Abstract
Objective: To evaluate medical students' perceptions regarding the use of a dramatization strategy in the teaching and learning of anamnesis. Methods: This is a descriptive, exploratory study conducted in a medical undergraduate program in 2024, involving 87 students in their fourth semester. The students received theoretical instruction on medical interviewing techniques and were subsequently organized into groups to conduct an anamnesis with a simulated patient. The practice was supervised by faculty, and feedback was provided immediately. A questionnaire was administered to assess students' perceptions of the tool's effectiveness. The study was approved by the Research Ethics Committee. Results: A high level of satisfaction with the tool was observed, with the majority of students considering it very effective for learning, leading to a significant increase in confidence in practical application and contributing to improved performance. The applicability of the tool in other curricular units was strongly supported; group feedback was highly valued. Students perceived a safe learning environment and a positive influence on their clinical reasoning. Conclusion: Students' perceptions were positive, suggesting that dramatization is a viable and effective option in the teaching and practice of anamnesis.
References
AKAIKE M, et al. Simulation-based medical education in clinical skills laboratory.The Journal of Medical Investigation, 2012; 59(1):p.28-35.
BAKER J, et al.Teamwork in healthcare: promoting effective teamwork in Healthcare in Canada. Healthcare Quarterly, 2017.
BENNET D, GIBBONS C.Investigating the impact of e-learning technologies on the satisfaction and engagement of medical students. BMC MEDICAL EDUCATION, 2016; 16 (1):76.
BLAND JM, ALTMAN DG. "Statistics notes: Cronbach's alpha”. British Medical Journal, 1997; 314(7080), 572.
BOND A, et al. The role of simulation in medical education and the development of clinical skills. Clinical Simulation in Nursing, 2020; 41, 62-71.
DAVIS MH, et al. Simulation-Based Medical Education: A Review.Journal of the American College of Surgeons,2019;228(4): 438-450.
EDMONDSON AC. Psychological safety and learning behavior in work teams.Administrative Science Quarterly, 1999; 44 (2): 350-383.
ENGELHORN CA. O uso do roleplay no ensino da técnica de anamnese e de habilidades de comunicação para estudantes de medicina. Revista Brasileira de Educação Médica, 2019; 43 (3):178-183.
ERICSSON KA. Deliberate Practice and the Development of Expert Performance: An Overview. Academic Emergency Medicine, 2008;15(11): 988-994.
GREEN M, et al. The Impact of Active Learning on Medical Students' Learning Outcomes. BMC Medical Education, 2020.
HEGARTY J, et al. The importance of communication skills in the development of empathy in medical students.Journal of Medical Ethics, 2016; 42 (6): 392-396.
HILL AE, et al. A review of standardized patients in clinical education: implications for speech-language pathology programs. International Journal of Speech-Language Pathology, 2010;12(3):259-70.
HUANG G, et al.Medical students' confidence in their clinical skills: a systematic review. MedicalEducation, 2021; 55 (1):87-99.
ISSENBERG SB, et al. Features of the effective simulation-based learning environment. Medical Education, 2019; 53(10), 1044-1054.
KATZ J, et al. Active learning in medical education. Medical Teacher,2020; 42(3):271-276.
KINSELLA EA. Professional knowledge and the development of clinical reasoning: implications for nursing education. Nursing Education Perspectives, 2010; 31(5): 303-307.
KNEEBONE R. Simulation in surgical training: educational issues and practical implications. Medical Education, 2005; 39(10): 1051-1056.
LEVINSON W, et al. The Physician-Patient Relationship. The Journal of Medicine and Philosophy, 2010; 35 (2): 107-127.
MASON SJ, et al. Teaching communication skills to medical students: A randomized controlled study using live actors. BMC Medical Education, 2013; 13:1-9.
MEYER G, et al. Simulation in medical education: A systematic review. Education for Health,2016; 29 (1): 1-8.
MILLER GE.The assessment of clinical skills/competences/performance. Academic Medicine, 1990. 65 (9): 63-67.
MILLER GE, ARCHER J. Impact of high-stakes examinations on medical education. Medical Education, 2010; 44 (1): 85-96.
NESTEL D, TIERNEY T. Roleplay for medical students learning about communication: guidelines for maximizing benefits. BMC Medical Education, 2011;11 (1).
SOARES MOM, et al. Reflexões contemporâneas sobre anamnese na visão do estudante de medicina. Revista Brasileira de Educação Médica, 2014;38 (3): 314-322.
SWANWICK T, MORGAN P. Educating the future doctor: A perspective from medical education. Medical Teacher, 2010; 32 (9): 721-728.
WELLER JM, et al. Simulation in clinical teaching and learning. Medical Journal of Australia, 2012; 196 (9):1-4.
WINSTONE NE, et al. Supporting learners’ engagement with feedback: A systematic review. Educational Psychology Review, 2018; 30, (3):441-469.
