ECTS credits ECTS credits: 3
ECTS Hours Rules/Memories Student's work ECTS: 45 Hours of tutorials: 2 Expository Class: 20 Interactive Classroom: 8 Total: 75
Use languages Spanish, Galician
Type: Ordinary Degree Subject RD 1393/2007 - 822/2021
Departments: Psychiatry, Radiology, Public Health, Nursing and Medicine
Areas: Psychiatry
Center Faculty of Medicine and Dentistry
Call: First Semester
Teaching: With teaching
Enrolment: Enrollable
GENERAL OBJECTIVES:
1. Develop communication skills for interaction with the individual, family and community.
2. Implement communication strategies for the use of resources that facilitate an effective medical-sick relationship.
SPECIFIC OBJECTIVES:
1. Identify the characteristics of the human being involved in the therapeutic communication process
2. Identify the structural elements of therapeutic communication that are applied in medical-disease interpersonal practice
3. Recognize and apply ethical methods, means and resources for the establishment of therapeutic communication
4. Identify the importance of communication as an integrative component in the functions of health teams
5. Analyzing the effects of communication on the health-disease process
EXPOSITIVE TEACHING:
I. COMMUNICATION IN THE ASSISTANCE FRAMEWORK:
1. Human relations:
- The interpersonal relationships
- The social framework
- Development of self-concept
2. Concept and types of communication
3. Verbal communication
4. Non-verbal communication
5. Therapeutic communication
II. CLINICAL RELATION MODELS:
1. Background of the doctor-patient relationship
2. Characteristics of the doctor-patient relationship
3. Psychological aspects of the doctor-patient relationship
- Empathy
- distortion
4. Models of doctor-patient relationship
5. Types of doctor-patient relationship according to the degree of participation
6. Types of doctor-patient relationship according to the degree of personalization
7. Types of doctor-patient relationship according to the purpose of the relationship
8. The doctor-patient relationship in the hospital setting
9. Situations that generate more problems in the doctor-patient relationship
III. THE CLINICAL INTERVIEW:
1. The therapeutic and iatrogenic action of the doctor
2. The doctor as a therapeutic element
3. The doctor's personality
4. The placebo effect
5. Structure as a placebo effect
6. Illness behavior and attitude of the patient towards her symptoms
- Individual variables
- Social variables
7. The medical interview:
- Interpersonal communication
- Clinical interview concept
- Objective of the clinical interview
- Phases of the clinical interview
- How to improve communication skills in the clinical interview
8. The interview in special clinical situations
- Identification of "special" clinical situations
- The interview with "difficult" patients. The somatizing patient
IV. COMMUNICATE BAD NEWS
1. What is bad news in Medicine ...?
2. Anxiety in the face of death:
- The patient before death
- The family before death
- The doctor before death
3. The process of communicating an unfavorable diagnosis
- Prepare the environment
- Reactions and expectations of the patient
- Find out how far you want to know at all times
- Inform and draw up an action plan
- Specific techniques
4. Chronic pain
- The patient with chronic pain
- The family in the face of chronic pain
- The doctor and chronic pain
5. The cancer patient and her family
6. The mentally ill and her family
V. ADVICE, PSYCHOLOGICAL SUPPORT AND THERAPEUTIC COMPLIANCE:
1. Measures aimed at improving therapeutic compliance
2. Counseling and problem solving techniques
3. Psychological support:
- The chronic patient and her family
- The terminally ill and her family
- In mourning processes
VI. RIGHTS AND DUTIES OF THE SICK AND PHYSICIAN:
1. The information
2. History, clinical report and instructions to the patient
3. Informed consent
4. Comprehensive assistance
5. Confidentiality
6. Autonomy
INTERACTIVE TEACHING SEMINAR:
1. Introduction. Assignment of topics. Detailed explanation of the methodology and debate about it
2. Death as a source of anxiety. Evolution, interpretation and importance from a cultural point of view
3. What is bad news in Medicine. How to communicate "bad news" to our patient and his family
4. Preparation of reports, work, sharing and critical evaluation
BIBLIOGRAFÍA BÁSICA:
1. La Comunicación. Una competencia esencial para los profesionales de la salud
Xavier Clèries
