King Abdul-Aziz University Faculty of Medicine
Early CLINICAL EXPERIENCE AND COMMUNICATION SKILLS
(ECE & CS Module)
Study Guide
Phase II-Early Clinical Experience System Page 3 of 43
King Abdul-Aziz University Faculty of Medicine
Table of Contents
Topic / PageMODULE DESCRIPTION & OBJECTIVE / 4
STRUCTURE OF THE MODULE / 4
Names and contact information of module members and Tutors / 5
OFFICE HOURS/ INSTRUCTIONAL METHODS / 6
ASSESSMENT/ STUDENT’S RESPONSIBILITY / 7
LEARNING RESOURCES / 8
ICON GUIDE / 9
LECTURES
L1 / Research methodology Overview Of research / 12
L2 / Research methodology Descriptive and analytic epidemiology
L3 / Research methodology Clinical tria / 14
L4 / Research methodology Introduction to evidence based medicine / 16
L5 / History taking and Clinical Examination / 18
L6 / Normal and abnormal clinical findings. / 20
L7 / Laboratory and radiological investigation. / 22
L8 / Patient safety
L9 / Patient safety
L10 / Patient safety
L11 / Introduction to Communication Skills& Group Communication and Intrapersonal Communication / 24
L12 / Introduction to Communication Skills& Group Communication and Intrapersonal Communication
L13 / Conflict Management
L14 / Breaking bad news
L15 / informed consent / 26
L16 / Guidelines in communicating with special patients and Communicating with patients family / 28
L17 / Listening and emphatic responding / 30
L18 / Listening and emphatic responding / 32
L19 / Patient interview and patient centered Communication` / 34
L20 / Patient interview and patient centered Communication`
PRACTICAL
P1 / Patient interviewing. / 37
P2 / Cardiovascular and Respiratory system history and examination / 39
P3 / Gastrointestinal system and Endocrine system history and examination / 41
P4 / Renal and reproductive system history and examination / 43
P5 / CNS system history and examination / 45
P6 / Visit to primary health care clinic and visit to specialty clinic (medical and surgical)
P7 / Visit to pediatric clinic
P8 / Visit to dressing room
P9 / visit to radiology
P10 / Visit to endoscopy unit
P11 / Visit to clinical skill lab
P12 / PBL (fever, abdominal pain, bleeding)
CLINICAL PRESENTATIONS (CP)
SELF DIRECTED LEARNING (SDL)
Phase II-Early Clinical Experience System Page 3 of 43
King Abdul-Aziz University Faculty of Medicine
Undergraduate Program Learning OutcomesCode / Learning Outcomes
Knowledge
By the end of the program the graduate will be able to:
A1 / Describe normal human development across the life-span and how these affect normal structure and function.
A2 / Describe normal structure and function of the major systems and how they interrelate.
A3 / Describe the molecular, biochemical and cellular basis essential for maintaining homoestasis.
A4 / Demonstrate knowledge of the basic medical sciences that explain causes and mechanisms of disease.
A5 / Describe the alterations in structure and function of major body systems as a result of illness or injury.
A6 / Demonstrate knowledge and understanding of the pharmacological principles of treatment using drugs, their efficacy in the management and symptomatic relief of diseases, as well as their side effects.
A7 / Discuss the implications of basic ethical principles, including confidentiality, informed consent, truth telling, and justice, for the care of patients.
A8 / recognize the legal background of medical practice
A9 / Explain the causes and mechanisms of intoxication.
A10 / Describe the role of family, community, and culture as factors influencing patient presentations, interpretations of illness episodes and adherence to treatment episodes.
A11 / Demonstrate knowledge and understanding of the natural history of disease and relationships with risk factors and disease prevention.
A12 / Recognize and discuss the principles of disease surveillance and screening, disease prevention, communicable disease control, health promotion, and health needs assessment.
A13 / Describe strategies to support life-long learning via print and electronic sources to assist in making diagnostic and treatment decisions and to remain current with advances in medical knowledge and practice.
A14 / Demonstrate knowledge of how to use the basic medical sciences and clinical skills for clinical decision making and problem solving in the care of patients.
