Active learning in health and real-life scenarios: review
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i4p358-365Keywords:
Problem-Based Learning, Education, Medical, PreceptorshipAbstract
Introduction: In view of the demand for the elaboration of teaching strategies adapted to the current reality, knowledge about active teaching-learning methodologies has great value for medical education. There are several types of active methodologies and those based on problem cases have been implemented in medical graduation earlier; despite being an integral and necessary part of the curriculum of medical education institutions, there is no consensus on its form of guidance, applicability and evaluation. We propose a review of the literature on teaching-learning methodologies in real environments, knowing their benefits and applications. Materials and Methods: The present study is a narrative review of the literature which included 23 articles and 1 book chapter between 1992 and 2018, in Portuguese and English, and the PubMed, SciELO, Lilacs and CAPES Periodicals. Discussion: The methods proposed for guidance, evaluation and feedback are varied, adaptable and constantly changing. “Preceptor in a minute”, “The moment in five minutes” and “SNAPPS method” are different ways of discussing these scenarios in order to facilitate the student-patient-preceptor interaction process. Learning strategies in real environments present benefits in relation to the learning of strict theoretical contents, as it places the student in a real working environment and stimulates the elaboration of systematic diagnostic reasoning, which requires the recovery of previous knowledge. It is believed that the professional who is trained with these active methodologies will have a profile of autonomy, self-education and a proactive and scientifically based professional attitude. Conclusion: There are no rules for inserting active methodologies in the university curriculum, their use must be adapted to the reality and profile of each institution. It is noteworthy that the teacher / preceptor must reflect on his teaching methods, seeking to understand his methodology and reframing his performance, encouraging the search for more active and efficient tasks.
Downloads
References
Paiva M, Parente J, Brandão I, Queiroz A. Metodologias ativas de ensino-aprendizagem: revisão integrativa. SANARE - Rev Políticas Públicas. 2017;15(2):145-53. Disponível em: https://sanare.emnuvens.com.br/sanare/article/view/1049
Brasil. Ministério da Educação. Conselho Nacional de Educação. Câmara de Ensino Superior. Resolução CNE/ CES no 4 de 7 de novembro de 2001. Institui as Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina. Brasília; 2001. Disponível em: http://portal.mec.gov.br/cne/arquivos/pdf/CES04.pdf
Silva RHA, Perim GL, Abdalla IG, Costa NMSC, Lampert JB, Stella RCR. Abordagens pedagógicas e tendências de mudanças nas escolas médicas. Rev Bras Educ Med. 2009;33(suppl 1):53-62. doi: 10.1590/s0100-55022009000500006.
Spencer J. ABC of learning and teaching in medicine: Learning and teaching in the clinical environment. Br Med J. 2003;326(7389):591-4. doi: 10.1136/bmj.326.7389.591.
Neher JO, Gordon KC, Meyer B, Stevens N. A five-step “microskills” model of clinical teaching. J Am Board Fam Pract. 1992;5(4):419–24. doi: 10.3122/jabfm.5.4.419
Furney SL, Orsini AN, Orsetti KE, Stern DT, Gruppen LD, Irby DM. Teaching the one-minute preceptor. J Gen Intern Med. 2001;16(9):620-4. doi: 10.1046/j.1525-1497.2001.016009620.
Ramani S. Twelve tips to improve bedside teaching. Med Teach. 2003;25(2):112-5. doi: 10.1080/0142159031000092463.
Wolpaw TM, Wolpaw DR, Papp KK. SNAPPS: a learner-centered model for outpatient education. Acad Med. 2003;78(9):183-183. doi: 10.1097/00001888-200309000-00010.
Chi J, Artandi M, Kugler J, Ozdalga E, Hosamani P, Koehler E, et al. The five-minute moment. Am J Med. 2016;129(8):792-5. doi: 10.1016/j.amjmed.2016.02.020
Lichstein PR, Atkinson HH. Patient-centered bedside rounds and the clinical examination. Med Clin North Am. 2018;102(3):509-19. doi: 10.1016/j.mcna.2017.12.012
Janicik RW, Fletcher KE. Teaching at the bedside: a new model. Med Teach. 2003;25(2):127-30. doi: 10.1080/0142159031000092490
Molodysky E, Sekelja N, Lee C. Identifying and training effective clinical teachers: new directions in clinical teacher training. Aust Fam Physician. 2006;35(1–2):53-5. Avaliable from: https://www.racgp.org.au/afpbackissues/2006/200601/200601molodysky.pdf
Bleakley A, Bligh J. Students learning from patients: Let’s get real in medical education. Adv Heal Sci Educ. 2008;13(1):89–107. doi: 10.1007/s10459-006-9028-0.