Editorial Elsevier Masson. Barcelona, 2006 (1ª edición)
2. La relación médico-enfermo
Pedro Laín Entralgo
Alianza Editorial. Madrid, 1983 (1ª edición)
BIBLIOGRAFÍA COMPLEMENTARIA:
1. Cómo dar las malas noticias en Medicina
Marcos Gómez Sancho
Ediciones Arán. Madrid, 1998 (2ª edición revisada y ampliada)
2. La Comunicación
Christian Baylon y Xavier Mignot
Ediciones Cátedra. Madrid, 1996 (1ª edición)
3. Manual de entrevista clínica
Francesc Borrell i Carrió
Ediciones Doyma. Barcelona, 1993 (2ª edición)
4. Pérdida, pena, duelo: vivencias, investigación y asistencia
Jorge L. Tizón
Editorial Paidós. Barcelona, 2004 (1ª edición)
5. Sé lo que estás pensando: utiliza los cuatro códigos del lenguaje corporal
Lillian Glass
Editorial Paidós. Barcelona, 2003 (1ª edición)
6. La muerte de la Medicina con rostro humano
Petr Skrabanek
Editorial Díaz de Santos. Madrid, 1999 (1ª edición)
7. La ética ante la muerte y el derecho a morir
Jean-Louis Baudouin y Danielle Blondeau
Editorial Herder. Barcelona, 1995 (1ª edición)
8. El médico como persona en la relación médico-paciente
Rosa Gómez Esteban
Editorial Fundamentos. Madrid, 2002 (1ª edición)
9. Cómo morimos. Reflexiones sobre el último capítulo de la vida
Sherwin B. Nuland
Alianza Editorial. Madrid, 1995 (1ª edición)
10. Dolor y sufrimiento al final de la vida
Marcos Gómez Sancho y Jorge A. Grau Abalo
Ediciones Arán. Madrid, 2006 (1ª edición)
11. El dolor: un enfoque interdisciplinar
Rodolfo D’Alvia (compilador)
Editorial Paidós. Barcelona, 2001 (1ª edición)
12. Aspectos legales de la relación médico-paciente
Julio César Galán Cortés
Jarpyo Editores. Madrid, 2000 (1ª edición)
COMPETENCES OF THE DEGREE TO WHICH THE SUBJECT CONTRIBUTES:
1. To develop professional practice with respect for the patient's autonomy, beliefs and culture, within ethical and legal principles.
2. Develop professional practice with respect to other health professionals, acquiring teamwork skills.
3. Know and recognize the bases of normal human behavior and its alterations.
4. Obtain and prepare a medical record that contains all the relevant information.
5. Listen carefully, obtain and synthesize pertinent information about the problems that afflict the patient and understand the content of this information.
6. Communicate effectively and clearly, both orally and in writing, with patients, family members, other professionals, and the media.
7. Establish good interpersonal communication that enables you to efficiently and empathize with patients, family members, other professionals and the media.
8. Know and recognize the determinants of health in the population, both genetic and dependent on sex and lifestyle, demographic, environmental, social, economic, psychological and cultural.
9. Recognize their role in multi-professional teams, assuming leadership when appropriate, both in the provision of health care and in health promotion interventions.
10. Know, critically value and know how to use clinical and biomedical information sources to obtain, organize, interpret and communicate scientific and health information.
11. Know how to use information and communication technologies in clinical, therapeutic, preventive and research activities.
12. Have, in professional activity, a critical, creative point of view, with constructive skepticism and research-oriented.
COMPETENCES OF THE MATTER:
1. Know the aspects of communication with patients, relatives and their social environment: Models of clinical relationship, interview, verbal, non-verbal communication and interference.
2. Know how to deliver bad news.
3. Write stories, reports, instructions and other records, in an understandable way to patients, relatives and other professionals.
4. Carry out a public and oral presentation of scientific work and / or professional reports.
At the end of the course students must:
1. Know the aspects of communication with patients, relatives and their social environment
2. Know the different models of clinical relationship and clinical interview
3. Know how to handle the different aspects of verbal communication, non-verbal communication and interference
4. Know how to deliver bad news
5. Have acquired the necessary skills to be able to implement counseling and psychological support techniques
6. Have acquired the necessary skills to write stories, reports, instructions and other records in an understandable way for patients, family members and other professionals.