A15 / Recognize the scientific basis of health, disease, and medicine in the management of common and high impact conditions in the society.
A16 / Demonstrate knowledge of the functional approach to managing chronic conditions, including knowledge of the impact of chronic illness on function.
A17 / demonstrate basic knowledge of the global health care delivery system in the community including physicians, hospitals, outpatient centres, health agencies and the role of community agencies in that system.
A18 / Recognize the management of common emergencies and the initial and the life saving management steps for other emergencies.
A19 / Identify the "Red flags" indicating seriousness in the different clinical presentations.
Cognitive Skills
By the end of the program the graduate will be able to:
B1 / Recognize, define and prioritize problems.
B2 / Demonstrate the ability to acquire new information and data.
B3 / Critically appraise validity and applicability of acquired information to one’s professional decisions.
B4 / Organize, record, research, present, critique, and manage clinical information.
B5 / Recognize the limitations of knowledge in medicine and the importance of triangulation of evidence before reaching a decision.
B6 / Evaluate the patient’s medical problems.
B7 / Formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions.
B8 / Reflect on one’s thinking process and decisions and apply rational processes.
B9 / Use appropriate intellectual strategies to deal with uncertainties when they arise.
B10 / Demonstrate an understanding of research methodology.
B11 / Formulate research questions.
B12 / Draw research hypotheses.
B13 / Choose appropriate research methodologies and designs.
B14 / Select appropriate methods of data collection.
B15 / Analyse and interpret collected data.
Interpersonal Skills & Responsibility
By the end of the program the graduate will be able to:
C1 / Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, communities and the medical profession.
C2 / Exhibit appropriate value for the sensitive nature of the doctor/patient relationship and the importance of active listening, with attention to the patient’s familial, cultural, and spiritual circumstances.
C3 / Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically competence, honesty, integrity, respect for others, professional responsibility and social responsibility.
C4 / Exhibit a capacity for self-evaluation, moral reflection and ethical reasoning to form the basis for a self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine.
C5 / Apply the four principles of ethical and legal knowledge, namely respect for autonomy, beneficience, non-maleficience and justice.
C6 / Demonstrate awareness and understanding of the legal and professional responsibilities; and report inappropriate medical practice.
Communication, Information Technology & Numerical Skills
By the end of the program the graduate will be able to:
D1 / work effectively as part of a health care team
D2 / communicate effectively with patients, their families and colleagues, both verbally and in writing
D3 / retrieve information by all means including electronically
D4 / present information clearly in written, electronic and oral forms
D5 / work within a changing, multi-task environment
Psychomotor Skills
By the end of the program the graduate will be able to:
E1 / Elicit accurate comprehensive and focused medical history by employing techniques that facilitate the patient’s sharing of information.
E2 / Conduct a both effective and accurate comprehensive and focused physical examination.
E3 / Formulate a differential diagnosis.
E4 / Select the appropriate laboratory tests and radiographic studies and interpret their results and use them in making diagnostic and treatment decisions.
E5 / Formulate and implement a plan of care for both the prevention and treatment of disease.
E6 / Educate patients about their health problems and to motivate them to adopt health promoting behaviors.
E7 / Use pharmacotherapeutic agents and other therapeutic modalities effectively.
E8 / Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support.
E9 / Undertake tasks to initiate and be involved in the care of acutely ill patients.
MODULE DESCRIPTION
The Early Clinical Experience and communication skills course is a central component of the Personal and Professional development theme. The course runs in the 5th semester of the third year .It comprises introductory lectures, practical demonstration, visits to general practice and hospital, and small group seminars. It is delivered by the departments of community medicine Clinical Medicine and Surgery.
The course considers communication skills, clinical history taking and systematic examination of respiratory, cardiovascular, gastro-intestinal, endocrine, and central nervous systems. The system learning is integrated with the teaching of the relevant systems in anatomy and physiology. Basic emergency care is learned separately.
The course covers the ability to obtain a clinical history; the use of good communication skills to elicit the effects of a condition on a patient in physical, psychological and social terms; the ability to perform the components of a systems examination and to start to distinguish normal from abnormal findings; the application of problem solving skills and the demonstration of presentation skills in the clinical setting.
