Abstract

GILBERT, Ana Cristina Bohrer; CARDOSO, Maria Helena Cabral de Almeida; WUILLAUME, Susana Maciel  and  JUNG, Monica de Paula. Discursos médicos em construção: um estudo com residentes em Obstetrícia/Ginecologia do Instituto Fernandes Figueira/Fiocruz. Rev. Bras. Educ. Med. [online]. 2009, vol.33, n.04, pp.615-623. ISSN 1981-5271.

This study discusses the construction of a specialized discourse, based on the experience of Ob-Gyn medical residents at the Fernandes Figueira Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. The research consisted of two steps: participant observation in Obstetrics and Gynecology meetings, and the construction of oral sources. The methodology included a semiotic analysis of field notes and interviews. The results focus on two key aspects: characterization of the profile of obstetricians/gynecologists and contact with normalcy and strangeness with patients, as part of the construction of the specialized discourse within the setting chosen for the research. The study concludes that Ob-Gyn residency leads to a specialized discourse, backed mainly by the use of complementary tests such as imaging, since such tests are perceived as objectively revealing the real body. This fact gives residents confidence, but it can also distract them from listening to the patient’s history and constructing the clinical narrative, thus fragmenting the exercise of clinical semiology.

Keywords : Internship and Residency; Obstetrics; Gynecology; Women’s Health.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )