Introduction: The pandemic caused by the SARS-CoV-2 virus has accelerated an educational revolution, with implications for health care and medical education, generating some insecurities and uncertainties. The article reports the experience of Centro Universitário Christus (Unichristus) about the changes that occurred in the practical scenarios of clinical experiences during the first semester of 2020, marked by social distancing. Experience Report: The services at Clínica Escola de Saúde (CES) were suspended and the associated hospitals stopped receiving students, making the experience of real-life scenarios unfeasible, resulting in the beginning of a project characterized by care of patients with coronavirus infection through telemedicine. The face-to-face nursing team’s participation occurred concomitantly, while students attending the eighth semester of the medical course were present at the consultation through screen sharing using the Google Meet ® program. After the consultation was concluded, there was a discussion about the case and other relevant aspects, similarly to what would happen with a face-to-face experience. In parallel with the project, students also attended lectures that addressed aspects of the disease from primary to tertiary level of health care. Discussion: Patients received care and students were taught through a flexible, innovative, accessible and safe media, following a worldwide trend, generating opportunities for professional development and innovations in medical education. The experience with telemedicine can be complemented by e-learning, allowing the development of a new hybrid teaching model. Conclusion: The current circumstances may result in some educational loss, such as the impossibility to perform physical examinations and to interact better with the health care team and patients; however the technological resources can result in opportunities for changes, improvement and development of teaching methodologies, in line with the current generation of digital natives.

Cardiac disturbances are relatively common and electrocardiographic abnormalities may be found in more than 70% of patients with leptospirosis. We report the case of a 68 year-old male with severe leptospirosis who developed atrial flutter. Effective treatment was done with amiodarone. The patient became clinical stable, with complete recovery. Rigorous clinical observation and continuous electrocardiogram (ECG) monitoring may facilitate the identification of rhythm disorders, and thus prevent a probable fatal outcome, in severe cases of leptospirosis.

As Tecnologias da Informação e Comunicação (TIC), inseridas também na saúde, podem promover ganho substancial ao ensino da área, fornecendo recursos didáticos adicionais, relevantes aos docentes, principalmente em períodos de pandemia, quando várias instituições necessitarão desenvolver meios tecnológicos emergenciais para a aprendizagem (Emergency Remote Teaching – ERT). O artigo, através de revisão narrativa, objetiva rever o uso das tecnologias na saúde e no ensino médico, bem como discutir sobre as perspectivas existentes no mundo pós-pandemia. Nesse conceito, o ensino on-line assume importância estratégica, permitindo uma modalidade educacional flexível, aberta e interativa, favorecendo o ensino colaborativo, não esquecendo alguns contrapontos, tais como a disponibilidade do acesso e a sobrecarga cognitiva (“fadiga zoom”). A crise pandêmica atual trouxe, além da adoção de tecnologias, a possibilidade de modernizar o ensino como um todo, melhorando a eficiência e tornando a experiência acadêmica mais reflexiva, através de um ensino híbrido, presencial e virtual.

O uso das Tecnologias de Informação e Comunicação repercute no ensino médico, favorecido pelo perfil atual dos alunos, em sua grande maioria, nativos digitais. Considerando a reumatologia como uma especialidade complexa e de extrema importância na formação médica, o objetivo do presente estudo consiste em desenvolver e avaliar uma plataforma móvel, inédita em reumatologia, denominada ReumaChristus, visando facilitar o conhecimento e difundir a especialidade no meio acadêmico. Trata-se de um estudo transversal com delineamento descritivo e abordagem quantitativa do tipo analítica, havendo a participação de 71 acadêmicos de medicina, sendo a usabilidade avaliada por meio da Escala de Usabilidade de Sistema (SUS). Como resultado, foi visto que a plataforma apresentou escore SUS de 87,39, sendo evidenciado uma correlação de Spearman estatisticamente significativa (p<0,001), tanto no contexto de escores positivos quanto negativos do SUS. Dessa maneira, o desenvolvimento da plataforma móvel em reumatologia foi bem-sucedida, pois apresentou uma excelente usabilidade conforme a escala SUS, demonstrando características favoráveis para ser uma ferramenta voltada para o ensino na graduação em medicina, sendo mais específico, em reumatologia.

Introduction: The pandemic caused by the SARS-CoV-2 virus has accelerated an educational revolution, with implications for health care and medical education, generating some insecurities and uncertainties. The article reports the experience of Centro Universitário Christus (Unichristus) about the changes that occurred in the practical scenarios of clinical experiences during the first semester of 2020, marked by social distancing. Experience Report: The services at Clínica Escola de Saúde (CES) were suspended and the associated hospitals stopped receiving students, making the experience of real-life scenarios unfeasible, resulting in the beginning of a project characterized by care of patients with coronavirus infection through telemedicine. The face-to-face nursing team’s participation occurred concomitantly, while students attending the eighth semester of the medical course were present at the consultation through screen sharing using the Google Meet ® program. After the consultation was concluded, there was a discussion about the case and other relevant aspects, similarly to what would happen with a face-to-face experience. In parallel with the project, students also attended lectures that addressed aspects of the disease from primary to tertiary level of health care. Discussion: Patients received care and students were taught through a flexible, innovative, accessible and safe media, following a worldwide trend, generating opportunities for professional development and innovations in medical education. The experience with telemedicine can be complemented by e-learning, allowing the development of a new hybrid teaching model. Conclusion: The current circumstances may result in some educational loss, such as the impossibility to perform physical examinations and to interact better with the health care team and patients; however the technological resources can result in opportunities for changes, improvement and development of teaching methodologies, in line with the current generation of digital natives.