Veidlapa Nr. M-3 (8)

Study Course Description

Psychosocial Aspects in Cases of Haematological Diseases

Main Study Course Information

Course Code

RHE_056

Branch of Science

Clinical medicine

ECTS

6.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Sandra Lejniece

Residency Speciality

Speciality

Hematologist

Supervisor of Medical Speciality

Sandra Lejniece

Contacts

About Study Course

Objective

To ensure acquisition and improvement of theoretical knowledge and practical skills related to psychosocial aspects in cases of haematological diseases in accordance with the requirements of the haematology specialty in order to prepare the doctor for certification in the haematology specialty.

Learning Outcomes

Knowledge

1.- Will know patient rights according to the legislation; - Will know the principles of ethics and professionalism; - Will know the nuances of the doctor-patient therapeutic relations in the haematology clinic; - Will know the elements of supportive psychotherapy.

Skills

1.- Will be able to evaluate personal, emotional and psychosocial factors; - Will be able to communicate with the patient about their state of health, including informing about prognosis pessima; - Will be able to communicate with the patient’s relatives, including giving information that evokes heavy feelings; - Will be able to participate in multidisciplinary councils.

Competences

1.To examine and advise oncological patients, including patients with prognosis pessima, recommend treatment. To inform the patient and the patient’s relatives about the diagnosis, including the health condition that can evoke heavy feelings. To provide supportive psychotherapy.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
1. Independently studies the literature related to the course topics; 2. Independently prepares for seminars; 3. Gets acquainted with and analyses medical documentation; 4. Completes medical documentation; 5. Independently follows the instructions of the certified specialist.

Examination

Title	% from total grade	Grade
1. Examination	-	-
Mandatory attendance of seminars (100%) and performance of practical work (100%) in each study course.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
-	-

Topics

Physician-patient therapeutic relations. The interaction of the principles of ethics and professionalism.

Seminar

Modality	Location
-	-

Topics

Nuances of physician-patient therapeutic relations in the haematology clinic. How to work with a patient in emotional crisis. Elements of supportive psychotherapy. Analysis of clinical examples.

Seminar

Modality	Location
-	-

Topics

Principles of conversation with the patient’s relatives. How to inform about prognosis pessima, how to give information that evokes heavy feelings.

Seminar

Modality	Location
-	-

Topics

Evaluation of the patient’s personality, emotional, psychosocial factors, the usefulness of extended anamnesis vitae and anamnesis familiae in establishing a deep therapeutic alliance in the long term.

Total ECTS (Creditpoints):

6.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Alan Bleakley. Patient-Centred Medicine in Transition. The Heart of the Matter. Springer, 2014.

Esquibel AY, Borkan J. Doctors and patients in pain: conflict and collaboration in opioid prescription in primary care. Pain. 2014;155:2575–2582.

Matthias MS, Krebs EE, Collins LA, et al. “I’m Not Abusing or Anything”: patient-physician communication about opioid treatment in chronic pain. Patient Educ Couns. 2013;93: 197–202.

Hinchey SA, Jackson JL. A cohort study assessing difficult patient encounters in a walk-in primary care clinic, predictors and outcomes. J Gen Intern Med. 2011;26:588–594.

Staiger T, Jarvik J, Deyo R, et al. Patient-physician agreement as a predictor of outcomes in patients with back pain. J Gen Intern Med. 2005;20:935–937.

Additional Reading

Michael Balint. The Doctor, his Patient and the Illness. International Universities Press, 1957.

Hahn SR, Kroenke K, Spitzer RL, et al. The difficult patient: prevalence, psychopathology, and functional impairment. J Gen Intern Med. 1996;11:1–8.

Patricia Hughes & Ian Kerr. Transference and countertransference in communication between doctor and patient. Advances in Psychiatric Treatment (2000), vol. 6, pp. 57–64.

Gordon, T. Making the patient your partner: communication skills for doctors and other caregivers / Thomas Gordon and W. Sterling Edwards, Auburn House, 1997.

Roter, D. Doctors talking with patients/patients talking with doctors : improving communication in medical visits. Debra L. Roter and Judith A. Hall. — 2nd ed., 2006.