<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bras. Educ. Med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712020000100211</article-id>
<article-id pub-id-type="doi">10.1590/1981-5271v44.1-20190227</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Desenvolvimento da Habilidade de Comunicação dos Estudantes de Medicina para o Aconselhamento Pré-Teste HIV no Pré-Natal]]></article-title>
<article-title xml:lang="en"><![CDATA[Development of Medical Students&#8217; Communication Skills for HIV Pre-Test Counseling at Prenatal Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Larissa Cynthia Cesar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freitas Júnior]]></surname>
<given-names><![CDATA[Reginaldo Antônio de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[Carolina Teixeira de Resende]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cassiano]]></surname>
<given-names><![CDATA[Alexandra do Nascimento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Alexandra Silva de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Carla Glenda Souza da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Santos Dumont  ]]></institution>
<addr-line><![CDATA[Macaíba Rio Grande do Norte]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Rio Grande do Norte  ]]></institution>
<addr-line><![CDATA[Natal Rio Grande do Norte]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712020000100211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712020000100211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712020000100211&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: As Diretrizes Curriculares Nacionais dos cursos de graduação em Medicina preconizam a ênfase na habilidade de comunicação para o profissionalismo do egresso. Promover o desenvolvimento da habilidade de comunicação efetiva para a competência clínica representa um desafio para a educação médica. O presente estudo objetivou contribuir para o desenvolvimento da habilidade de comunicação durante a formação médica por meio de estratégia de ensino e aprendizagem que utilizou como ferramenta o aconselhamento pré-teste HIV no pré-natal.  Métodos: Trata-se de estudo com métodos mistos sequenciais e abordagem qualitativa, desenvolvido em três fases. Na primeira fase, 30 estudantes do internato em Tocoginecologia participaram de consulta simulada, gravada em áudio e vídeo, direcionada para conhecimentos específicos e habilidades para comunicação efetiva no tema. Na segunda fase, uma estratégia de feedback individual contou com a análise conjunta do vídeo e avaliação de critérios estabelecidos em checklist específico. Na terceira fase, buscou-se avaliar a autopercepção dos estudantes acerca de sua participação na estratégia e de sua necessidade de desenvolvimento da habilidade de comunicação durante a formação.  Resultados: A análise geral dos dados revela um baixo desempenho, sobretudo quanto aos conhecimentos específicos necessários à comunicação efetiva para o aconselhamento pré-teste HIV no pré-natal.  Conclusões: Nesse sentido, a autopercepção dos estudantes mostrou-se coerente com os resultados observados e apontou a necessidade de melhorar os conhecimentos específicos aliados às habilidades de comunicação para, então, possibilitar um aconselhamento adequado. Além disso, nos discursos dos estudantes, são frequentes falas reflexivas a respeito da importância de praticar e desenvolver a habilidade de comunicação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: The Brazilian National Curriculum Guidelines for medical undergraduate courses underscore the emphasis on communication skills for recently graduated professionals. Promoting the development of effective communication skills for clinical competence poses a challenge for medical education. The present study aims to contribute to the development of communication skills during medical education through a teaching and learning strategy that uses prenatal HIV pretest counseling as a tool.  Methods:  This is a study with sequential mixed methods and qualitative approach developed in three phases. In the first phase, thirty students from the Tocho-Gynecology Internship participated in a simulated consultation, which was recorded in audio and video, directed to specific knowledge and skills for effective communication in the topic. In the second phase, an individual feedback strategy included the joint analysis of the video and the evaluation of established criteria in a specific checklist. In the third phase, the objective was to evaluate the students&#8217; self-perception about their participation in the strategy and their need to develop communication skills during medical training.  Results: The general analysis of the data reveals a poor performance, especially regarding the specific knowledge required for effective communication for prenatal HIV pretest counseling.  Conclusion: Therefore, the students&#8217; self-perception was consistent with the observed results and indicated the need to improve specific knowledge combined with communication skills, so as to allow appropriate counseling. Moreover, the students&#8217; discourses frequently disclose reflective comments about the importance of practicing and developing communication skills.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Profissionalismo]]></kwd>
<kwd lng="pt"><![CDATA[Competência Cl&#1610;nica]]></kwd>
<kwd lng="pt"><![CDATA[Cuidado Pré-Natal]]></kwd>
<kwd lng="pt"><![CDATA[Soropositividade para HIV]]></kwd>
<kwd lng="en"><![CDATA[Professionalism]]></kwd>
<kwd lng="en"><![CDATA[Clinical Competence]]></kwd>
<kwd lng="en"><![CDATA[Prenatal Care]]></kwd>
<kwd lng="en"><![CDATA[HIV Seropositivity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[AJM]]></given-names>
</name>
<name>
<surname><![CDATA[Caprara]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Coelho Filho]]></surname>
<given-names><![CDATA[JMC]]></given-names>
</name>
</person-group>
<source><![CDATA[Habilidades de comunicação com pacientes e famílias]]></source>
<year>2007</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Sarvie]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medeiros]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[VGF]]></given-names>
</name>
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[AJM]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[MGF]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[MNT]]></given-names>
</name>
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[AIA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ensino de habilidades de comunicação a estudantes de Medicina: caminhos percorridos pela Faculdade de Medicina da Universidade Federal do Ceará, campus de Fortaleza]]></article-title>
<source><![CDATA[Cadernos ABEM]]></source>
<year>2014</year>
<volume>10</volume>
<page-range>21-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pagliosa]]></surname>
<given-names><![CDATA[FL]]></given-names>
</name>
<name>
<surname><![CDATA[Da Ros]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[O relatório Flexner: para o bem e para o mal]]></article-title>
<source><![CDATA[Rev. bras. educ. méd]]></source>
<year>2008</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>492-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laidlaw]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hart]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Communication skills: an essential component of medical curricula. Part I: Assessment of clinical communication]]></article-title>
