RESUMO
Los sentimientos de los estudiantes de medicina con respecto a la muerte de sus pacientes es un tema ausente en el currículo médico. En este trabajo se abordó el tema de los sentimientos acerca de la muerte en la materia de medicina familiar del 8.° semestre de la carrera de médico cirujano. Se usaron 2 casos reales de pacientes fallecidos, cortos de cine con el método de «Cinemeducation», música, discusión en plenaria y tareas individuales. Los estudiantes expresaron importantes reflexiones sobre sus sentimientos y capacidad empática. Se encontró estudiantes entusiastas por enfrentar sus sentimientos respecto a la muerte, pero también otros con expresa incapacidad empática, e importantes dudas vocacionales. El 91,5% de los estudiantes recomendaron incluir la experiencia vivida en el currículo médico de forma permanente
The feelings of medical students regarding the death of their patients is a topic not covered in the medical curriculum. In this work, feelings about death in the subject of family medicine of the 8th semester of the medical degree was addressed. Two real cases of deceased patients, movie clips using the method of "Cinema-education" education, and music, were used, along with individual tasks and group discussions. The students expressed important reflections on their feelings and their empathic capacity. Students were found to be enthusiastic to confront their feelings about death, but also others with express empathic incapacity, and important vocational doubts. Almost all (91.5%) of the students recommended to include the experience lived, in the medical curriculum permanently
Assuntos
Humanos , Emoções/fisiologia , Empatia/fisiologia , Estudantes de Medicina/psicologia , Atitude Frente a Morte , Currículo/normas , Medicina de Família e Comunidade/educação , Filmes Cinematográficos , Música , Medicina de Família e Comunidade/estatística & dados numéricos , Medicina de Família e Comunidade/normasRESUMO
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Assuntos
Humanos , Relações Médico-Paciente , Humanismo , Cura em HomeopatiaRESUMO
Acute upper respiratory infections are one of the main causes of office visits in family practice worldwide. If antimicrobial drugs were used judiciously, it is estimated that 50 million of these prescriptions could be avoided. The vast majority of acute rhinopharyngitis (common cold) and acute sinusitis cases are resolved without using antibiotics. Acute otitis media must be distinguished from otitis media with effusion: the former may be successfully treated, in many cases, without prescribing antibiotics, while the latter does not improve with antimicrobial drug use unless its evolution was > 3 months. Acute pharyngitis is better treated if considered as an odynophagia syndrome, employing clinical criteria to distinguish cases that need antimicrobial drug prescription. Acute bronchitis does not improve significantly by utilizing antimicrobial drugs. Drugs from the quinolones group are not a choice for treating acute upper respiratory infections.