7. Have acquired the necessary skills to carry out a public, oral and written presentation of scientific works and / or professional reports.
EXPOSITIVE TEACHING:
1. Master classes
2. Participatory
3. Interactive
INTERACTIVE TEACHING SEMINAR:
1. Preparation of topics
2. Participatory debate on the development of the topics
3. Sharing and conclusions
4. Completion of work
5. Role play
AS SUPPORT FOR BOTH EXPOSURE TEACHING AND INTERACTIVE SEMINAR TEACHING, THIS SUBJECT IS ALSO GIVEN THROUGH THE USC VIRTUAL (VIRTUAL CLASSROOM)
At the beginning of the course, the TEACHING GUIDE will be made available to students through the Virtual Classroom, in which the teaching methodology will be considered in more detail
EXPOSITIVE TEACHING:
1. In order to be eligible for the theoretical test, it is ESSENTIAL to have passed the ATTENDANCE requirements for the lectures, which may be registered through random controls, allowing a maximum of 2 excused absences with the teachers (10%)
2. BREACH of the ASSISTANCE requirement will prevent the passing of the subject both in the ordinary opportunity and in the recovery opportunity.
3. In order to be eligible for the theoretical test, it is ESSENTIAL to have previously passed the criteria required for the SEMINARS as specified in the following section
4. The theoretical contents will be evaluated through a test test consisting of 35 questions with 5 answer options, of which only one will be valid. Errors will NOT count negatively.
5. In order to pass the theoretical contents it will be ESSENTIAL to obtain a minimum total of 25 points
6. Within the TOTAL EVALUATION of the subject, the test will suppose 80%
INTERACTIVE TEACHING SEMINAR:
1. Attendance at each of the Seminars is MANDATORY. In order to be evaluated it is ESSENTIAL to have attended all of them
2. BREACH of the ASSISTANCE requirement will prevent the passing of the subject both in the ordinary opportunity and in the recovery opportunity.
3. Each of the topics carried out for the Seminars will be evaluated according to the development, presentation and preparation of individual and group work.
4. The evaluation will take into account the active participation in the development of the Seminar
5. The total evaluation of the Seminars will suppose 20% of the final grade and it will be essential to have successfully passed them to OVERCOME THE MATTER
6. The mark obtained in the Seminars, as long as they have been passed, will only be kept for the course call
SECOND OPPORTUNITY:
EXPOSITIVE TEACHING:
1. Not having accumulated a number greater than 10% (2) of excused absences in the Expository Teaching
2. Having attended all the Seminars
3. Have passed the evaluation of the Seminars
4. The evaluation in the recovery test will consist of the development of a topic in a maximum duration of 30 minutes
5. In the recovery test, YOU WILL NOT BE ABLE TO GET A grade higher than the PASSED
INTERACTIVE TEACHING SEMINAR:
1. There will be no recovery test for the Seminars
At the beginning of the course, the TEACHING GUIDE will be made available to students through the Virtual Classroom, in which the evaluation system will be considered in a more detailed way
PRESENTIAL AND/OR VIRTUAL HOURS:
1. 20 hours of expository teaching
2. 8 hours of interactive seminar teaching (4 2-hour seminars)
3. 1 hour of tutoring
4. 5 hours of readings / assignments
5. 2 hours of exam
TOTAL PRESENTIAL HOURS: 36 hours
PERSONAL WORK HOURS:
1. 45 hours of study
2. 15 hours of work development
3. 5 hours of recommended reading
TOTAL PERSONAL WORK HOURS: 65 hours
TOTAL HOURS: 101 hours
RECOMMENDATIONS TO THE STUDENTS FOR OVERCOMING THE MATTER
1. Regular attendance at expository classes and seminars.
2. Maintain a participatory attitude during classes.
3. Reading the recommended texts.
4. Use of face-to-face and VIRTUAL tutorials.
5. Compulsory, regular and frequent use of the VIRTUAL CLASSROOM
6. TIMELINESS: the door of the Classroom will close at the time indicated in the corresponding official schedule, not allowing access to it after that time
7. There will be no recovery of teaching not taught on its corresponding date
8. The student's profile in the Virtual Classroom MUST BE UPDATED with the incorporation of a recent photo
Taking into account that the passing of the Seminars is ESSENTIAL to be able to choose to pass the subject, IT IS RECOMMENDED to the students pending CONVALIDATIONS (transfer of files) at the beginning of the course, JOIN the group that would correspond to them even if they have not been able to formalize their enrollment.
