Degree | Type | Year | Semester |
---|---|---|---|
2502442 Medicine | OT | 2 | 2 |
2502442 Medicine | OT | 3 | 0 |
2502442 Medicine | OT | 4 | 0 |
2502442 Medicine | OT | 5 | 0 |
2502442 Medicine | OT | 6 | 0 |
There has been changes in the responsible of the subject, now is the teacher Oren Contreras Rodríguez (oren.contreras@uab.cat)
Students should have acquired basic knowledge about Medical Psychology and preliminary contact and skills related to clinical care.
Objectives and Contextualization
The main goal of the discipline is to guide students on the basic foundations on which to establish and maintain a good relationship with patients, family members and other professionals.
Basic specific objectives
1. Acquire criteria to apply sound ethical principles in the professional relationship with patients.
2. Recognize the needs of patients in the diagnostic and therapeutic process.
3. Provide the basis for effective, helpful and respectful communication with patients
4. Acquire knowledge and experiences to establish effective professional interaction in diverse healthcare environments.
5. Learn to confront difficult situations of interaction in the consultation and other health environments
Additional objectives
1. Know and apply the professional values of dedication and sense of duty, responsibility, integrity and honesty in the practice of Medicine.
2. Know how to approach professional practice respecting the patient's autonomy, beliefs and culture.
3. Distinguish solid diagnostic and therapeutic procedures from speculative, artefactual and deceptive ones.
4. Know ingredients for relevant communication with patients, family members and their social environment.
5. Recognize the need to maintain professional competence in a continuous and demanding manner.
6. Know how to report bad news and severe prognosis, in addition to making therapeutic advice.
7. Learn the basics of the principle of confidentiality and know some legal aspects of the exercise of the medical profession.
8. Know aspects of the communication of scientific findings as well as health guidelines, to make an effective transmission.
9. Exercise modalities of clinical interaction (interview,verbal communication, non-verbal communication.
The knowledge about the theoretical framework on human communication in the doctor-patient relationship, and practicing tasks about communication skills on medical consultation will allow the student to understand and appreciate the particular nature of the relationship with the patient and the importance of the therapeutic relationship. This will be complemented with necessary skills that provide a safe platform to address communicative issues in difficult professional situations and to establish also good relationships with other professionals.
The objectives and contents of this discipline are complemented by those of the Practicum II subject, also scheduled in the second year.
Theory
Topic 1. Historical perspective of the relation doctor-patient. The conception of the disease in the ancient world: magical and religious etiologies. The empirical approach in Greek medicine. Other curative traditions in East and West. Charity and health in the European Middle Ages. Experimental medicine from the 19th century. Ethics and hierarchy in the doctor-patient relationship. Patient rights. Practice of the health professions today. Science and biopsychosocial approach, ICT, clinical interactions.
Topic 2. Social relations and communication in the field of assistance. Psychology of social relations. Neurobiology of morality and altruism. Communicative modalities: verbal, non-verbal and therapeutic. Communication skills in patient care. Influential factors in doctor-patient communication. Identification and management of conflicts in medical assistance.
Topic 3. Doctor-patient relationship. Patient needs in the relationship with health professionals. Neglected areas in the health care process. Suggestions for improving patient care. Children: adaptation of information, respect for the child's autonomy and parenting styles. Geriatric patient: understanding of information and therapeutic compliance. Importance of family and caregivers.
Topic 4. Psychological discomfort and illness. Detection of psychological distress: importance of the interview. Elements in the amplification and attenuation of psychological stress. From hypochondria to disease negation. The management of the doctor-patient relationship in difficult cases. Aggression management. Management of psychological distress.
Topic 5. Pain, discomfort and illness. Functions and types of pain. Brain neuromatrix in the processing and experiencing of pain. Hyperalgesia and analgesia neuroregulatory mechanisms. Individual differences in thresholds and pain resistance: towards objectivization? Livingwith chronic pain. Strategies for managing chronic pain.
Topic 6. Placebos, noceboes and alternative remedies. Mechanisms of credulity and persuasion. Neurobiology of placebo and nocebo effects. Comparative efficacy studies with active treatments depending on the type of ailment. Myths and realities in "alternative" or "complementary" treatments. "Alternative" psychotherapies and remedies.
Topic 7. Religion, culture and medicine. Medicine and religion today. Neurobiology of religiosity. Religiosity and overcoming adversity and ailments: psychobiological mechanisms. Exploration of "ethnocultural" beliefs and resistances. Main beliefs in social minorities in Catalonia.
Topic 8. Severe diseases, poor prognosis and terminal. Care for patients with severe and malignant diseases: procedures and phases. Decisions around death. The explanation for the interruption of treatment. Palliative care and last days of life. Psychological and religious help for the terminally ill patient. Common problems in these phases of the doctor-patient relationship and others related to the medical environment.
Topic 9. The confidentiality and the juridical frame of the relation doctor-patient. Ethical and legal framework. Confidentiality and medical documents: medical history, medical report and prescriptions. Systems to ensure the confidentiality and responsibility of the doctor. What can be said and to whom. The doctor-patient relationship as a preventive element of the legal complaint. The relationship with the media and the judicial and police fields.
