Humanização do ensino médico na ginecologia em hospital universitário

Abstract

Introduction: Brazilian medical training is carried out through theoretical and practical classes in the university spaces of the country. In consultations associated with the intimacy of the patient there may be embarrassment experienced by the person attented or by the student. This can compromise the quality of care and medical training. Objective: to evaluate the psychoaffective aspects that may be present in practical gynecology classes. Method: observational cross sectional, individual study with qualitative analysis that evaluated the psychosocial profile of patients from the gynecology out patient clinic of the do Hospital Universitário Lauro Wanderley (HULW). Patients who were in the waiting room for care at the gynecology outpatient clinic of HULW were included, as well as, due to the COVID-19 pandemic, after the suspension of the outpatient clinic's face-to-face activities, patients with registration in the hospital database were included, who by the patient telephone contact and agreed to answer the interview. A semi structured interview was conducted with pre-designed. A semi-structured interview was conducted with pre-designed. Result: categorization into: sociodemographic profile, embarrassment, preference of the form of care. The sample was composed exclusively of women. Embarrassment was observed in several statements, and a little more than 60% would still accept the consultation with the presence of students, even in the case of a private practice in hypothetical situation. The presence of the male student is seen with a negative reaction by almost half of the patients and that almost 55% reported that there was no difference in relation to their feelings over time. There is also a resistance to adhere to new technologies. Conclusion: Embarrassment is a reality experienced during gynecology and obstetrics consultations, either by patients or medical students. The experimentation of new technologies, associated with ethical care, and creating a safe and comfortable environment for the patient and that simultaneously enables medical training, and creating a safe and comfortable environment for the patient and that simultaneously enables medical training, it is a challenge to be faced. New research with representative samples and intervention studies are necessary in order to favor this process of humanization of medical care in a university