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Revista Brasileira de Educação Médica

Print version ISSN 0100-5502On-line version ISSN 1981-5271

Abstract

ALELUIA, Iêda Maria Barbosa; GALLIAN, Dante Marcello Claramonte  and  SASS, Simeão Donizeti. The freedom to (self) narrate in teaching medical semiology. Rev. Bras. Educ. Med. [online]. 2022, vol.46, n.3, e095.  Epub July 13, 2022. ISSN 1981-5271.  https://doi.org/10.1590/1981-5271v46.3-20210094.

Introduction:

When writing about teaching semiology/clinical skills, I write about stories, images, signs and symbols; about perceptions, interpretations, encounters and mismatches. It is the other’s story that intertwines with mine, because when listening, seeing, examining a patient, one goes beyond what is learned in medical books. In this paper, I talk about an insurrection against this technical cognitive dictatorship in the teaching of semiology.

Development:

Medical anamnesis is the reporting of the patient’s history, in addition to the description of the physical examination performed. Basically, it is a summary of the clinical encounter, which will guide the doctor’s path in his diagnostic formulation and planning of the necessary care for each patient. Moreover, it is taught in a methodical and rigid manner, without taking into account the “story” of those who tell it, but rather of the disease that the patient is carrying. This qualitative approach involved the method of cartography, which is tightly associated with phenomenology; it allows me to follow my path in this narrative. It is my journey, as a professor of clinical skills, that I bring here as study material. I divide this trajectory of teaching into three moments (the beginning, the watershed and rediscovery).

Final considerations:

The inclusion of humanities, narratives, in the medical course, brings a fundamental and necessary reflection on medical practice, and on health education itself. Using the cartography method and the reflections that emerged along this path can contribute to a more humanized teacher education, with a broader view of health, and of teaching in health.

Keywords : Medical Education; Medicine Narrative; Medical History Taking; Teaching.

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