MODULE AIMS
The aim of this module is enable the student to:
1. Build an early clinical experience in the medical field
2. Develop an experience in the life-clinical situations & make up an early orientation.
3. Acquire knowledge, attitude & skills in doctor-patient communications & 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
Structure of the Module
Lectures / Tutorials / Clinical presentations / Practicals / PBL-Seminars / Student Directed learning
12 / - / - / 11 / 1 / -
TEACHING DEPARTMENTS
Family &Communication Medicine
Names and contact information of module members and Tutors
NAME / Department / Office locationBld no./
Room no. / EXT. / E-MAIL
Prof. Omar Al-Amoudi / Medicine / Building 10
Room no.
Dr. Fatmah Al-Thebaity / Surgery / Building 10
Room no. / 18207 / drfatmasurgery2000@
hotmail.com
Prof. Adnan Merdad / Surgery / Building 10
Room no. / 18211
Dr. Nesma Al-Mansouri / OB / Building 10
Room no.2/1068 / 18370 /
Dr. Mohammed AlSaadi / Biochemistry
Dr. Samr Ftheldeen / Radiology / Hospital / Pager 2603 / sfathaldeein@
yahoo.com
Dr. Nadia Feda / Pediatric / Building 10
Room no. / 18363 /
Dr. Mahdi Qadi / Family & Community Medicine / Building
Room no.
Office Hours
Minor learning difficulties can escalate into major problems if not nipped in the bud, because much of the subject matter is interrelated. Thus, failure to master one element may impact learning in multiple areas. We urge you to be prompt and aggressive in tackling problems with the course work. The staff members in the different departments are serious about their role in helping you to understand the subject matter. They are all prepared to spend extra time with you to accomplish this end. Most instructors set up office hours at a time when they are certain to be in the office, but are available to students outside set hours when arrangements are made beforehand. We urge you to be proactive in using faculty as a resource; many inquiries can be handled by phone or email, and we encourage you to do so.
Office hours of staff members throughout the academic year will be posted on the office door of each instructor. Students are encouraged to visit the staff members and talk to them about any concerns they may have. You can communicate by telephone, email, or in person. Make an appointment to see any of the staff when needed.
INSTRUCTIONAL METHODS
Instructional methods used in this module include core topic lectures, practical, clinical presentations, problem-based learning and self-directed learning.
Assessment
In this module your performance will be assessed according to the following:
Continuous Assessment: 60%
- GP tutor assessment
- Attendance at hospital visits
- Seminar group assessment based on specific assignments
Assessment (Final) 40%
Total = 100 Marks
Summative Exams: Written Exams will include multiple choice questions (MCQs) only. These will cover material presented during the lectures, clinical presentations and PBL. All exams must be taken on the date scheduled. In case of an emergency, the module coordinator must be notified. No make-up exams will be provided if you fail to notify and discuss your situation with the coordinator.
STUDENT’S RESPONSIBILITY
Class attendance and participation are extremely important to your learning and as such are considered in the evaluation of your course grade. If there is anything that the module coordinator can do to assist you during the course, please feel free to contact him.
LEARNING RESOURCES
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
All books can be purchased from local medical book shops (e.g. Marekh, Jarir, Tehama, Al-Ebekan, Dar el Ketab el Tebe, etc…) or online from www.amazon.com, www.studentconsult.com or www.barnesandnoble.com
Icon Guide
The following icons have been used to help you identify the various experiences you will be exposed to.
Learning objectives
Content of the lecture
Independent learning from textbooks
Independent learning from the CD-ROM.
The computer cluster is in the medical library.
Independent learning from the Internet
Problem-Based Learning
Self- Assessment (the answer to self-assessment exercises will be discussed in tutorial sessions)
The main concepts
Transferable skills
Topic Outlines
LECTURES
Lectures provide a framework to help the student organize her/ his study of the module. They are usually given by individuals with a special interest and/or expertise in the field. The lectures are not meant to be comprehensive, and should be supplemented by reading. Lectures will emphasize the most important points to be learned. Lectures are designed to build upon one another so that there is