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Medical Communication

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:02.02.2021 16:37:50
Study Course Information
Course Code:ISK_203LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; Internal MedicineTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Vladimirs Voicehovskis
Study Course Implementer
Structural Unit:Department of Internal Diseases
The Head of Structural Unit:
Contacts:Riga, 2 Hipokrata Street, iskatrsu[pnkts]lv, +371 67042338
Study Course Planning
Full-Time - Semester No.1
Lectures (count)4Lecture Length (academic hours)2Total Contact Hours of Lectures8
Classes (count)8Class Length (academic hours)3Total Contact Hours of Classes24
Total Contact Hours32
Study course description
Preliminary Knowledge:
Human anatomy and physiology, knowledge of the history of medicine, ethics and law; knowledge of medical philosophy and bioethics; introduction to the study process, basics of argumentation.
Objective:
To develop the students' understanding of professional communication as an essential part of medical practice. To develop the students' ability to choose adequate communication form and type in a particular clinical situation.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Communication as a basic clinical skill: Definition of communication, introduction, theoretic aspects. E-treatment. Department and Hospital rules. Good medical practice principles, role of doctors assistant, medical documentation.Lectures1.00auditorium
2Doctor-patient relationships. Communication with patients with cognitive problems, with anxiety. Communication with patients with addictions. Conflict and crises situations.Lectures1.00E-Studies platform
3Language problems. Cultural, religious, food problems.Lectures1.00auditorium
4Medical profession – legal issues.Lectures1.00E-Studies platform
5Introduction to Clinics. Ethical issues of medical communication. Medical deontology. Doctor’s office design (discussion). Doctor’s image (role play).Classes1.00clinical base
6Historia morbi – subjective part. “First patient” (role play). Visit to clinic.Classes1.00clinical base
7Communication with health care professionals (as patients and as colleagues). Communication with patient’s family members. Communication with internet-educated patients.Classes1.00clinical base
8Age problems: communication with paediatric patients, with geriatric patients. Communication with dying patients. Kübler-Ross model of grief. Visit to the clinic.Classes1.00clinical base
9Communication with patients w. chronic diseases. Delivering bad news. SPIKES protocol. Visit to the clinic.Classes1.00clinical base
10Communication with patients w. functional problems (blind, numb, etc.). Communication with ICU patients. Visit to clinic.Classes1.00clinical base
11Assistance in case of emotional trauma, crisis management. Role play.Classes1.00clinical base
12Historia morbi – Status praesens objectivus communis – Inspectio: Status (physical and mental), habitus, visible surfaces, caput, collum, corpus, extremitas. Work in groups. Visit to the clinic, practice with patients. Discussion, summary.Classes1.00clinical base
Assessment
Unaided Work:
Students refer to the recommended and optional literature for each practical class; Identify unclear questions and problems; Develop recommendations for communication in a particular situation.
Assessment Criteria:
Cumulative exam: 50% from final grade – student present one of the 12 course topics (PowerPoint presentation, 10 – 15 min.); 30% from final grade – student's activity during the course (taking part in discussions, questions, comments); 20% from final grade – "Historia morbi" test results. The student shows understanding of the topics being presented and his ability to solve problems raised in real clinical situations.
Final Examination (Full-Time):Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Upon successful completion of the course, students will be able to perform the following activities: • to demonstrate an understanding in the field of communication and to describe the link between theoretical knowledge of ethics and applied therapeutic aspects; • to demonstrate an understanding of communication content, forms and types in medical practice; • to demonstrate an orientation in physician’s communication implementation in various types of clinical situations.
Skills:Upon successful completion of the course, students will be able to perform the following activities: • to communicate with patients and their families, other people or organizations involved in health care; • to choose the appropriate form of contact in the investigation and treatment of the patient depending on the patient's age, gender, temperament, ethnicity and religion; • to choose the most appropriate communication form and type in different clinical situations.
