Individualized medical training in chronic widespread musculoskeletal pain in primary health care
DOI:
https://doi.org/10.23925/1984-4840.2022v24i1/4a10Keywords:
chronic pain, musculoskeletal pain, primary health care, medical training, health educationAbstract
Introduction: Musculoskeletal pain is one of the main reasons for seeking medical consultation at primary health care. Considering the organization of the National Unified Health System (SUS), most cases must be solved in primary health care, for this, the general practitioner must be properly trained. Objective: to evaluate an individualized educational strategy for physicians of primary health care on chronic musculoskeletal pain. Methods: exploratory research of case study type with combined qualitative and quantitative analysis. Six physicians of the Family Health Strategy were submitted to direct evaluation by the rheumatologist. They attended 23 and 20 patients with musculoskeletal pain in the pre-test and post-test, respectively, in their own work environment. There was an individualized educational intervention performed by the rheumatologist. The Mini-CEX form was used to collect data, a checklist in chronic musculoskeletal pain, a socio-economic and professional questionnaire, and an interview about the physicians’ perception regarding the training. Results: after the educational intervention, there was improvement of the medical care in the areas of physical examination, patient management, problem solving and relationship with patients. The training was well accepted by the participating professionals who reported improved confidence in diagnosing and treating chronic musculoskeletal pain and even suggested the extension of this method of education. Conclusions: Individual training of general physicians by the rheumatologist resulted, in the short term, in the improvement of care for patients with chronic widespread musculoskeletal pain.
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