Veidlapa Nr. M-3 (8)
Study Course Description
Introduction to Clinical Medicine and Patient Contact
Course Code
ISK_242
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Valdis Ģībietis
Structure Unit Manager
Jūlija Voicehovska
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
Patient Contact:
- To develop the students' understanding of professional communication as an essential part of the medical practice.
- To develop the students' ability to choose adequate communication form and type in a particular clinical situation.
Introduction to Clinical Medicine:
- Instruct students on medical history documentation – chief complaint, history of present illness, past medical history.
- Develop bedside physical examination skills according to the clinical case – the interview, inspection, palpation, percussion, auscultation.
- Teach the ways of combining patient subjective experience in an illness with the data from physical examination and come to a possible diagnosis.
Hematology:
- Learn about hematological patients examination methods. Learn to recognise and define changes in red blood cells, white blood cells and platelets.
- Learn to define anemia, recognise symptoms and signs of anemia. Learn laboratory diagnostic of anemia, laboratory classification of anemia.
- Learn types of bleeding disorders, symptoms and signs, laboratory diagnostic methods.
Preliminary Knowledge
Knowledge of the introduction to the history of medicine, ethics and law; knowledge of medical philosophy and bioethics; introduction to the study process, basics of argumentation. Normal anatomy, histology, normal physiology, biochemistry, and the principles of medical physics, biology and basics of genetics. Normal hematopoesis. Normal blood count. Normal blood coagulation/hemostasis.
Learning Outcomes
Knowledge
1.The student will demonstrate an understanding in the field of communication and describe the link between theoretical knowledge of ethics and applied therapeutic aspects.
2.The student will be familiar with the content, forms, and types of communication in the practical work of a medical doctor, will navigate ways of implementing the types of communication in different clinical situations.
3.The student will know how to structurally interview and record a patient’s medical history – the main complaint, current medical history, previous medical history.
4.The student will know how to conduct a physical examination according to the clinical case and patient complaints.
5.The student will know how to objectify a patient’s subjective narrative.
6.The student will know how to explain the terminology used in the clinical setting.
Skills
1.The student will be able to communicate with patients, their relatives, colleagues, and other people involved in the health care process.
2.The student will be able 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.
3.The student will develop the skills to perform a structured interview of the medical history and record it in a written form.
4.The student will be able to perform a physical examination of a patient using inspection, palpation, percussion, auscultation, and derived methods.
5.The student will be able to interpret lung functional tests – spirometry – at the basic level.
Competences
1.The student will demonstrate the ability to professionally manage conversations with patients and their families by assessing the problem and the persons involved.
2.The student will be able to analyze clinical situations, substantiate, logically formulate, and explain one's opinion.
3.The student will be able to assess the subjective story and objective findings and associate them with pathological processes in the patient’s body.
4.The student will be able to interpret the results of the pulmonary function tests, attribute them to a specific clinical situation and link then to the overall investigative process.
5.The student will be able to interpret the clinical blood count, attribute it to a specific clinical situation, and link it to the overall investigative process.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Presentation on topic in the Medical Communication module |
30.00% from total grade
|
10 points
|
|
A self-prepared presentation on one of the topics of medical communication. |
||
|
2.
Individual work |
-
|
-
|
|
Students self-familiarise themselves with and prepare for the requirements of each class by learning clinical manipulations from a source understood by the student (at their discretion). Students individually seek and learn the most up-to-date information about the physical examination methods of patients from materials recommended by the department or other sources. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Activity in classes in the Medical Communication module |
20.00% from total grade
|
10 points
|
|
Assessment of student activity during the semester (comments, participation in discussions, etc.). |
||
|
2.
Class topic tests in the Introduction to Clinical Medicine and Hematology module |
30.00% from total grade
|
10 points
|
|
An online test on the topic after each practical class. |
||
|
3.
Clinical manipulation and skill testing |
20.00% from total grade
|
10 points
|
|
Practical colloquium in the final class of the Introduction to Clinical Medicine module. |
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
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.
Description
Lecture |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Doctor-patient relationships. Communication with patients with cognitive problems, with anxiety. Communication with patients with addictions. Conflict and crises situations.
Description
Lecture |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Language problems. Cultural, religious, food problems.
Description
Lecture |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medical profession – legal issues.
Description
Lecture |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Introduction to Clinics. Ethical issues of medical communication. Medical deontology. Doctor’s office design (discussion). Doctor’s image (role play).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Historia morbi – subjective part. “First patient” (role play). Visit to clinic.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Communication with health care professionals (as patients and as colleagues). Communication with patient’s family members. Communication with internet-educated patients.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Age problems: communication with paediatric patients, with geriatric patients. Communication with dying patients. Kübler-Ross model of grief. Visit to the clinic.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Communication with patients with chronic diseases. Delivering bad news. SPIKES protocol. Visit to the clinic.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Communication with patients with functional problems (blind, numb, etc.). Communication with ICU patients. Visit to clinic.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Assistance in case of emotional trauma, crisis management. Role play.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Historia morbi – Status praesens objectivus communis – Inspection: State (physical and mental), habitus, visible surfaces, head, neck, body, extremities. Work in groups. Visit to the clinic, practice with patients. Discussion, summary.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction to Clinical Medicine. General principles. Clinical thinking and decision-making.
Description
Videolecture |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
General medical examination. Basic clinical skills.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Extremities: peripheral vascular system and lymph nodes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Thorax and the lungs. Hands-on examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Clinical cases with pulmonary function tests.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
General abdominal examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Clinical reasoning and instrumental examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Assessment of the patient. Physical examination manipulations test.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Symptoms and signs of hematological diseases. Examination methods of hematological patients. Changes in blood counts.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Symptoms and signs of anemia. Laboratory diagnostic and laboratory clasification of anemia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Types of bleeding disorders. Symptoms and signs of bleeding disorders. Laboratory analyses for bleeding disorders.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Bickley, L. et al. 2021. Bates' Guide To Physical Examination and History Taking, 13th Edition. Wolters Kluwer.Suitable for English stream
2.
Glynn, M. and Drake W. 2023. Hutchison's Clinical Methods, 25th Edition. Elsevier LimitedSuitable for English stream
3.
Dover, A. Macleod's Clinical Examination, 15th Edition. Elsevier LimitedSuitable for English stream
4.
Lejniece, S. 2020. Klīniskā hematoloģija. Rīga: Medicīnas apgāds
Additional Reading
1.
Loscalzo, J. et al. 2022. Harrison's Principles of Internal Medicine, 21e. McGraw Hill LLCSuitable for English stream
2.
Kaushansky, K. et al. 2021. Williams Hematology, 10e. McGraw HillSuitable for English stream
3.
Allen, J. 2013. Health Law & Medical Ethics for Healthcare Professionals. PearsonSuitable for English stream
4.
Coulehan, J. and Block, M. 2005. The Medical Interview: Mastering Skills for Clinical Practice, 5th Edition. F.A. Davis CompanySuitable for English stream
5.
Orļikova, G. un Pičkura K. redakcijā. 2014. Propedeitika. Rīga: RSU.
6.
Rudzītis, K. 2010. Diagnostikas pamati un terapijas preambula. Rīga: Medicīnas apgāds