Competencies:Upon successful completion of the course, students will be able to perform the following activities: • to communicate with people having different skills and experience in professional issues, ensuring personal health, public health or environment - friendly solutions; • to professionally manage conversations with patients and their families by assessing the problem and the persons involved; • to perform an analysis of the situation, demonstrate individual treatment of the patient and creative approach to each clinical case; • to analyse situations, substantiate, logically formulate and explain their opinion.
Bibliography
No.Reference
Required Reading
1Allen, James F. Health Law & Medical Ethics for Healthcare Professionals. Boston: Pearson, 2012
2Back, Anthony Arnold, Robert Tulsky, James. Mastering Communication with Seriously Ill Patients. Cambridge University Press, 2009
3Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2008
4Coulehan J., Block M. The Medical Interview: Mastering Skills for Clinical Practice. Davis Company, 2005
5Karpova Ā., Plotnieks I. Personība un saskarsme. Rīga, 1984
6Kupčs J. Saskarsmes būtība. – Rīga: Zvaigzne ABC, 1997
7Lloyd, Margaret Bor, Robert. Communication Skills for Medicine (3rd Edition). Churchill Livingstone, 2009
8Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2005
Additional Reading
1Adam, Mary B.-Mercurio, Mark R.-Diekema, Douglas S. Clinical Ethics in Pediatrics. Cambridge University Press, 2011
2Allen, Judy Brock, And Susan A. Healthcare Communication Using Personality Type: Patients Are Different! Routledge, 2000
3Barker, Philip J. Mental Health Ethics. Taylor & Francis Routledge, 2011
4Benedetti F. The Patient's Brain: the Neuroscience behind the Doctor-Patient Relationship. Oxford; New York: Oxford University Press, 2011
5Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2008
6Christianson, Jon Warrick, Louise H. Physician Communication with Patients: Research Findings and Challenges. University of Michigan Press, 2012
7Dan Longo, Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo. Harrison's Principles of Internal Medicine, 18th edition. McGraw-Hill, 2011
8EACH homepage / database
9England, Carole Morgan, Ransolina. Communication Skills for Midwives: Challenges in Everyday Practice. McGraw-Hill Education, 2012
10Feldman M., Christensen J. Behavioral Medicine: A Guide for Clinical Practice. 2007. http://www.accessmedicine.com/content.aspx?aID=6439652&sear…
11Groopman J. How Doctors Think. Houghton Mifflin Harcourt Trade & Reference Publishers, 2008
12Heritage, John Maynard, Douglas W. Drew, Paul. Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge University Press, 2006
13Jackson J.C. Ethics in Medicine. Cambridge, UK;Malden, MA: Polity, 2006
14Lasmane S., Milts A., Rubenis A. Ētika. Rīga, Zvaigzne ABC, 1995
15Omārova S. Cilvēks runā ar cilvēku. Rīga, Kamene, 1994
16Parrott, Roxanne. Talking about Health: Why Communication Matters. Wiley-Blackwell, 2009
17Pilnick, Alison Hindmarsh, Jon Gill, Virginia Teas. Communication in Healthcare Settings: Policy, Participation and New Technologies. Wiley-Blackwell, 2010
18Pīzs A. Ķermeņa valoda. – Rīga, Jumava, 1995
19Roter, Debra L. Hall, Judith A. Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits (2nd Edition). ABC-CLIO, 2006
20Sanders L. Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis. Broadway Books, 2009
21Savett L.A. The Human Side of Medicine: Learning What It's Like to be a Patient and What It's Like to be a Physician. Auburn House Paperback, 2002
22Schaie K. Warner-Willis, Sherry L. Handbook of the Psychology of Aging. Elsevier LTD., 2011
23Stiefel F. Communication in Cancer Care. Springer, 2006
24Surbone, Antonella Zwitter, Matja Rajer, Mirjana. New Challenges in Communication with Cancer Patients. Springer US, 2012
25Thomas, Richard K. Health Communication. Springer, 2006
Other Information Sources
1http://estudijas.rsu.lv/index.php