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Obstetric training: competence and care in birth assistance

Interface - Comunicação Saúde Educação
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  • Biology
  • Education
  • Medicine


Universidade de São Paulo 2008 Obstetric training: competence and care in birth assistance Interface - Comunicação, Saúde, Educação, v.12, n.24, p.215-215, 2008 Downloaded from: Biblioteca Digital da Produção Intelectual - BDPI, Universidade de São Paulo Biblioteca Digital da Produção Intelectual - BDPI Outros departamentos - FM/Outros Artigos e Materiais de Revistas Científicas - FM/Outros th ese s This thesis consists of an analysis of obstetric training during medical school. It is based on ethnographic research undertaken at two acknowledged medical schools in São Paulo, Brazil. The objective was to study how technical and scientific competence and care, that is, the relationship with the patient, are articulated in theoretical and practical training of birth assistance. The techniques employed in fieldwork were: participant observation, semi-structured interviews and, in a complementary form, the analysis of textbooks and assistance protocols. A characterization of the curriculum offered by the schools and an examination of students experience with respect to learning the theory and practice of obstetrics, including the supervision of the various activities involving obstetric assistance are discussed. Description and analysis of the scission between the development of technical and scientific competence in the educational process was undertaken. The implications of this scission for training in the practice of medicine as a moral dependent technique are discussed. Great emphasis is placed on the development of scientific knowledge during training. Even in the clinical years, emphasis is placed on learning to construct clinical narratives, placing priority on memory and the oral transmission of knowledge rather than written registration and consultation of patience’s charts. Learning and training is based in part on so-called “classical” concepts, which sustain a pathological approach to birthing. In training,

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