Aplicação e ensino de habilidades de comunicação clínica dos preceptores de medicina de família e comunidade de Florianópolis, SC

Abstract

Patient Centered Care is a strategy of humanization and increased efficiency of the therapeutic relationship in primary health care, which depends, to be fully realized, on effective clinical communication. Therefore, clinical communication skills tend to occupy progressively central locus in the training of health professionals. This study aims to evaluate the perception of preceptors and students about the teaching and application of these skills in the Family and Community Medicine (MFC) residency of the Municipality of Florianópolis (PMF) and the Internship in MFC of the Federal University of Santa Catarina (UFSC). Through a cross-sectional study, all 100 students from the 9th and 10th grade of the UFSC Medical Internship who have passed at least one time in the MFC cycle will be evaluated using an online questionnaire; all 40 MFC Residents of the 1st, 2nd and 3rd year linked to the School of Public Health of the PMF and all 50 preceptors of these students. Based on the Calgary-Cambridge Observation Guide, we will evaluate 28 items that characterize the constituent elements of communication skills for clinical consultation, including aspects related to: opening of the consultation, exploration of problems, assessment of the representation of the process of illness of the person, structuring the consultation, building the relationship and closing the consultation. It will also be evaluated the existence of teaching-learning opportunities on communication skills such as direct observation of attendance by the preceptor and video recording of consultation followed by the performance of quality feedback.