Clinical Skills 2

Course Code :	1003GENGE2
Study domain:	Medicine
Academic year:	2017-2018
Semester:	1st/2nd semester
Sequentiality:
Contact hours:	30
Credits:	3
Study load (hours):	84
Contract restrictions:	Faculty decision based on student file
Language of instruction:	Dutch
Exam period:	exam in the 2nd semester
Lecturer(s)	Benedicte De Winter Nele Michels Katrien Bombeke Lucien Hoekx Luc Debaene Kathleen De Greef Annelies J R Janssens Olivier Vanderveken Lieve Baeyens Linda Symons Katelijne Baetens Lucas Ceulemans Bart Bracke Kristin Van den Bogerd Niels Adriaenssens Chris Cuyt Liesbeth Verpooten Karin Heyde Tim Vertongen Winny Ang Marijke Avonts Hans Eelen Frank Vandeputte Pieter Mertens Angelica Meers Liene De Witte Tine Boiy Edel Maex Anouk Dieleman An Stevens

1. Prerequisites *

At the start of this course the student should have acquired the following competences:

competences corresponding the final attainment level of secondary school

an active knowledge of

Dutch
other languages
competences Clinical Line 1

a passive knowledge of

English

general knowledge of the use of a PC and the Internet

specific prerequisites for this course

Final qualifications secondary education

2. Learning outcomes *

Study aim 1. You are able to perform a clinical skills investigation of the heart and blood vessels, the thorax and the lungs, the abdomen and the gynaecological examinations as practised during the skills training and described in the manual. You are also able to demonstrate basic reanimation skills, usage of AED and suturing skills (including anesthesia and the principles of sterility) as practised during the skills training and described in the manual. (MT)
Study aim 2. You are able to construct according to the portfolio-instructions a personal development plan (PDP) on the learned medical and technical skills in the modules hart & arteries and thorax & lungs. (MT)
Study aim 3. You are able to write down a personal reflection on your experiences as caretaker during the internship on the nursing ward during your first year of medical school, according to the portfolio-instructions. (MT)
Study aim 4. You are able to report the findings of a hemoccult investigation including the results, the interpretation of the results, a reflection on the procedures required and answers to some critical questions concerning this test. (MT)
Study aim 5. You are able to show that you know the structure of history taking and you are able to perform an intake and anamnesis conform the quality characteristics teached.(COM)
Study aim 6. You are able to show that you can actively build a doctor-patient relationship and be fully aware of the relationship according to the quality characteristics learned. (COM)
Study aim 7. You are able to write down personal reflections on your learning experiences during the communication skill training sessions and report on the questioning of the patient-perspectives according to the portfolio-instructions. (COM)
Study aim 8. You are able to explain the general criteria for giving patient information and you can show how to use these criteria in specific situations such as a problem-based patient explanation (e.g. a diagnosis), starting and prescribing medications and/or a referral for an additional (technical) investigation. (COM)
Study aim9. You are able to investigate your own consciousness related to diversity based on the theoretical models provided in the course; you are able to explain culture-sensitive communication skills and to use them in a session with simulated patients.
In the manual a level of expertness is mentioned for each skill. Most of the skills reach a level 4 (‘able to perform these skills on a routine basis’). Of course this is not yet applicable for the students of BA2 since performing skills at the level of a routine expert is required at the end of the medical education. MT is short for medical-technical skills and COM for communication skills.

3. Course contents *

The communication skills (5 x 3 h) are a sequel of the previous year: out of comprehensions of ‘active listening’ the way of history taking is introduced and practiced with intake and anamnesis emphasising a medical interview with all his aspects including giving information. Secondly, students are trained in building a doctor-patient relationship. Students will have the opportunity to practise with simulated patients and to record a conversation with a hospitalized patient. The content of the medical-technical skills training sessions (16 h) include the clinical investigation of the heart and peripheral blood vessels; the lungs, the abdomen, the gynaecological investigation and suturing techniques.

4 International dimension*

The course has an international dimension.

The lecturer uses course materials in a foreign language

The lecturer gives information about his own cultural frame of reference in relation to other perspectives

5. Teaching method and planned learning activities

Class contact teaching

Skills training

Personal work

Assignments Individually

Portfolio

6. Assessment method and criteria

Examination

Multiple-choice

Continuous assessment

Participation in classroom activities

Self-directed assessment

Self-assessment

Portfolio

Product portfolio

Development portfolio

7. Study material *

7.1 Required reading

- Portfolio clinical line (via Blackboard)
- Hand-outs skills locomotion system – heart and vessels – thorax and lungs
- Hand-outs communication skills
- Silverman j., Kurtz S., Draper J., 2014, Skills for Communicating with Patients, Radcliffe Publishing, Oxford, 2005, ISBN 978-94-6236-359-5 en ISBN 978-94-6236-036-5 (e-book)
- B. Bates In : Bates' guide to Physical Examination and History Taking, 12th Edition, Lynn S. Bickley & Peter G. Szilagyi, Lippincot, ISBN 978149650299
- Stethoscope

7.2 Optional reading

The following study material can be studied voluntarily :

Wouda J., Van de Wiel H., Van Vliet K. (2002) Medische communicatie. Gespreksvaardigheden voor de arts. Utrecht: De Tijdstroom, ISBN 97-89-035-218-352.

- Epstein R. Attending medicine, mindfulness and humnity. ISBN 978-1-5011-2171-5 (of ISBN 978-1-5011-2173-9 e-book)

- Remke van Staveren: Patientgericht communiceren, De Tijdstroom, 2010, ISBN 978 90 5898 180 6

8. Contact information *

prof. dr. Benedicte De Winter (Benedicte.dewinter@uantwerpen.be) - phonel 03 265 27 10

prof dr Katrien Bombeke (katrien.bombeke@uantwerpen.be) - phone 03 265 2907

prof dr Nele Michels (nele.michels@uantwerpen.be) - phone 03 265 1827