McMillan WJ. “Then you get a teacher” - Guidelines for excellence in teaching. Med Teach. 2007;29(8):209-18. doi: 10.1080/01421590701478264.
Vilela RQB, Jucá DP. Prática, Desafios e Expectativas da Supervisão de Estágio em Medicina. Rev Port Saúde e Soc 2016;1(2):116–29. doi: 10.28998/rpss.v1i2.2387
Fernandes CR, Falcão SNRS, Gomes JMA, Colares FB, Maior MMMS, Correa RV, et al. Ensino de emergências na graduação com participação ativa do estudante. Rev Bras Educ Med. 2014;38(2):261–8. doi: 10.1590/s0100-55022014000200013.
Borges MC, Chachá SGF, Quintana SM, Freitas LCC, Rodrigues ML V. Aprendizado baseado em problemas. Med. 2014;47(3):301-7. doi: 10.11606/issn.1679-9836.v82i1-4p78-80.
Pascoe JM, Nixon J, Lang VJ. Maximizing teaching on the wards: review and application of the One-Minute Preceptor and SNAPPS models. J Hosp Med. 2015;10(2):125-30. doi: 10.1002/jhm.2302.
Diesel A, Baldez A, Martins S. Os princípios das metodologias ativas de ensino: uma abordagem teórica. Rev Thema. 2017;14(1):268-88. doi: 10.15536/thema.14.2017.268-288.404.
Oliveira SF, Cunha AJLA, Trajman A, Teixeira C, Gomes MK, Halfoun V. Perception about the medical internship at Federal University of Rio de Janeiro by the Service’s Preceptors in Primary Health Care: a case study. Rev Bras Educ Med. 2017;41(2):320-6. doi: 10.1590/1981-52712015v41n2rb20160031.
Lopes CMC, Bicudo AM, Zanolli ML. Qualificação como médico preceptor e a satisfação de seus clientes quanto à assistência recebida na UBS de origem. Rev Bras Educ Med. 2017;41(1):145-51. doi: 10.1590/1981-52712015v41n1RB20160048.
Machado MMBC, Sampaio CA, Macedo SM, Figueiredo MFS, Rodrigues Neto JF, Lopes IG, et al. Reflexões e significados sobre competências docentes no ensino médico. Avaliação (Campinas; Sorocaba). 2017;22(1):85-104. doi: 10.1590/s1414-40772017000100005.
Santos RJ, Sasaki DGG. Uma metodologia de aprendizagem ativa para o ensino de mecânica em educação de jovens e adultos. Rev Bras Ensino Fis. 2015;37(3). doi: 10.1590/S1806-11173731955.
Carmo ME, et al. A aprendizagem centrada no aluno: pedagogia do prazer ou UTOPIA? [citado 16 jul. 2020]. Disponível em: https://apacp.org.br/diversos/artigos/a-aprendizagem-centrada-no-aluno/.
Elbert NJ, Kiefte-de-Jong JC, Voortman T, Nijsten TEC, Jong NW, Jaddoe VWV, et al. Allergenic food introduction and risk of childhood atopic diseases. PLoS One. 2017;12(11):1-14. doi: 10.1371/journal.pone.0187999.
Aagaard E, Teherani A, Irby DM. Effectiveness of the one-minute preceptor model for diagnosing the patient and the learner : proof of concept. Acad Med. 2004;79(1):42-9. doi: 10.1097/00001888-200401000-00010.
Chemello D, Machado WCM, Bezerra CL. O papel do preceptor no ensino médico e o modelo preceptoria em um minuto. Rev Bras Educ Med. 2009;33(4):664-9. doi: 10.1590/S0100-55022009000400018
Huang WY, Dains JE, Monteiro FM, Rogers JC. Observations on the teaching and learning occurring in offices of community-based family and community medicine clerkship preceptors. Fam Med. 2004;36(2):131-6. Available from: https://pubmed.ncbi.nlm.nih.gov/14872361/
Teherani A, Sullivan PO, Aagaard EM, Morrison EH, Irby DM. Student perceptions of the one minute preceptor and traditional preceptor models. Med Teach. 2007;29(4):323-7. doi: 10.1080/01421590701287988
Seki M, Otaki J, Breugelmans R, Komoda T, Nagata-kobayashi S, Akaishi Y, et al. How do case presentation teaching methods affect learning outcomes ? SNAPPS and the one-minute preceptor. BMC Med Educ. 2016;16(12):1-7. doi: 10.1186/s12909-016-0531-6
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Lia Maria Bastos Peixoto Leitão, Isabel Carvalho Vianna, Ana Lúcia do Carmo Delmiro, Josiane Pereira Leite da Cruz, Paula Vitória Pereira Motoyama, Manuel Sampaio Teixeira Filho, Olivia Andrea Alencar Costa Bessa

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.