Resultados: Quanto à aquisição de competências gerais, observaram-se respostas "bom" ou "muito bom" para a maioria dos itens pesquisados. Para a competência referente à comunicação, os maiores índices de respostas "muito bom" foram nos domínios "ser capaz de interagir e se articular com outros profissionais de saúde" (60%) e "ser capaz de manter a confidencialidade das informações" (68% KEYWORDS-Problem-Based Learning.-Higher Education.-Medical Education.-Curriculum. ABSTRACT Introduction: The Brazilian Education Guidelines for medical courses brought new designs for the education and development of abilities and competencies that qualify physicians for their practice. Objective: To identify the perception of graduates on the acquisition of abilities and competencies

Objective: Given the epidemiological importance of malleolar fractures and differences in treatment choices, this study provides an update on the multiprofessional treatment of these fractures by mapping systematic reviews available in the scientific literature. Methods: The search was performed in the electronic databases Cochrane Database of Systematic Reviews (CDSR), Medline and Lilacs and in the PROSPERO international prospective register of systematic reviews, with no language or publication date restriction. The most recent search was performed on June 1, 2018. The term “ankle fracture” was used in those databases. Pubmed was also searched, using the [Mesh] term. The inclusion criteria were systematic reviews on the treatment of malleolar ankle fractures in adults. Results: Twenty-two systematic reviews were identified in the searched databases. Systematic reviews on the multiprofessional treatment of patients with malleolar fractures addressed the selection of metallic syndesmotic screw rather than absorbable screw without indicating its removal in the absence of symptoms. Furthermore, the Adelaide Fracture in the Diabetic Ankle (AFDA) algorithm was established for the diagnosis and treatment of diabetic patients. There is still no evidence that arthroscopically assisted open reduction and internal fixation (ORIF) is the best therapeutic method, nor is there biomechanical evidence that the locking plate is better than the conventional plate for treating lateral malleolar fracture in elderly people. There is strong evidence that mobility and early weight-bearing directly affect the functional prognosis of patients. Conclusion: This study was extremely important for identifying and selecting the most recent systematic reviews on the topic, thereby guiding practices regarding the best therapeutic regimen for patients with malleolar fractures.

Category: Lesser Toes; Trauma Introduction/Purpose: To evaluate the importance of a radiographic lateral view in diagnosing lesser toes traumatic conditions. Methods: Between January 2018 and March 2018, 378 radiographs of 126 patients evaluated in an emergency care hospital for trauma in the lesser toe were retrospectively evaluated for presence of lesser toes traumatic conditions. Patients were selected if a complete series of radiographs were performed, anteroposterior (AP), lateral (LA) and Oblique (OB). Radiographs of the same patient were duplicated and divided in two groups: standard group (AP and OB) and complete group (AP + LA + OB). Images were examined by four independent examiners with different degrees of experience. Each examiner randomly evaluated the same patient twice (one for each group). Kappa index was used to evaluate intra and inter-examiner concordance, and the two- proportion equality test was used to calculate statistical significance. Results: Mean age of patients was 37.2 years (4-85yr), 144 injuries were diagnosed in standard group (28.6%) and 266 injuries (52.8%) in complete group (p<0.001). Individually, each examiner had an improvement in the number of lesions diagnosed when comparing group assessment (p<0.001). Kappa index was superior to 0.60 for all examiners in standard group. Conclusion: In conclusion, the addition of true lateral view was able to detect misdiagnosed injuries in lesser toes trauma and improved the number of diagnosed lesions in 84.6%.