Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model.
OBJECTIVE
Implement a constructivist approach in thoracic drainage training in surgical ex vivo pig models, to compare the acquisition of homogeneous surgical skills between medical students.


METHODS
Experimental study, prospective, transversal, analytical, controlled, three steps. Selection, training, evaluation.


METHODS
a) students without training in thoracic drainage; b) without exposure to constructivist methodology. 2) EXCLUSION CRITERIA: a) students developed surgical skills; b) a history of allergy. (N = 312). Two groups participated in the study: A and B. Lecture equal for both groups. Differentiated teaching: group A, descriptive and informative method; group B, learning method based on problems. A surgical ex vivo pig model for training the chest drain was created. Were applied pre and post-test, test goal-discursive and OSATS scale.


RESULTS
Theoretical averages: Group A = 9.5 ± 0.5; Group B = 8.8 ± 1.1 (p = 0.006). Medium Practices: Group A = 22.8 ± 1.8; Group B = 23.0 ± 2.8 (p <0.001).


CONCLUSIONS
Through the constructivist methodology implemented in the thoracic drainage training in surgical ex vivo pig models, has proven the acquisition of surgical skills homogeneous compared among medical students.
PhD, Fellow Master degree, Postgraduate Program in Surgery, Universidade Federal de Pernambuco, Recife-PE, Brazil. Conception, design, intellectual and scientific content of the study; technical procedures; acquisition and interpretation of data; manuscript writing., Universidade Federal de Pernambuco, Universidade Federal de Pernambuco, Recife PE , Brazil.
Milton Ignacio Carvalho
MI
Tube
PhD, Associate Professor of Medicine, Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel-PR, Brazil. Scientific and intellectual content of the study, manuscript writing, critical revision, supervised all phases of the study., Universidade Estadual do Oeste do Paraná, Universidade Estadual do Oeste do Paraná, Cascavel PR , Brazil.
Fernando Antonio Campelo Spencer
FA
Netto
Graduate student, Institutional Program for Scientific Initiation (PIBIC), and Science Program without borders (CsF), Universidade Federal de Pernambuco, Recife-PE, Brazil. Scientific and intellectual content of the systematic search, writing critique of methodology, production, review and improvement of pig models. , Universidade Federal de Pernambuco, Institutional Program for Scientific Initiation, Universidade Federal de Pernambuco, Recife PE , Brazil.
Elaine
E
Costa
Graduate student, Institutional Program for Scientific Initiation (PIBIC), and Science Program without borders (CsF), Universidade Federal de Pernambuco, Recife-PE, Brazil. Scientific and intellectual content of the systematic search, writing critique of methodology, production, review and improvement of pig models. , Universidade Federal de Pernambuco, Institutional Program for Scientific Initiation, Universidade Federal de Pernambuco, Recife PE , Brazil.
Daniell de Siqueira Araújo
Dde S
Lafayette
Graduate student, Institutional Program for Scientific Initiation (PIBIC), and Science Program without borders (CsF), Universidade Federal de Pernambuco, Recife-PE, Brazil. Scientific and intellectual content of the systematic search, writing critique of methodology, production, review and improvement of pig models. , Universidade Federal de Pernambuco, Institutional Program for Scientific Initiation, Universidade Federal de Pernambuco, Recife PE , Brazil.
George Augusto da Fonseca Carvalho Antunes
GA
Lima
Graduate student, Institutional Program for Scientific Initiation (PIBIC), and Science Program without borders (CsF), Universidade Federal de Pernambuco, Recife-PE, Brazil. Scientific and intellectual content of the systematic search, writing critique of methodology, production, review and improvement of pig models. , Universidade Federal de Pernambuco, Institutional Program for Scientific Initiation, Universidade Federal de Pernambuco, Recife PE , Brazil.
Jamile Isabela Santos de
JI
Menezes
Graduate student, Institutional Program for Scientific Initiation (PIBIC), and Science Program without borders (CsF), Universidade Federal de Pernambuco, Recife-PE, Brazil. Scientific and intellectual content of the systematic search, writing critique of methodology, production, review and improvement of pig models. , Universidade Federal de Pernambuco, Institutional Program for Scientific Initiation, Universidade Federal de Pernambuco, Recife PE , Brazil.
Vinicius Gueiros Buenos
VG
Aires
PhD, Associate Professor, Department of Surgery, Postgraduate Program in Surgery, UFPE, Recife-PE, Brazil. Scientific and intellectual content of the study, interpretation of data, critical revision., Universidade Federal de Pernambuco, Department of Surgery, UFPE, Recife PE , Brazil.
Álvaro Antônio Bandeira
ÁA
Ferraz
PhD, Associate Professor, Department of Surgery, Postgraduate Program in Surgery, UFPE, Recife-PE, Brazil. Scientific and intellectual content of the study, interpretation of data, critical revision., Universidade Federal de Pernambuco, Department of Surgery, UFPE, Recife PE , Brazil.
Josemberg Marins
JM
Campos
PhD, Associate Professor, Department of Surgery, Postgraduate Program in Surgery, UFPE, Recife-PE, Brazil. Scientific and intellectual content of the study, interpretation of data, critical revision., Universidade Federal de Pernambuco, Department of Surgery, UFPE, Recife PE , Brazil.
Fernando Ribeiro de
FR
Moraes
D000818:Animals; D002983:Clinical Competence; D004322:Drainage / Q000295:instrumentation; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D008953:Models, Anatomic; D017145:Models, Educational; D018794:Problem-Based Learning / Q000379:methods; D013552:Swine; D013908:Thoracotomy / Q000193:education* / Q000295:instrumentation