Early Clinical Experience and Communication Skills Module Year Semester 5

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Early Clinical Experience and Communication

Skills ModuleCurrent Academic Year 2009-2010

Module Title: Early Clinical experience an

Communication skills

Module Code: CLC332

School:

Year Three: Semester 5

Module Co-ordinator: Prof/Merdad & Dr.Fatma

Office number: 18207

Level: 3

Credit Rating: 2 H

Duration: 10 weeks


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Module Aims

The aim of this module is to enable the student to:

1. Build an early clinical experience in the

medical field.2. Develop an experience in the life-clinicalsituations & make up an early orientation.

3.

Acquire knowledge, attitude & skills in doctor-patient communications and the human, ethical,

psychological, and legal aspects of healthcare.

4. To develop a basic understanding of the

concepts and applications of a range of

communication skills and apply these in an

educational context.

Learning OutcomesUpon completing this module, the student should be able to:

1. Demonstrate an open-minded, respectful attitude to

human experiences and diversity.2. Appreciate the difference between acute and chronic

cases, and outline the basic skills of dealing with common

emergencies

3. Apply the skills of interview & communication in

clinical practice.

4. Recognize the basic ethical and legal issues in daily

clinical practice.5. Develop a positive attitude towards patients, families

and community through hospital and community visits.


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SyllabusLectures:

Early clinical experience lecture:

1. Introduction to ECE, History taking and

Clinical examination

2.Normal and abnormal clinical findings & clinical reasoning.

3. Outline of management strategies & patient safety.

4. Laboratory and radiological investigation

Practical:1. History taking and Biohazards in clinical practice.

2.Clinical examination


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Early Clinical Experience

Lecture1: Introduction to ECE & History taking andclinical examination

DEPARTMENT: community medicine. TUTOR:DR/MAHDI.

TEACHING LOCATION:.

LEARNING OBJECTIVES:At the end of the lecture the student will be able to :

1- Know well the course objectives and contents.

2- Be motivated to early clinical experience.

3- know the methods of assessments of the course and method of assessment.

4- Understand the outline of History taking and clinical examination

DETAILED Procedure:- Description of the course.

- Orientation about the different departments of health care services.

- Methods of assessment and evaluation.

- outline of History taking and clinical examination.

READING:

1-Introduction to clinical examination. Michael j ford, Lain Hennessey, Alan japp.2- History taking and clinical examination from Browse; An introduction to the symptoms and signs

of surgical disease.

3-Clinical examination. Nicholas J Talley, 'Connor.


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Lecture2: Normal and abnormal clinical findings & clinical reasoning


TEACHING LOCATION:.

At the end of the lecture the student will be able to :

1- recognize the concept of normal and abnormal clinical findings in history, examination and

laboratory investigations.

2- To know some examples of the normal and abnormal clinical findings.

3- Know the concept of clinical reasoning and hypothesis testing in clinical practice.

DETAILED Procedure:- Examples of normal and abnormal findings in history, examination and laboratory

investigations .

- Meaning of clinical reasoning and hypothesis testing

READING:- Clinical examination. Nicholas J Talley, 'Connor.

- Clinical methods (Hutchinson).

- Barbara Bates. A guide to clinical thinking. J.B. Lippincott company.


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Lecture3: Outline of management strategies & patient safety.


TEACHING LOCATION:.


1- recognize the different modalities of strategies used in patient treatment.2- be motivated for the comprehensive and holistic approach in

patient management.

3. Recognize the sources of medical errors and the risks to the patients in the medicalcare.

4. Be motivated to be very attentive to medical errors and risks.

DETAILED Procedure:reassurance & explanation .

- non-pharmacological

- pharmacological.

- referral.- investigations.

- observation.

- prevention.

- rehabilitation, home care and palliative therapy

- Types and sources of medical errors.

- Tips of patient safety and Patient education about patient safety.

- Examples and pictures of a real cases of medical errors.-

READING:- Robin C Fraser. Clinical method A general practice approach. Butterworth

Heinemann.

