Resumen

TEIXEIRA, Luciana de Almeida Silva et al. Medical Internship: the Challenge of Diversifying Clinical Training Settings. Rev. Bras. Educ. Med. [online]. 2015, vol.39, n.2, pp.226-232. ISSN 1981-5271.  https://doi.org/10.1590/1981-52712015v39n2e00332014.

There is a need for undergraduate medical training to bring students closer to the real clinical settings they will face early in their professional lives. This study aims to review and improve student interns’ experience in different clinical scenarios: primary health care; secondary outpatient clinic (a new rotation) and the emergency room of a tertiary hospital. This new rotation is an opportunity for students to see acutely ill patients before they are referred to the hospital. Following a 30-day period, the students’ perceptions were surveyed and, based on student records, a list of all the patients (and diagnoses) which they saw was composed. The final result was a list of clinical conditions from these three different scenarios. Students acknowledge that the new rotation added to their clinical learning, especially because it was based on non-referred patients. They also felt that 4 hours/week is not enough and asked for more time in this rotation. During their 30 days, 7 students performed 201 consultations, most of them in the primary health care setting. There was a wide variety of clinical cases, which was possible because the students rotate among those three settings. Some experiences were only possible due to the new outpatient clinic rotation, indicating how this approach offer complementary learning opportunities which should be institutionally valued.

Palabras clave : –Curriculum; –Internship; –Clinical Settings; –Primary Care; –Medical Education.

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