Learning sexual medicine during undergraduate medicine ...Universidade Cidade de Sao Paulo (UNICID), Brazil. INTRODUCTION This work is about the pioneering experience of teaching and

Learning sexual medicine during undergraduate medicine course

contribute to medical professionalism behaviour in medical students

Jose C. Riechelmann 1Fabricio S. Castilho 2Leticia L. Cavanha 2

Podium 12 - Other aspects of sexual medicine

1: Teacher; 2: Student @ Medical SchoolUniversidade Cidade de Sao Paulo (UNICID), Brazil

INTRODUCTIONThis work is about the pioneering experience of teaching and learning sexual medicine during an Official Undergraduate Degree in medicine in Brazil.Between August 2008 and December 2011, 400 students completed the course of sexual medicine offered in Medical Skills Module, in the 6th semester of the problem-based learning (PBL) medicine course at the UniversidadeCidade de Sao Paulo (UNICID), under responsibility of this author.

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INTRODUCTION

Taking the biopsicosocial nature of human sexuality as a trigger, the module’s objectives was:– to develop interdisciplinary clinical reasoning

skills– to develop cognitive and emocional skills to

medical-patient relationship– and learning basics of clinical sexology.


INTRODUCTION

The teaching techniques involved dramatizations of consultations of patients with sexual complaints. The roles of doctor and patient were performed by students.The dramatization was recorded on video, presented in the classroom, and discussed by students under the coordination of the teacher.


OBJECTIVE

To evaluate the impact on medical education of students submitted to the first course of sexual medicine inserted into an Official Undergraduate Medical Curriculum in Brazil.


METHODQuali-quantitative analysis of discourse, by Lefevre’s “Collective Subject Discourse” (CSD) techniqueLefèvre F, Lefèvre AMC, Teixeira JJV. The collective subject discourse: a new methodological approach in qualitative research. Caxias do Sul: EDUCS; 2000. (Brazil)154 written responses77 students chosen randomly from 400.


METHODEach student answered two questions about their inner perceptions on skills to listening and talking:– 1st ) about the sexuality of the patient, and– 2nd ) about their own sexuality.

The answers were processed using appropriate software (Qualiquantisoft ®) for the quali-quantitative analysis of discourses and construction of the CSD.




RESULTSAbility to listen patients speaking about their sexual problems:7 students (9.10%) expressed indifference70 (90.9%) showed increased skillIncreased capacity to understand (diagnosis) and talk about the patient's sexual problem was reported by 65 (84.42%).Increased ability to speak about their own sexuality was perceived by 50 (64.94%).


RESULTSQualitatively, the CSD shows:Reduction of afraid to listen and talk about sex and decreased anxiety of working with the sexuality of patients after replacement of sexual myths by scientific knowledge.There was no reports of emotional troubles caused by the course.Feelings of rejection to the course and/or to the teacher were perceived by 4 students (5.19%).


CONCLUSIONThe 1ST experience of learning sexual medicine into an Official Undergraduate Medical Curriculum in Brazil has produced at least two major impacts in medical education:1) significant decrease in anxiety with sexual issues, including own sexuality, and2) gains medical communication skills, improving the doctor-patient relationship, especially the ability to listen with empathy (not just hearing), the sexual discourse of the patient.


CONCLUSION

This leads us to conclude that learning about sexuality during undergraduate medicine course can contribute significantly to the construction of Medical Professionalism Behaviour in medical students.


Thanks for listening!

Gracias por su atención!

Obrigado pela atenção!

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Documents

Learning sexual medicine during undergraduate medicine ...Universidade Cidade de Sao Paulo (UNICID), Brazil. INTRODUCTION This work is about the pioneering experience of teaching and