- Selected articles about patient safety.


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Lecture4:Laboratory and radiological investigation


TEACHING LOCATION:.


1- Aquire basic knowledge about the basic and radiological investigation required for patient with

medical disease.

DETAILED Procedure:-Common test (such as CBC, Urea, Electrolytes, Blood sugar profile. Liver function tests, serum lipids,

calcium, phosphate, magnesium and uric acid, stool and urine analysis) what is normal and abnormal of

these tests and what is the clinical implication of each abnormality?

-Common radiological test (chest x-ray, plain abdominal x-ray, barium swallow, wrists x-ray). What isnormal and abnormal?

READING:- Oxford hand book of laboratory investigations.Povan

- Imaging for students by A. lislie

- Sutton's radiology for medical students by D. Sutton

- Clinical examination. Nicholas J Talley, 'Connor.

Clinical methods (Hutchinson).


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Practical(1): History taking and Biohazards in clinical practice.

TUTOR: .

SUMMARY:

In the skills lab the students will see and practice history taking .

Also they will learn the the different biohazards in clinical practice and the preventive

measure to prevent these hazards.

They will be enabled to use some of the protective equipments and materials.

OBJECTIVES:

1. Practicing and observing doing different parts of history taking.

2. Knowing the different biohazards in clinical practice and the preventive measure

to prevent these hazards.

READING:

- Introduction to clinical examination. Michael j ford, Lain Hennessey, Alan

japp.

- The 2 chapters of history taking and clinical examination from Browse; An

introduction to the symptoms and signs of surgical disease.



- American public health association. Control of communicable diseases

manual.


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Practical(2): Clinical examination

TUTOR: .

SUMMARY:

In the skills lab the students we see and practice the general and major systems

examination

OBJECTIVES:

To see and practice:

a- the general examination

b- major systems examination

READING:

- Introduction to clinical examination. Michael j ford, Lain Hennessey, Alan

japp.

- The 2 chapters of history taking and clinical examination from Browse; An

introduction to the symptoms and signs of surgical disease.




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Communication skills lecture:

1. Introduction to communication skills

2. Intrapersonal Communication

3. INTERPERSONAL COMMUNICATION

4. CONFLICT MANAGEMENT.5. Group Communication

6. Patient Interview & patient centered communication

7. BREAKING BAD NEWS

8. GUIDELINES IN COMMUNICATING WITH

SPECIAL PATIENTS9. COMMUNICATING WITH PATIENTS FAMILY .

INFORMED CONSENT

10. LISTENING AND EMPATHIC RESPONDING11. Public Communication & assertiveness


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Practical:

Skills in health communication skills

1-Team Building ,group communication & public

speaking.

The group will be divided in to groups,in each group 10 students , the objective is

To recognize the importance of team buildingLearn to perform more effectively in project teams

1. Then to select leader or coordinator , the objective is to learn how to

select leader & each group will write to the module corrdinator ,the criteria

of selecting a leader.each group will select a name for the group,the same

group will work together during the module course.each group will select

topic in communication skills or common medical problems ,the objective is

to explain the requirements for choosing a topic and to describe the options

for choosing a topic and to assess the appropriateness of a topic for speaker,

audience, and occasion.then they will prepare presentation outline, Identifythe purposes of the three main parts of a speech,Identify suitable content for

the three main parts of a speech & Use websites to find examples of outlines

present .their presentation will be conducted during student day

presentation.

2-breaking bad news

1. Dying patient2. Cancer patient

3. Critically ill or injuired patient

4. Child abuse

5. Intrauterine fetal death

6. Delivery of baby with down syndrom or congenital anomaly

3-informed consent :


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1. Mastectomy

2. Amputation

3. Colostomy

4. Hernia repair

5. Lumbar puncture


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Assessment:

Total mark: 100%

Continuous Assessment: 60 %

Assessment (Final) 40 %


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Reference:

1. Hutchison's Clinical Methods by Swash. Saunders

2. Introduction to Clinical examination. By Ford &

Munro-Churchill Livingstone.3. The New Consultation: Developing Doctor-Patient

Communication. By Pendleton, & Tate. Schofield, Oxford

University Press.4. Communication skills in Pharmacy Practice 4th

Edition, by william Tindall, R. Beardsley, & C. Kmberlin

5. Communication Making Connections,6th edition.by

William Seiler & Melissa Beall,Allyn & Bacon.

