Health-related popular articles are easily found among media sources. With the increasing popularity of the internet, medical information -full of misconceptions -has become easily available to the lay people. The ability to recognize misconceptions may require good biomedical knowledge. In this sense, we decided to use articles from the internet as part of a formal exam to evaluate students' learning of Clinical and Applied Biochemistry (CAB). This test, known as the True-or-False (T-or-F) exam, is made up of statements found online that are judged by freshmen medical and nutrition students taking Basic Biochemistry. In the last four teaching-semesters, students' acceptance and responses to T-or-F exam on CAB were evaluated through questionnaires (using a 0-4 Likert scale). Results from 258 students revealed that 71, 87, and 94% of them believed, respectively, that the exam was (i) difficult, (ii) of good quality, and (iii) that using media-questions is relevant for evaluating the learning of CAB. Moreover, the average grade in the T-of-F exam was 5.85 (out of 10). This low average is probably because students are not familiarized with this sort of examination that does not emphasize on memorizations of biochemical pathways and processes -it instead evaluates mostly the comprehension and application of knowledge, levels 2 and 3 in Bloom's scale. Such conclusion was possible by analyzing 192 questions in four exams -67% were at levels 2, 3 or above. This kind of media-based exam could be well applied to several other disciplines in health sciences.
Overall, the modified Thal procedure improved symptoms-namely, dysphagia to liquids with resulting weight loss and malnutrition-in patients with megaesophagus. No correlations were found between clinical complaints, endoscopic findings, and degree of manometric abnormality in these patients.
RESUMO Este estudo consiste em um relato de experiência derivada do PET-Saúde, implantado na UnB e inserido na realidade da comunidade do Paranoá-DF, durante o período 2009-2010. Entre as atividades desenvolvidas, estão: a elaboração de instrumento de dados estruturado em moldes da Medicina da Família; a criação de um portfólio eletrônico; a realização de oficinas de capacitação; entre outras. Dos resultados obtidos, foi possível verificar uma mudança na postura acadêmica, formando futuros profissionais mais críticos, reflexivos, empáticos e preocupados efetivamente com a Atenção Primária à Saúde.ABSTRACT This study is composed of a report of experience derived from PET-Health, established in UNB and inserted into the reality of community Paranoá-DF, during the period 2009-2010. Among the activities are: development of an instrument of data structured in a manner of Family Medicine; the creation of an electronic portfolio, the holding of training workshops, among others. From the acquired results, it was observed a change in academic attitude, making future professionals more critical, thoughtful, empathetic and really concerned with the Primary Health Care.
In the past decade, there has been an exponential growth of blogs on biomedical subjects with reliable contents. The potential use of this media as a learning tool has been recently tried in a medical residence at Harvard University, where students had to produce blogs as part of their duties. At Brasília University, a similar experience was tested with freshmen medical and nutrition students taking Basic Biochemistry (BB) with the goal of producing blogs on clinical biochemistry (CB) topics. In the last 4 teachingsemesters, students' acceptance (n=267 students) regarding BB-blogs was evaluated through 6-point Likert questionnaires. 84% of them agreed that the preparation of their blogs was enjoyable and positive for their academic formation (they marked 4 to 6 in the questionnaire). 57% of students (those marking 5-6) believed that the elaboration of blogs boosted their interest for BB/CB. For 56% of students (those marking 5-6), the blogs motivated them to look for extra-class articles on CB. Only 13% of students (those marking 1-3) did not agree that these blogs are relevant learning tools. 38 out of 58 students' BB-blogs scored 9.0 or above, only 3 scored below 7.9 (out of 10). These results suggest that student blogs have potential to be effective in stimulating CB learning. Support: CNPq.
Health-related popular articles issues and medical tips (or "Dr Google") have taken over the i nternet. Misconceptions are very commonly found among these sources, but recognizing them may require good biomedical knowledge. The ability to judge knowledge is, according to Bloom's scale, a very advanced step in the learning process. In this sense, we decided to use fragments of articles from the internet as part of a formal exam to evaluate students' overall learning of Clinical and Applied Biochemistry (CAB). This test, known as the True-or-False (T-or-F) exam, is made up of statements found online that are judged by freshman medical and nutrition students taking Basic Biochemistry (BioBio). In the last 4 semesters, students' acceptance and responses to BioBio´s T-or-F exam were evaluated through questionnaires (using a 5-point Likert scale). Results from 258 students indicated that 69% of them felt the exam was difficult, 87% thought the exam was of good quality, and 69% believed that using media-questions is relevant for learning CAB. However, only 64% thought the exam evaluated satisfactorily what they learned in class. Also, the average grade obtained was 5.85 (out of 10). This is probably because students are not familiarized with this examination, which requires more than only memorization of biochemical pathways and reactions -it evaluates the application of knowledge. Thus, BioBio´s T -or-F exam is an innovative way of evaluating knowledge and of enabling students to be critic about information received. The majority of students acknowledged the exam´s relevance for learning purposes and, so, it could be well-applied to other fields of science.Acknowledgments: A.C. Lopes, CNPq.
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