<source><![CDATA[Med Teach]]></source>
<year>2011</year>
<volume>33</volume>
<page-range>6-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<collab>ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine</collab>
<article-title xml:lang=""><![CDATA[Medical professionalism in the new millennium: a physician charter]]></article-title>
<source><![CDATA[Ann Intern Med]]></source>
<year>2002</year>
<volume>136</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>243-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>Ministério da Educação</collab>
<source><![CDATA[Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cary]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kurtz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Integrating clinical communication with clinical reasoning and the broader medical curriculum]]></article-title>
<source><![CDATA[Patient Educ Coun]]></source>
<year>2013</year>
<volume>92</volume>
<page-range>361-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<collab>Brasil</collab>
<source><![CDATA[Diretrizes nacionais para o aconselhamento em DST/HIV/HV]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>Brasil</collab>
<source><![CDATA[Secretaria de Vigilância em Saúde. Portaria nº 34, de 28 de julho de 2005. Regulamenta o uso de testes rápidos para diagnóstico de infecção pelo HIV em situações especiais. Dia&#769;rio Oficial da Unia&#771;o]]></source>
<year>2005</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Departamento de DST, Aids e Hepatites Virais</collab>
<source><![CDATA[Portal sobre Aids, doenças sexualmente transmissíveis e hepatites virais]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[AJS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aconselhamento na testagem anti-HIV no ciclo gravídico-puerperal: o olhar da integralidade]]></article-title>
<source><![CDATA[Ciênc. Saúde Colet]]></source>
<year>2010</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1216-26</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[PDL]]></given-names>
</name>
<name>
<surname><![CDATA[Iriart]]></surname>
<given-names><![CDATA[JAB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aconselhamento em DST/Aids às gestantes que realizaram o teste anti-HIV na admissão para o parto: os sentidos de uma prática]]></article-title>
<source><![CDATA[Interface (Botucatu)]]></source>
<year>2012</year>
<volume>16</volume>
<numero>41</numero>
<issue>41</issue>
<page-range>395-407</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Tavares]]></surname>
<given-names><![CDATA[LHL]]></given-names>
</name>
<name>
<surname><![CDATA[Paz]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[As atuações do enfermeiro relacionadas ao teste rápido anti-HIV diagnóstico: uma reflexão de interesse da enfermagem e da saúde pública]]></article-title>
<source><![CDATA[Enferm. em foco (Brasília)]]></source>
<year>2011</year>
<volume>2</volume>
<numero>^ssupl</numero>
<issue>^ssupl</issue>
<supplement>supl</supplement>
<page-range>58-62</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<collab>Brasil</collab>
<source><![CDATA[Protocolo clínico e diretrizes terapêuticas para prevenção de transmissão vertical de HIV, sífilis e hepatite virais]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Likert]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A technique for the measurement of attitudes]]></article-title>
<source><![CDATA[Archives of Psycology]]></source>
<year>1932</year>
<volume>140</volume>
<page-range>1-55</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bardin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ana&#769;lise de conteúdo]]></article-title>
<source><![CDATA[Lisboa]]></source>
<year>1977</year>
<edition>70</edition>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[JPQ]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
<name>
<surname><![CDATA[Dourado]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevenção da transmissão vertical do HIV: atitude dos obstetras em Salvador, Brasil]]></article-title>
<source><![CDATA[Rev. Bras. Ginecol. Obstet]]></source>
<year>2008</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>135-41</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Freitas Júnior]]></surname>
<given-names><![CDATA[RAO]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[CAD]]></given-names>
</name>
<name>
<surname><![CDATA[Lisboa]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[AKMS]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[VL]]></given-names>
</name>
<name>
<surname><![CDATA[Azevedo]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incorporando a competência cultural para atenção à saúde materna em população quilombola na educação das profissões da saúde]]></article-title>
<source><![CDATA[Rev. bras. educ. méd]]></source>
<year>2018</year>
<volume>42</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>100-9</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mangione]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chakraborti]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Staltari]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Harrison]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Tunkel]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Liou]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical students&#8217; exposure to the humanities correlates with positive personal qualities and reduced burnout: a multi-institutional U.S. survey]]></article-title>
<source><![CDATA[JGIM]]></source>
<year>2018</year>
<volume>33</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>628-34</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baile]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Buckman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lenzi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Glober]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Beale]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Kudelka]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SPIKES - a six-step protocol for delivering bad news: application to the patient with cancer]]></article-title>
<source><![CDATA[Oncologist]]></source>
<year>2000</year>
<volume>5</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>302-11</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davtyan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Olshansky]]></surname>
<given-names><![CDATA[EF]]></given-names>
</name>
<name>
<surname><![CDATA[Lakon]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adressing HIV stigma in health care: Strategies to address this potent barrier to treatment and prevention]]></article-title>
<source><![CDATA[Am J Nurs]]></source>
<year>2018</year>
<volume>118</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>11</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[MCMR]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[MIF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aconselhamento em HIV/Aids: representações dos profissionais que atuam na atenção primária à saúde]]></article-title>
<source><![CDATA[REME rev. min. enferm]]></source>
<year>2012</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18-24</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
