IZABEL CRISTINA RIOS

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PAHC, Hospital das Clínicas, Faculdade de Medicina
Instituto de Medicina Física e de Reabilitação, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina

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  • bookPart
  • article
    Barriers and Facilitators of the Teaching-Learning Process of Medical Students in Primary Care in the City of São Paulo
    (2020) SILVA, Moniquelly Barbosa da; RIOS, Izabel; VITAL JÚNIOR, Pedro Félix; SILVA, Andréa Tenório Correia da
    Abstract: Introduction: Although Primary Health Care (PHC) is essential for medical students’ training, the perceptions of primary care workers about the teaching-learning process have been overlooked, particularly in municipalities where PHC management is performed by a private organization instead of the government, such as in the city of São Paulo. Objective: to analyze the perceptions of primary care workers about barriers and facilitators of medical students’ teaching-learning process in PHC in the city of São Paulo. Method: we conducted a qualitative research. We performed in-depth interviews with 12 primary care workers from the family health teams (four physicians, four nurses and four community health workers), who worked in primary care clinics in the east region of the city and received medical students, from 1st-year to internship students. The interviews were recorded, transcribed and afterwards, they were repeatedly read. We identified thematic units following the content analysis principles. Results: the barriers to medical students’ teaching-learning process in PHC were the following: (1) excessive number of scheduled patients and scarcity of time for discussion; (2) inadequate infrastructure of primary care clinics; (3) lack of training; and (4) ineffective integration among faculty, healthcare workers, managers and the assisted population. The facilitating factors of the teaching-learning process were: (1) high quality of healthcare services; (2) integration among primary care teams, interdisciplinary teams, and students; and (3) well-trained medical preceptors. Conclusions: our results have implications for PHC professionals, educational institutions, and managers. The improvement of the integration among educational institutions, health services managers, primary care workers, and the population is a condition to reach the effectiveness in the teaching-learning process, and to ensure the development of essential competencies for PHC assistance quality. Thus, the training of health professionals, improving the primary care clinic infrastructure, and creating strategies to ensure enough time for discussion and feedback could contribute to mitigate barriers to medical students’ teaching-learning process in PHC.
  • bookPart
    Anestesia e Bioética
    (2021) VIEIRA, Joaquim Edson; RIOS, Izabel Cristina; TAKAOKA, Flávio
  • article 2 Citação(ões) na Scopus
    Virtual visits to inpatients by their loved ones during COVID-19
    (2020) RIOS, Izabel Cristina; CARVALHO, Ricardo Tavares de; RUFFINI, Vitor Maia Teles; MONTAL, Amanda Cardoso; HARIMA, Leila Suemi; CRISPIM, Douglas Henrique; ARAI, Lilian; PERONDI, Beatriz; MORAIS, Anna Miethke; ANDRADE, Andrea Janaina de; BONFA, Eloisa Silva Dutra de Oliveira
  • article 3 Citação(ões) na Scopus
    Virtual interviews between medical students and in-patients during COVID-19 pandemic
    (2021) RIOS, Izabel Cristina; IMAMURA, Marta; GARCIA, Maria Lucia Bueno; BATTISTELLA, Linamara Rizzo
  • article 33 Citação(ões) na Scopus
    How Institutions Can Protect the Mental Health and Psychosocial Well-Being of Their Healthcare Workers in the Current COVID-19 Pandemic
    (2020) FUKUTI, Pedro; UCHOA, Caroline Louise Mesquita; MAZZOCO, Marina Flaborea; CORCHS, Felipe; KAMITSUJI, Carla Satie; ROSSI, Luciane De; RIOS, Izabel Cristina; LANCMAN, Selma; BONFA, Eloisa; BARROS-FILHO, Tarcisio Eloy Pessoa de; MIGUEL, Euripedes Constantino
  • bookPart
    Anestesia e bioética
    (2017) VIEIRA, Joaquim Edson; RIOS, Izabel Cristina; TAKAOKA, Flávio
  • article
    Qual Guia de Comunicação na Consulta Médica É o Mais Adequado para o Ensino de Habilidades Comunicacionais na Atenção Primária à Saúde Brasileira?