6. Communication and Education Skills for DieteticsProfessionals, 3rd or 4th edition,by Betsy B.Holli &

Richard J.Calabrese.Williams & Wilkins.


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COMMUNICATION SKILLS

Lecture #5 ,6 Introduction to communication skills & Intrapersonal Communication.

DEPARTMENT: surgery TUTOR:FATMA

TEACHING LOCATION: .

LEARNING OBJECTIVES:

1. Understand the role of communication in your daily life.

2. Describe how competent communication can affect your careerdevelopment.3. Discuss the effects of ethical behavior, culture, technology, andthinking on your communication.4. Learn the essential components of the communication process.5. Distinguish among the various types of communication:intrapersonal, interpersonal (including group), and publiccommunication.6. Identify and debunk five common myths about communication.7. Make the connection between self-concept and perception.

8. Suggest ways to improve self-concept.

9. Interpret perceptions as well as improve your communicationcompetence.

DETAILED CONTENT:

1. Human communication definition.

2. The purposes of communication.

3. Distinguish among the various types of communication.

4. Communication characteristics, model.

5. The essential components in the communication process

6. Identify & debunk five common myths about communication.

7. Make the connection between perception & communication competence.

8. perception.

Reading:Communication Making Connections,6th edition.by William Seiler & MelissaBeall,Allyn & Bacon.


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COMMUNICATIONSKILLS

Lecture # 7,8: INTERPERSONAL COMMUNICATION & CONFLICT

MANAGEMENT.

DEPARTMENT:Surgery . TUTOR:FATMA

TEACHING LOCATION: .


1. Improve your interpersonal communication.2. Analyze the motivation of others and how it relates to interacting with others.3. Know the connection and differences between online and face-to-face

interaction.

4. Improve your small talk when attempting to initiate relationships.5. Become a more competent communicator in your use of self-disclosure.6. Understand the stages of relationship development and deterioration.7. Know how dialectic tensions push and pull on relationships.8. Explain what interpersonal conflict is and how to resolve it.9. Determine when a relationship is in trouble and how to use relational repair

strategies.

10. Improve your interpersonal communication skills and competencies inpersonal and professional relationships.


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DETAILED CONTENT:1. Interpersonal communication characteristics

2. Relationship development motives

3. Reducing uncertainty

4. Relationship development stages5. Self-disclosure

6. Interpersonal conflict management

7. Conflict nature and its healthy side

8. Dialogue and diversity understanding.

Reading:Communication Making Connections,6th edition.by William Seiler & Melissa Beall,Allyn& Bacon.


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COMMUNICATION SKILLS

Lecture # 9: Group Communication.

DEPARTMENT: SURGERY . TUTOR: Dr. FATMA

TEACHING LOCATION:


1. Make the connection between group communication and other types ofcommunication discussed in previous chapters.

2. Explain what a group is and what it is not and understand theimportance of groups in our lives.

3. Distinguish between primary and secondary groups and their purposes.4. Learn to perform more effectively in special types of groups, such as

project teams, work teams, and focus groups.5. Avoid the disadvantages and limitations of group communication.6. Ensure that members of groups that you participate in are ethical.7. Utilize technology to communicate effectively in groups.

8. Conduct efficient and effective group meetings.9. Use effective problem-solving and decision-making steps.10. Manage and use conflict strategies to ensure positive outcomes.

11. Develop and use criteria for evaluating groups.

DETAILED CONTENT:1. Small group definition and how it differs from dyads.

