills and knowledge. Acad Med. 2012;87:1316-22. https://doi.org/10.1097/acm.0b013e3182675af2
Zeppegno P, Gramaglia C, Feggi A, Lombardi A, Torre E. The effectiveness of a new approach using movies in the training of medical students. Perspect Med Educ. 2015;4(5):261-3. https://doi.org/10.1007/s40037-015-0208-6.
Akram A, O’Brien A, O’Neill A, Latham R. Crossing the line—learning psychiatry at the movies. Int Rev Psychiatry. 2009;21:267-8. https://doi.org/10.1080/09540260902746880
Bhagar HA. Should cinema be used for medical student education in psychiatry? Med Educ. 2005;39:972-3. https://doi.org/10.1111/j.1365-2929.2005.02252.x
Johnson JM, Beresin EV, Stern TA. Using Breaking Bad to teach about defense mechanisms. Acad Psychiatry. 2014 Dec;38(6):716-9. https://doi.org/10.1007/s40596-014-0161-4
Hyler SE, Schanzer B. Using commercially available films to teach about borderline personality disorder. Bull Menninger Clin. 1997;61:458-68.
Kalra G. Teaching diagnostic approach to a patient through cinema. Epilepsy Behav. 2011;22:571-3. https://doi.org/10.1016/j.yebeh.2011.07.018
Kalra G. Psychiatry movie club: a novel way to teach psychiatry. Indian J Psychiatry. 2011;53:258. https://doi.org/10.4103/0019-5545.86820
Graf H, Abler B, Weydt P, Kammer T, Plener PL. Development, implementation, and evaluation of a movie-based curriculum to teach psychopathology. Teach Learn Med. 2014;26(1):86-9. https://doi.org/10.1080/10401334.2013.857340
Hankir A, Holloway D, Zaman R, Agius M. Cinematherapy and film as an educational tool in undergraduate psychiatry teaching: a case report and review of the literature. Psychiatr Danub. 2015 Sep;27 Suppl 1:S136-42. PMID: 26417749.
Bui E, Rodgers R, Chabrol H, Birmes P, Schmitt L. Is Anakin Skywalker suffering from borderline personality disorder? Psychiatry Res. 2011;185(1-2):299. https://doi.org/10.1016/j.psychres.2009.03.031 .
Wilson N, Heath D, Heath T, Gallagher P, Huthwaite M. Madness at the movies: prioritised movies for self-directed learning by medical students. Australas Psychiatry. 2014;22(5):450-3. https://doi.org/10.1177/1039856214545550.
Retamero C, Walsh L, Otero-Perez G. Use of the film The Bridge to augment the suicide curriculum in undergraduate medical education. Acad Psychiatry. 2014;38(5):605-10. https://doi.org/10.1007/s40596-014-0086-y
Lumlertgul N, Kijpaisalratana N, Pityaratstian N, Wangsaturaka D. Cinemeducation: a pilot student project using movies to help students learn medical professionalism. Med Teach. 2009;31:e327-32. https://doi.org/10.1080/01421590802637941
Rattani A, Kaakour D, Syed RH, Kaakour AH. Rethinking TV and movies in medical ethics and professionalism education. Med Teach. 2020 Apr;42(4):477-478. https://doi.org/10.1080/0142159x.2019.1626981
Volandes A. Medical ethics on film: towards a reconstruction of the teaching of healthcare professionals. J Med Ethics. 2007;33:678-80. https://doi.org/10.1136/jme.2006.017665
Ozcakir A, Bilgel N. Educating medical students about the personal meaning of terminal illness using the film, ‘Wit.’ J Palliat Med. 2014;17:913-7. https://doi.org/10.1089/jpm.2013.0462
Welsh CJ. OD’s and DT’s: using movies to teach intoxication and withdrawal syndromes to medical students. Acad Psychiatry. 2003;27:182-6. https://doi.org/10.1176/appi.ap.27.3.182
Pais de Lacerda A. Medical education: addiction and the cinema (drugs and gambling as a search for happiness). J Med Movies. 2005;1:95-102. https://revistas.usal.es/cinco/index.php/medicina_y_cine/article/view/206/377
Cape G. Movies as a vehicle to teach addiction medicine. Int Rev Psychiatry. 2009;21(3):213-7. https://doi.org/10.1080/09540260902747094.
Daher-Nashif S. Doctors' challenges during infectious disease outbreaks: medical education insights from realistic fiction movies. Adv Med Educ Pract. 2021;12:265-72. https://doi.org/10.2147/AMEP.S297427.
Baminiwatta A, Fernando R, Williams S. Improving medical students' understanding of dementia using a movie (The Father). Educ Prim Care. 2023;34(2):109. https://doi.org/10.1080/14739879.2023.2178333 .
Goldman JD. An elective seminar to teach first-year students the social and medical aspects of AIDS. J Med Educ. 1987;62:557-61.
Sociedad Española de Ginecología y Obstetricia. Endometriosis. Prosego; 2013.
Schwabe L, Wolf OT. Stress prompts habit behavior in humans. J Neurosci. 2009;29(22):7191-8. https://doi.org/10.1523/JNEUROSCI.0979-09.2009 .
De Souza D, Adams GC. Practical Pedagogical Tips for Using Movies in Medical Education. Acad Psychiatry. 2023 Feb;47(1):90-94. https://doi.org/10.1007/s40596-022-01740-y
Direitos de Autor (c) 2024 Serviço de Publicações da Universidade de Múrcia
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
Os trabalhos publicados nesta revista estão sujeitos aos seguintes termos:
1. O Serviço de Publicações da Universidade de Murcia (o editor) preserva os direitos económicos (direitos de autor) das obras publicadas e favorece e permite a sua reutilização ao abrigo da licença de utilização indicada no ponto 2.
2. Os trabalhos são publicados sob uma licença Creative Commons Atribuição-NãoComercial-NãoDerivada 4.0.
3. Condições de autoarquivamento. Os autores estão autorizados e incentivados a divulgar eletronicamente as versões pré-impressas (versão antes de ser avaliada e enviada à revista) e / ou pós-impressas (versão avaliada e aceita para publicação) de seus trabalhos antes da publicação, desde que favorece sua circulação e difusão mais precoce e com ela possível aumento de sua citação e alcance junto à comunidade acadêmica.
