Veidlapa Nr. M-3 (8)
Study Course Description
Medical Communication
Course Code
ISK_203
Branch of Science
Clinical medicine; Internal medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Vladimirs Voicehovskis
Structure Unit Manager
Aivars Lejnieks
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
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.
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.
Learning Outcomes
Knowledge
1.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
1.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.
Competences
1.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.
Assessment
Individual work
Title
% from total grade
Grade
1.
Individual 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.
Examination
Title
% from total grade
Grade
1.
Examination
-
-
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.
Study Course Theme Plan
FULL-TIME
Part 1
-
Communication 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.
EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
-
Doctor-patient relationships. Communication with patients with cognitive problems, with anxiety. Communication with patients with addictions. Conflict and crises situations.
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
-
Language problems. Cultural, religious, food problems.
EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2
-
Medical profession – legal issues.
EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
-
Introduction to Clinics. Ethical issues of medical communication. Medical deontology. Doctor’s office design (discussion). Doctor’s image (role play).
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Historia morbi – subjective part. “First patient” (role play). Visit to clinic.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Communication with health care professionals (as patients and as colleagues). Communication with patient’s family members. Communication with internet-educated patients.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Age problems: communication with paediatric patients, with geriatric patients. Communication with dying patients. Kübler-Ross model of grief. Visit to the clinic.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Communication with patients w. chronic diseases. Delivering bad news. SPIKES protocol. Visit to the clinic.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Communication with patients w. functional problems (blind, numb, etc.). Communication with ICU patients. Visit to clinic.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Assistance in case of emotional trauma, crisis management. Role play.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
-
Historia 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.
EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Allen, James F. Health Law & Medical Ethics for Healthcare Professionals. Boston: Pearson, 2012
2.
Back, Anthony Arnold, Robert Tulsky, James. Mastering Communication with Seriously Ill Patients. Cambridge University Press, 2009
3.
Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2008
4.
Coulehan J., Block M. The Medical Interview: Mastering Skills for Clinical Practice. Davis Company, 2005
5.
Karpova Ā., Plotnieks I. Personība un saskarsme. Rīga, 1984
6.
Kupčs J. Saskarsmes būtība. – Rīga: Zvaigzne ABC, 1997
7.
Lloyd, Margaret Bor, Robert. Communication Skills for Medicine (3rd Edition). Churchill Livingstone, 2009
8.
Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2005
Additional Reading
1.
Adam, Mary B.-Mercurio, Mark R.-Diekema, Douglas S. Clinical Ethics in Pediatrics. Cambridge University Press, 2011
2.
Allen, Judy Brock, And Susan A. Healthcare Communication Using Personality Type: Patients Are Different! Routledge, 2000
3.
Barker, Philip J. Mental Health Ethics. Taylor & Francis Routledge, 2011
4.
Benedetti F. The Patient's Brain: the Neuroscience behind the Doctor-Patient Relationship. Oxford; New York: Oxford University Press, 2011
5.
Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2008
6.
Christianson, Jon Warrick, Louise H. Physician Communication with Patients: Research Findings and Challenges. University of Michigan Press, 2012
7.
Dan Longo, Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo. Harrison's Principles of Internal Medicine, 18th edition. McGraw-Hill, 2011
8.
EACH homepage / database
9.
England, Carole Morgan, Ransolina. Communication Skills for Midwives: Challenges in Everyday Practice. McGraw-Hill Education, 2012
10.
Feldman M., Christensen J. Behavioral Medicine: A Guide for Clinical Practice. 2007. http://www.accessmedicine.com/content.aspx?aID=6439652&searchStr=physician-patient+relations#6439652
11.
Groopman J. How Doctors Think. Houghton Mifflin Harcourt Trade & Reference Publishers, 2008
12.
Heritage, John Maynard, Douglas W. Drew, Paul. Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge University Press, 2006
13.
Jackson J.C. Ethics in Medicine. Cambridge, UK;Malden, MA: Polity, 2006
14.
Lasmane S., Milts A., Rubenis A. Ētika. Rīga, Zvaigzne ABC, 1995
15.
Omārova S. Cilvēks runā ar cilvēku. Rīga, Kamene, 1994
16.
Parrott, Roxanne. Talking about Health: Why Communication Matters. Wiley-Blackwell, 2009
17.
Pilnick, Alison Hindmarsh, Jon Gill, Virginia Teas. Communication in Healthcare Settings: Policy, Participation and New Technologies. Wiley-Blackwell, 2010
18.
Pīzs A. Ķermeņa valoda. – Rīga, Jumava, 1995
19.
Roter, Debra L. Hall, Judith A. Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits (2nd Edition). ABC-CLIO, 2006
20.
Sanders L. Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis. Broadway Books, 2009
21.
Savett 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
22.
Schaie K. Warner-Willis, Sherry L. Handbook of the Psychology of Aging. Elsevier LTD., 2011
23.
Stiefel F. Communication in Cancer Care. Springer, 2006
24.
Surbone, Antonella Zwitter, Matja Rajer, Mirjana. New Challenges in Communication with Cancer Patients. Springer US, 2012
25.
Thomas, Richard K. Health Communication. Springer, 2006