Communication and Relationship in Medicine 4th Year
A.Y. 2022/2023
Learning objectives
The purpose of the course is: i) to provide essential knowledge about behavioral skills in the human relations and in particular as far as the doctor-patient-family relations, also in the context of health education; ii) to provide knowledge of protocols and basic skills and attitudes as far as difficult conversation in medicine (e.g., giving bad news).
Expected learning outcomes
Students are able:
a) to recognize and use communicative and relational skills in the doctor patient family communication and
b) to describe complexity factors related to the physician's inner life.
a) to recognize and use communicative and relational skills in the doctor patient family communication and
b) to describe complexity factors related to the physician's inner life.
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Responsible
Course syllabus
· The patient and his symptoms: a rational approach to symptom characterization, interpretation and meaning
· Rational and relational strategies guiding collection of patients' symptoms
· Developing a rational strategy to collect information about a specific symptom during the patient encounter
· The discriminating value of symptoms and clinical findings
· Exploring patient beliefs
· Exploring personal, family and social context to correctly interpret information collected from the patient:
- the role of prior probability of disease
- positivity thresholds for diagnostic tests: a choice and its consequences
· Some quantitative indicators useful to guide the choice of information to be collected: sensitivity, specificity, positive and negative predictive values; likelihood ratios, introduction to Bayes theorem
Excluding or confirming diagnostic hypotheses. Diagnostic logic.
· Rational and relational strategies guiding collection of patients' symptoms
· Developing a rational strategy to collect information about a specific symptom during the patient encounter
· The discriminating value of symptoms and clinical findings
· Exploring patient beliefs
· Exploring personal, family and social context to correctly interpret information collected from the patient:
- the role of prior probability of disease
- positivity thresholds for diagnostic tests: a choice and its consequences
· Some quantitative indicators useful to guide the choice of information to be collected: sensitivity, specificity, positive and negative predictive values; likelihood ratios, introduction to Bayes theorem
Excluding or confirming diagnostic hypotheses. Diagnostic logic.
Prerequisites for admission
No prior knowledge is required.
Teaching methods
Lectures; supplementary activities (view and discussion of visits videos and role playing) and exercises in preparation for the final exam
Teaching Resources
Wulff HR. Rational diagnosis and treatment. Oxford: Blackwell scientific publications. 1981
- Wulff HR, Pedersen SA, Rosenberg R. Philosophy of medicine. Oxford: Blackwell scientific publications. 1991
- Martin AR. Exploring patient beliefs. Steps to enhancing Physician-patient interaction. Arch Intern Med 1983;143:1773-5
- Edwards DAW. Defining vs. discriminating features. Proc Roy Soc Med. 1971;64:676-7
- Wulff HR, Pedersen SA, Rosenberg R. Philosophy of medicine. Oxford: Blackwell scientific publications. 1991
- Martin AR. Exploring patient beliefs. Steps to enhancing Physician-patient interaction. Arch Intern Med 1983;143:1773-5
- Edwards DAW. Defining vs. discriminating features. Proc Roy Soc Med. 1971;64:676-7
Assessment methods and Criteria
A written exam composed of 4 parts: 1) multiple-choice questions; 2) open-ended question on a theoretical topic; 3) exercise on the transcript of doctor-patient dialogue; 4) writing of a doctor-patient dialogue according to the patient-centered model. Results will be communicated through the online Platform.
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 2
Informal teaching: 16 hours
Lessons: 8 hours
: 4 hours
Lessons: 8 hours
: 4 hours
Professor:
Vegni Elena Anna Maria
Educational website(s)
Professor(s)