Medical semiology is a crucial assessment method for the construction of diagnostic hypotheses, through the collection of anamnesis and physical examination in search of important findings for the creation of an effective clinical reasoning. In addition, it directs the rational request for exams and helps to establish a good doctor-patient relationship. Thus, it is essential that this assessment is improved during medical training. In this context, a cross-sectional, observational, analytical, quantitative and qualitative study was carried out, with the application of a questionnaire using the GoogleForms tool, to evaluate students of the medical course at the University of Fortaleza, in order to analyze the importance of different methodologies of teaching semiology during medical training. The results obtained showed that the practical performance in a hospital environment is an effective method of teaching semiology, favoring the solidification of learning through contact with patients, observation of clinical findings, collection of anamnesis and constant physical examination.