2. Small group types, purposes and characteristics

3. Factors affecting group communication

4. Performance versus human/dimensions5. Improving group communication

6. Working team formation and its success factors

7. Decision making and problem solving in small groups.



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Lecture 10# Patient Interview & patient centered communication

DEPARTMENT: Surgery TUTOR:Fatma

TEACHING LOCATION :

LERNING OBJETIVES:

The Student will able to:

1. Understand the functions of the patient interview2. Comprehend the basic skills required to conduct a satisfying patient interview

3. Demonstrate skills, in an elementary fashion, during a patient interview

4. Development the skills of observation in the context of the doctor-patient interactions.

5. Recognize appropriate techniques of communication with patients.

6. illustrate five dimensions of patient-Centred carer.

7. Recognize appropriate techniques of interviewing patients.

8. Define and identify critical elements of therapeutic communication

DETAILED CONTENT:

1. Patient-centred Communication2. Encourage Patients to Share their Experience with Therapy and Eliciting Feedback

3. Interview and assessment

a. Interview steps and Organizing the interview

b. Interview and assessment

c. Interview steps

d. Organizing the interview

4. Purposes of the interview, Rapport building, Patient interview and Interview reports

REFEENCE: Communication skills in pharmacy Practice 4th Edition, by William Tindall, R.

Beardsley,& C. Kimberlin


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LECTURE # 11BREAKING BAD NEWS

DEPARTMENT: Surgery TUTOR:FATMA

TEACHING LOCATION :

LERNING OBJETIVES:To Understand :

How to communicate sensitive news to patients and their relatives.

How patients and their relatives cope with bad news.

The process of giving bad news.

DETAILED CONTENT: What is bad news?

What is difficult about giving bad news?

Options for managing difficult situations?

How to give bad news?

REFEENCE: Communication Skills of Medicine: Margaret Lloyd. Robert Bor.


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LECTURE # 12 GUIDELINES IN COMMUNICATING WITH SPECIAL PATIENTS &COMMUNICATING WITH PATIENTS FAMILY & INFORMED CONSENT

DEPARTMENT: TUTOR:

TEACHING LOCATION :

LERNING OBJETIVES:

1. To understand how to Communicate with children and adolescent.

2. To understand how to Communicate with critically ill patient,dying

patient.

3. To understand how the family can help in diagnosis, treatment andcare.

4. To understand how to communicate with patient family.

5. To understand how to take consent.

DETAILED CONTENT:1. Management of children

2. Guidelines for helping parents manage their sick child

3. Dealing with adolescents

4. Dealing with critically ill patient.

5. Identifying the patient's family.6. The Family's influence on care and treatment and care.

7. Responding to and managing the concerns and fears of relatives.

8. Guidelines for dealing with patient's family.

9. Guidelines for taking consent

REFEENCE:

Communication Skills of Medicine: Margaret Lloyd. Robert Bor.


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LECTURE # 13 LISTENING AND EMPATHIC RESPONDING

DEPARTMENT: Surgery TUTOR:Fatma

TEACHING LOCATION :

LERNING OBJETIVES:The Student will able to:

1. Understand the importance of listening to patients.

2. Understand the skills of listening to patients .

3. Understand the types of empathic responding.4. Understand the problems in establishing helping relationships with paients.

DETAILED CONTENT:Listening well.

Empathic responding.

Attitudes underlying empathy.

Nonverbal aspects of empathy.

Problems in establishing helping relationships.

REFEENCE: Communication skills in pharmacy Practice. William N .Tindall, R. Beardsley,& C.

Kimberlin

Communication Skills of Medicine: Margaret Lloyd. Robert Bor.


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Lecture # 14 Public Communication & assertiveness.

DEPARTMENT: surgery.TUTOR:FATMA

TEACHING LOCATION:.

LEARNING OBJECTIVES:1. To recognize that speech is an important tool for thinking and learning.