CONTINGENCY PLAN:
SCENARIO 1 (Adapted normality)
TEACHING:
The teaching of the expository and interactive seminary classes will be fundamentally face-to-face.
The tutorials may be face-to-face, and virtual (through the tools of the virtual campus).
EVALUATION:
Continuous formative evaluation with final face-to-face test.
SCENARIO 2 (distancing; partial restrictions on physical attendance)
TEACHING:
Expository and interactive teaching will be done online using the most appropriate tools for each type and institutional platforms.
The tutorials will be exclusively virtual
EVALUATION:
Continuous formative evaluation, with a complementary final test, preferably telematic.
SCENARIO 3 (closure of the facilities; impossibility of teaching in person)
TEACHING:
Expository and interactive teaching will be carried out exclusively virtual, through the most appropriate tools and institutional platforms.
The tutorials will be carried out exclusively by telematic means.
EVALUATION:
Continuous formative evaluation with a complementary final test of an exclusively telematic nature.
FOR THE THREE SCENARIOS, THE DELIVERY OF WORKS AND REPORTS WILL BE MADE THROUGH THE VIRTUAL CAMPUS.
In the three scenarios, in cases of fraudulent completion of tasks or tests, the provisions of the USC Regulations on the evaluation of student academic performance and review of grades will apply.
Isabel Salazar Bernard
Coordinador/a- Department
- Psychiatry, Radiology, Public Health, Nursing and Medicine
- Area
- Psychiatry
- isabel.salazar [at] usc.es
- Category
- Professor: University Lecturer
Mario Paramo Fernandez
- Department
- Psychiatry, Radiology, Public Health, Nursing and Medicine
- Area
- Psychiatry
- Category
- Professor: LOU (Organic Law for Universities) Associate University Professor
Lucia Del Rio Casanova
- Department
- Psychiatry, Radiology, Public Health, Nursing and Medicine
- Area
- Psychiatry
- lucia.delrio [at] usc.es
- Category
- Professor: Temporary supply professor to reduce teaching hours
Ignacio Gómez-Reino Rodríguez
- Department
- Psychiatry, Radiology, Public Health, Nursing and Medicine
- Area
- Psychiatry
- ignacio.gomez-reino [at] usc.es
- Category
- Professor: LOU (Organic Law for Universities) Associate University Professor
| Tuesday | |||
|---|---|---|---|
| 12:30-13:30 | Grupo /CLE_04 | Spanish | Medicine-Classroom 6 |
| 19:30-20:30 | Grupo /CLE_02 | Spanish | Medicine-Classroom 6 |
| Wednesday | |||
| 12:30-13:30 | Grupo /CLE_03 | Spanish | Medicine-Classroom 3 |
| 19:30-20:30 | Grupo /CLE_01 | Spanish | Medicine-Classroom 3 |
| Thursday | |||
| 12:30-13:30 | Grupo /CLE_04 | Spanish | Medicine-Classroom 6 |
| 19:30-20:30 | Grupo /CLE_02 | Spanish | Medicine-Classroom 6 |
| Friday | |||
| 12:30-13:30 | Grupo /CLE_03 | Spanish | Medicine-Classroom 3 |
| 19:30-20:30 | Grupo /CLE_01 | Spanish | Medicine-Classroom 3 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 1 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Dentistry-Classroom 1 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 2 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 3 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 4 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 5 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 6 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 7 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 8 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Classroom 9 |
| 01.28.2021 12:00-14:30 | Grupo /CLE_01 | Medicine-Castelao Classroom |
| 06.25.2021 09:30-12:00 | Grupo /CLE_01 | Medicine-Classroom 4 |
| 06.25.2021 09:30-12:00 | Grupo /CLE_01 | Medicine-Classroom 5 |
| 06.25.2021 09:30-12:00 | Grupo /CLE_01 | Medicine-Classroom 7 |
| 06.25.2021 09:30-12:00 | Grupo /CLE_01 | Medicine-Classroom 8 |