ROSANGELA MONTEIRO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
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- Evaluation method of training simulation on biological models for cardiovascular surgery residents(2021) BRANDAO, Carlos M. de A.; DALLAN, Luis R. P.; DINATO, Fabricio J.; MONTEIRO, Rosangela; FIORELLI, Alfredo I.; JATENE, Fabio B.Objectives The goal of this study was to describe and evaluate our simulation training program on biological models for the cardiovascular surgery residency program at our institution. Material and Methods Since 2016, with the purpose to develop better practical performance and evaluate the improvement of resident's surgical skills, a simulation training program was implemented, composed of some elemental procedures in cardiovascular surgery. It was established with one wet lab session weekly lasting 2 h, coached by two expert cardiovascular surgeons. Bovine and porcine hearts were used as biological models. At the end of the hands-on program, an objective assessment consisting of two practical modules was applied and performance was rated by way of a 5-point scale. In addition, to provide a subjective assessment, each resident filled out a questionnaire consisting of three items reviewing the overall quality of the workshops on a 10-point scale. Results The objective evaluation applied at the end of the training program consisted of valve replacement and coronary artery bypass grafting (CABG) modules. The mean performance rating scores for the valve replacement module ranged from 4.2 to 4.79, and CABG, from 4.33 to 4.87. Regarding subjective assessment, all items evaluated, such as expert's didactics, simulation performance, and biological simulator fidelity, received high grades (above 9 on a 10-point scale). Conclusions Simulator training on biological models for cardiac surgery medical residents is a simple and effective learning method of surgical skills.
conferenceObject AN INTEGRATIVE MULTIDISCIPLINARY APP DEVICE FOR HEALTHCARE MONITORING OF PATIENTS WITH UNCONTROLLED HYPERTENSION(2021) BORTOLOTTO, Luiz; SANCHEZ, Renata; RODRIGUES, Dayane; RODRIGUES, Sara; DUENAS, Ana; PEREIRA, Jaqueline; MONTEIRO, Rosangela; SAHOTA, Jaspal; WILKINSON, Michael; TEULON, Aymeric; VUJASINOVIC, Marko; FERREIRA, Norberto; MANUCCI, Anderson; RABELLO, Guilherme- General thoracic surgery workforce: training, migration and practice profile in Brazil(2015) TEDDE, Miguel Lia; PETRERE JR., Oleno; PINTO FILHO, Darcy Ribeiro; PEREIRA, Sergio Tadeu L. Fortunato; MONTEIRO, Rosangela; SASSAKI, Ana Maria; TOGORO, Silvia Yukari; TRINDADE, Evelinda; SAAD JR., Roberto; JATENE, Fabio BiscegliOBJECTIVES: This study is aimed at drawing the profile of the Brazilian general thoracic surgeon. This experience has been fruitful in other areas, helping attract manpower and to better serve the interests of other Societies. This is the first survey of this kind in Brazil and in Latin America. METHODS: An electronic invitation was sent to the members of the Brazilian Society of Thoracic Surgery to answer a web-based questionnaire and physicians potentially practising thoracic surgery, with 82 questions including demographic data, medical education, training in general and thoracic surgery, continued professional education, practice profile, research activities and certifications, participation in medical societies, income/compensation and career satisfaction. Quantitative and qualitative analyses are presented. RESULTS: The estimated level of participation was 82% (468). The mean age of the active general thoracic surgeon is 43.2 (range 45.3 +/- 11.4) years. Women comprised 8% (37) of respondents, and 60% (277) of the participants had graduated from public medical schools. Four states nationwide trained 88% (391) of the thoracic surgeons. Only 32% (149) of the surgeons work exclusively with thoracic surgery. The public health system is the main provider of income for thoracic surgeons. Only 11 of 27 states have an adequate, although poorly distributed, number of thoracic surgeons. CONCLUSIONS: Although Brazil has a reasonable number of general thoracic surgeons, inequalities in their distribution through the country arise as one of the most concerning problems of the speciality. The results of this study show that leadership actions and consistent government policies are required to improve work conditions and provide efficient workforce planning.