SEMINARS
The following topics will be worked on through exercises and discussions:
1- ICT and the doctor-patient relationship.
2- The psychological interview.
3- Privacy, confidentiality and professional secrecy.
The subject is based on a theoretical-practical methodology.
The program of the subject includes:
a) Theoretical classes to develop essential parts of the content of the program. Student reflection and participation will be encouraged by conducting additional virtual activities. The material of the presentations and elements for the virtual activities will be delivered according to a calendar established at the beginning of the course.
b) Face-to-face seminars. Various methodologies can be used such as the presentation and debate of cases, role playing (role playing), films, short essays, exercises with dilemmas and others.
Title | Hours | ECTS | Learning Outcomes |
---|---|---|---|
Type: Directed | |||
SEMINARS (SEM) | 9 | 0.36 | |
THEORY (TE) | 17 | 0.68 | |
Type: Autonomous | |||
PREPARATION OF WRITTEN WORKS/SELF-STUDY/READING ARTICLES/REPORTS OF INTEREST | 45 | 1.8 | 35 |
EVALUATION
1. The evaluation of the THEORETICAL part (50% of the final grade) of the subject will contain:
Exam that includes: Test with 36 multiple-choice questions with 5 alternative answers, applying a correction to discount random hits (hits - ¼ from mistakes) and decimating the mark.
2. The evaluation of the PRACTICAL part (20% of the final grade) of the subject will contain:
Exam that includes: Test with 9 multiple-choice questions and 3 open questions (short answer) to assess the participation ans progress of practical sessions. Regular attendance to practical sessions is mandatory to pass the subject. Absences have to be justified.
To pass the subject, student may obtain a minimum grade of 5 in each of the above exams.
3. The global evaluation of the subject will be complemented with the development of 3 VIRTUAL ACTIVITIES (30% of the final note), as informed at the beginning of the course by the professor. The virtual activities will consist of original essays on theoretical content materials; application of theoretical knowledge to specific practical cases, or reflections on a topic presented in class. Each activity will be scored from 0-10. The non-participation in an activity will be score with a 0.
RECOVERY TEST
Students who do not pass the global assessment (minimum grade=5 in the theoretical and practical exams), will have an additional opportunity through a second-chance examination, which will include two exams (theory and practical seminars) with the same characteristics as those of the assessment explained above. Students will be required to pass only the part of the exams failed in the ordinary first call.
Students who do not take the theoretical and practical assessment tests will be considered as Not Assessed by exhausting the rights to the registration of the subject.
FINAL GRADE
Final grade = (exam grade for multiple choice questions * 0.50) + (exam grade for short questions of practical seminars * 0.20) + (average grade for Virtual Activities * 0.30).
Title | Weighting | Hours | ECTS | Learning Outcomes |
---|---|---|---|---|
Global assessment through a multiple choice test plus brief questioning | 50% of the final note, at least. | 2 | 0.08 | 1, 3, 4, 34, 17, 12, 13, 7, 6, 10, 9, 11, 14, 16, 18, 15, 33, 27, 19, 21, 23, 24, 25, 31, 30, 32, 36, 37, 35, 38, 2 |
Written essays about research papers, Comments on clinical cases | 30% of the final note, as a maximum. | 0 | 0 | 3, 4, 34, 17, 12, 13, 11, 14, 16, 18, 15, 27, 20, 22, 24, 25, 31, 30, 32, 36, 37, 38 |
regular attendance and active particpation on lectures, seminars and practical exercises | 20% | 2 | 0.08 | 1, 3, 4, 34, 5, 12, 13, 7, 8, 6, 10, 9, 16, 18, 15, 33, 27, 19, 20, 21, 22, 23, 24, 25, 26, 28, 29, 31, 30, 32, 36, 37, 35, 38, 2 |
Basic References
Other References
Web Resources
http://www.universidadpacientes.org/aula-es1/
http://www.pfizer.es/docs/pdf/salud/2008_Manual-Paciente-Guia-Mejora-AtencionSanitaria.pdf
Adreces web amb gravacions i assaigs que poden èsser treballats als seminaris.
Taking Clinical Stories
http://www.youtube.com/watch?v=IViQKF9qFaw
http://www.youtube.com/watch?v=YjC7iZ_aDq8&feature=related
http://www.youtube.com/watch?v=IViQKF9qFaw&feature=related
http://www.youtube.com/watch?v=AH2IXVYXA80&feature=related
http://www.youtube.com/watch?v=fxyf9ILvLAo&feature=player_detailpage
http://www.youtube.com/watch?v=9BBH6TOpZj8&feature=player_detailpage
http://www.youtube.com/watch?v=NVRP9Umpz4M&feature=player_detailpage
http://www.youtube.com/watch?v=Q5Q-isP-JqY&feature=player_detailpage
http://www.youtube.com/watch?v=oMaTcGjOPsU&feature=player_detailpage
Doctor and patient’s topics