    (2018) CAMPOS, Carlos Frederico Confort; RIOS, Izabel Cristina
    ABSTRACT Introduction the use of communication skills is associated with positive outcomes in medical visits and health care, such as better adherence to treatments, satisfaction of doctors and patients and the relationship between them. This is even more significant in Primary Health Care, which is a space of comprehensive health care. An effective communication happens whenever all participants interact to exchange information and, in the end, everyone has the same understanding about the problem, everyone agrees about the actions to be taken and everyone feels they are being understood in their needs. In order for this kind of communication to happen, these skills must be taught appropriately e continually, during the whole medical training. Up until now, there is no Brazilian instrument that fulfills this purpose. In Brazil, international guides are being used to achieve that. However, amongst the most internationally used guides and those most cited in specific literature, none is completely suitable to Brazil’s reality. Objective To compare four frequently used communications skills instruments, under the perspective of Brazilian Primary Care characteristics. Methodology The guides were described, qualitatively analyzed and compared according to the following categories: guide structure, guide creation, important steps of the visit and focus on the doctor. Analysis: The instruments differ in easiness of use, focus in Primary Care teaching, discussion of important steps of the visit and focus on the doctor. They all discuss the construction of shared plans and none has a validated translation to Brazilian Portuguese. Conclusion “A Consulta em 7 Passos” has the most suitable profile for Brazil’s Primary Care, among the studied guides. However, the creation of a Brazilian guide is recommended to help structure, homogenize and facilitate the teaching of communication skills in Brazil’s medical schools.
  • article 1 Citação(ões) na Scopus
    Gestão da humanização das práticas de saúde: o caso do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
    (2013) RIOS, Izabel Cristina; BATTISTELLA, Linamara Rizzo
    Objective: to show and discuss, in conceptual and methodological terms, the development of the humanization of health practices as institutional policy (guidelines for actions that promoves institutional culture based on humanistic values). Method: we defined the ""Hospital das Clinicas, School of Medicine, Sao Paulo University"" as a case for being a public institution of reference in teaching, research and assistance in health. We did documentary survey on the humanization since 2005 until 2012, and descriptive analysis of scenarios and processes involved in this case, as well as interpretive analysis based on theoretical references adopted. Results: to developing the humanization in the Complex, they structured a collaborative network consisting of 16 groups and coordination. Among the various actions of building the network, the highlight was the training course for coordinators to the methodology of humanization, which consists in: by tools and techniques of organizational assessment and planning to identify critical situations in interactions with users, employees or teams, so to define actions in the problem areas and to monitor indicators such actions. The projects articulated with Network in 2010 amounted 120, and in 2012, 411 projects. The model of the Network ""Humaniza FMUSPHC"" is a management strategy of humanization in healthcare that surpasses punctual actions on institutional life, by adopting a systemic and organized vision technically supported to implement policy that aims the humanization culture.
  • article
    Humanidades Médicas como Campo de Conhecimento em Medicina
    (2016) RIOS, Izabel Cristina
    ABSTRACT This essay addresses the medical humanities as a field of knowledge and its establishment as a theoretical and methodological body in its own right, especially in medical education. Historically speaking, medical humanities emerged alongside the development of the field of social sciences in health, with several crossover points between the two. Through study of the literature we delimited the two fields of knowledge in relation to study scope, interests and interaction. In medical education although there is no consensus on which subjects compose the area of medical humanities, the task is to develop ethical and relational competence in students for good medical practice. Of the many difficulties, we highlight the distancing between experiences of teaching humanistic themes and medical practice. The essay concludes with the idea that humanistic education should emerge from medical practice. There is a lack of medicine in the medical humanities, mainly due to a shortage of teachers capable of achieving the interdisciplinary quality that constitutes the field.