2. To know the types of speech.

3. To be able to prepare a good presentation.

4. To know and use the appropriate techniques for public speech.

5. To Initiate communication and communicate in an atmosphere of trust.

DETAILED CONTENT:1. Informative and persuading speech

2. preparing and writing a speech

3. Presentation Skills

4. Evaluating the presentation

5. Assertive response

6. Non -assertive response: Passive response & Aggressive response



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KING ABDULAZIZ UNIVERSITYFaculty of Medicine

Early clinical experienceAnd

Communication skills Module

The log book for the activities and

the visits of the self-directedlearning

Supervisor Dr: .

Student name: ..

Computer number:


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To hospital staff

Our 3rd medical students will perform supervised visits

to different departments of your hospital.

We highly appreciate yourcooperation.

Members of the Early Clinical Experience& Communication Skills Module

Faculty of MedicineKing Abdul-Aziz University

1-Prof.Adnan Abdulmotee Merdad. (Headof the Module)

2-Prof. Mohammad Sader M. Alsadi.

3-Dr.Amin Jefri

4-Dr.Mahdi Qadi.

5-Dr.Bassam Addas.

6-Dr. Fatemah Althubaiti. (Coordinator ofthe Module)

7-Dr.Samar Alsagaf.

8-Dr.Nesmah Mansouri.

9-Prof.Omymah. Aboalola.


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10-Dr.Mawiah A. KHafaje.

Dear student:

You are expected during the hours of SDL to go to these

different clinical and related sites to be exposed to its activities

and skills done in it.

You may also go to it in other times other than the

scheduled afternoon time.

These activities can be done in KAUH, othergovernmental hospitals, primary health care centers.

One of the House Officers (Interns) will supervise yourgroup and activities.

At the end of the module term he or she will fulfill your

activities evaluation form.

In the log book in the activities tables you will put in brief what you haveseen, what you do and the educational benefits you gain (You may use

more than table for one activity if needed).

The suggested sites and what to be done:

1- Any out-patient clinic: (Must DO).

(Primary Health Care Clinic, Medical, Surgical, Pediatric,

Obstetric, Orthopedic, ENT, Ophthalmology, Dermatology,

Psychiatry, Urology)- You will notice there how patients present, how history and

examination is done, the investigations requested and the

management.

2- Emergency Room (Must DO).

- As for the clinics plus the emergency skills and procedures

3- Radiology department (Must DO).

- Seeing how simple x-ray, ultra-sound, CT scan and MRI are


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done

- Seeing and reading simple X-rays (e.g.; chest X-ray).

4- The blood bank (Must DO).

5- Trauma clinic or cast clinic (Must DO).

.

6- Day-care center (Must DO).

7- Attending scientific clinical lecture or symposium (Must DO).

8- Dressing Room(optional) .

-Seeing different types of wounds and dressing.

-Seeing and participating if suitable in taking vital signs .-Seeing and participating if suitable in intramuscular injections.

-Seeing any other activities done in it.

9- Laboratories (optional).

- Seeing the different laboratory sections

- Seeing how some tests are done (e.g.; Urine Analysis, Stool

Analysis, CBC)

-Some results of some simple tests and knowing its normal

ranges-Frozen section in pathology lab.

10- Isolation room (optional).

- Types of cases

- Types of precautions

- Protection equipments and materials

.

11- Endoscopy unit (optional).

- Seeing upper and lower GIT endoscopy

- Seeing different endoscopic equipments

12- Hospitals wards (optional).

- To know the type of cases admitted in the different departments wards

- To attend some of the rounds in the departments

- To see some of the cases if possible with one of the Working Staff.

- To know the type of cases admitted there

- To see some of the cases if possible with one of the Working Staff.


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13- Skill lab (optional).

- Training on examination with the present resources

LOG OF activities

No.

Data, Place &Authentication

. Date:

Place:

Attended with

Name:

Signature


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No.

Data, Place &Authentication

. Date:

Place:

Attended with

Name:

Signature


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Documents

Early Clinical Experience and Communication Skills Module Year Semester 5