Beyond Words
the Role of the Clinical Communication Laboratory in Family Practice Training
DOI:
https://doi.org/10.5712/rbmfc19(46)4223Keywords:
Health Communication, Internship and Residency, Family Practice, Video recording.Abstract
Problem: The study of clinical communication in medical education was scarcely addressed before the 1960s, with a focus on the Flexnerian model and the valorization of disease-centered medicine. However, over time, the inadequacies of this model became apparent, leading to the need to rethink medical education in light of the complexity of the health-disease process and social determinants of health. In the context of Primary Health Care (PHC), communication skills and the doctor-patient relationship assume great importance, as the professionals' communication ability directly impacts adherence to proposed therapeutic plans, patient satisfaction, and their experience with diseases. Despite its relevance, there is a belief that such preparation is unnecessary or untrainable and that this skill is innate to professionals. Method: This study describes the Communication Laboratory (LabCom) of the Family Practice Residency Program of the Recife Health Department as a strategy to develop communication skills among residents. LabCom uses video-recorded consultations and group feedback as primary teaching methods. Results: LabCom is effective in promoting communication skills and critical reflection among residents, providing a safe and structured environment for learning. Conclusions: LabCom has significant potential for the professional development of residents, in addition to fostering self-reflection, constructing elaborate feedback, and providing a supportive space. Its replication in other residency programs is suggested, as well as expansion to include a variety of clinical situations in PHC, aiming to comprehensively address the communication needs of future physicians.
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Pagliosa FL, Da Ros MA. O relatório Flexner: para o bem e para o mal. Rev Bras Educ Médica 2008;32(4):492-9. https://doi.org/10.1590/S0100-55022008000400012 DOI: https://doi.org/10.1590/S0100-55022008000400012
González AD, Almeida MJD. Movimentos de mudança na formação em saúde: da medicina comunitária às diretrizes curriculares. Physis Rev Saúde Coletiva 2010;20(2):551-70. https://doi.org/10.1590/S0103-73312010000200012 DOI: https://doi.org/10.1590/S0103-73312010000200012
Marins JJN, Rego S, Haddad AE, organizadores. Educação médica: gestão, cuidado, avaliação. São Paulo: Rio de Janeiro: Hucitec Editora; Associação Brasileira de Educação Médica; 2011. 460 p. (Saúde em Debate).
Buss PM, Pellegrini Filho A. A saúde e seus determinantes sociais. Physis Rev Saúde Coletiva 2007;17(1):77-93. https://doi.org/10.1590/S0103-73312007000100006 DOI: https://doi.org/10.1590/S0103-73312007000100006
Stelet BP. Entre contos e contrapontos: medicina narrativa na formação médica. S.l.: Appris; 2021.
Dalen JV, Bartholomeus P, Kerkhofs E, Lulofs R, Thiel JV, Rethans JJ, et al. Teaching and assessing communication skills in Maastricht: the first twenty years. Med Teach 2001;23(3):245-51. https://doi.org/10.1080/01421590120042991 DOI: https://doi.org/10.1080/01421590120042991
Kurtz S, Silverman J, Draper J, Kurtz S. Teaching and learning communication skills in medicine. 2. ed. reprinted. Oxford: Radcliffe; 2006. 369 p.
Marco MAD, Vessoni AL, Capelo A, Dias CC. Laboratório de comunicação: ampliando as habilidades do estudante de medicina para a prática da entrevista. Interface - Comun Saúde Educ 2010;14:217-27. https://doi.org/10.1590/S1414-32832010000100018 DOI: https://doi.org/10.1590/S1414-32832010000100018
Schirmer JM, Mauksch L, Lang F, Marvel MK, Zoppi K, Epstein RM, et al. Assessing communication competence: a review of current tools. Fam Med 2005;37(3):184-92. PMID: 15739134
Maguire P. Key communication skills and how to acquire them. BMJ 2002;325(7366):697-700. https://doi.org/10.1136/bmj.325.7366.697 DOI: https://doi.org/10.1136/bmj.325.7366.697
Sociedade Brasileira de Medicina de Família e Comunidade. Currículo Baseado em Competências para Medicina de Família e Comunidade [Internet]. 2019 [acessado em 1 out. 2023]. Disponível em: https://www.sbmfc.org.br/wp-content/uploads/media/Curriculo%20Baseado%20em%20Competencias(1).pdf
Simmenroth-Nayda A, Weiss C, Fischer T, Himmel W. Do communication training programs improve students’ communication skills? - a follow-up study. BMC Res Notes 2012;5(1):486. https://doi.org/10.1186/1756-0500-5-486 DOI: https://doi.org/10.1186/1756-0500-5-486
Fluckiger J, Vigil YT y, Pasco R, Danielson K. Formative feedback: involving students as partners in assessment to enhance learning. Coll Teach 2010;58(4):136-40. https://doi.org/10.1080/87567555.2010.484031 DOI: https://doi.org/10.1080/87567555.2010.484031
Tang J, Harrison C. Investigating university tutor perceptions of assessment feedback: three types of tutor beliefs. Assess Eval High Educ 2011;36(5):583-604. https://doi.org/10.1080/02602931003632340 DOI: https://doi.org/10.1080/02602931003632340
Hulsman RL, Van Der Vloodt J. Self-evaluation and peer-feedback of medical students’ communication skills using a web-based video annotation system. Exploring content and specificity. Patient Educ Couns 2015;98(3):356-63. https://doi.org/10.1016/j.pec.2014.11.007 DOI: https://doi.org/10.1016/j.pec.2014.11.007
Hammoud MM, Morgan HK, Edwards ME, Lyon JA, White C. Is video review of patient encounters an effective tool for medical student learning? A review of the literature. Adv Med Educ Pract 2012;3:19-30. https://doi.org/10.2147/AMEP.S20219 DOI: https://doi.org/10.2147/AMEP.S20219
Dohms M. Comunicação clínica: aperfeiçoando os encontros em saúde. Porto Alegre, RS: Artmed; 2021.
Brasil. Lei nº 13.709, de 14 de agosto de 2018 [Internet]. Brasília; 2018 [acessado em 10 out. 2023]. Disponível em: https://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13709.htm
Conselho Federal de Medicina. LGPD: a Lei Geral de Proteção de Dados Pessoais e a atuação do profissional de medicina [Internet]. 2022 [acessado em 1 jun. 2024]. Disponível em: https://cdn-flip3d.sflip.com.br/temp_site/issue-fd4d801731725513a4d77aa9bb35534b.pdf
Borges MC, Miranda CH, Santana RC, Bollela VR. Avaliação formativa e feedback como ferramenta de aprendizado na formação de profissionais da saúde. Med Ribeirão Preto 2014;47(3):324-1. https://doi.org/10.11606/issn.2176-7262.v47i3p324-331 DOI: https://doi.org/10.11606/issn.2176-7262.v47i3p324-331
Bandeira M. Estrela da vida inteira. 21ª ed. Rio de Janeiro: Editora Nova Fronteira; 1993. 447 p.
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Copyright (c) 2024 Sílvia Regina de Souza Dias, Maria Olivia Lima de Mendonça, Rubens Cavalcanti Freire da Silva, Leticia Maggioni
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