The Patient, Physician and Society
Total Contact Hours: 48 hours
Course Directors: Sabrina Neeley, Ph.D., MPH, Assistant Professor, Community Health; Ryan Mast, D.O., Assistant Professor, Psychiatry
Course Description: The purpose of this course is three-fold:
- Introduce medical students to the various factors that affect the health of patients and populations in the U.S.
- Provide an introduction to medical ethics, research ethics, and professionalism as it pertains to patient-physician interactions; and
- Introduce medical students to normal human physical, psychological, sexual, and social development across the lifecourse.
Course Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:
Institutional Objectives | Learning Goals | Assessment Activities (graded) | Practice/Feedback Activities (non-graded) | Teaching & Learning Activities |
---|---|---|---|---|
Students will be able to identify factors that influence patient perceptions of care and the patient experience |
Book reflection |
Case Discussions |
Patient experience memoir Patient small group discussions/reflection Physician reflection |
|
Students will be able to explain characteristics of the patient-physician relationship and how that relationship affects patient care and outcomes. |
Book reflection |
Case Discussions |
Patient experience memoir Patient small group discussions/reflection Physician reflection |
|
Students will demonstrate knowledge of the elements of informed consent, confidentiality, and competency determination. Students will also be able to identify exceptions to the requirement of informed consent and confidentiality. |
Quizzes CITI training |
Case Discussions |
Ethical Theory tutorial Nuts & Bolts tutorial |
|
Students will be able to identify the elements of professionalism, including the purposes of codes of ethics, self-regulation, and personal accountability. |
Book reflection Quizzes |
Case Discussions |
Foundations of Professionalism tutorial Professionalism code Physician reflection |
|
Students will demonstrate the ability to recognize and articulate common ethical conflicts that arise for medical students, in patient care, health policy, public and international health.
|
Book reflection Quizzes |
Case Discussions |
Nuts & Bolts tutorial |
|
Students will demonstrate familiarity and competence with different ethical approaches to conflicts, and use them appropriately to defend specific decisions, verbally and in writing. |
Quizzes |
Case Discussions |
Ethical Theory tutorial |
|
Students will be able to describe how the structure and delivery of care in the U.S. affects the health of individuals and the population, particularly in regards to the determinants of health, prevention, and health disparities |
Book reflection Quizzes |
Case Discussions |
Healthcare Handbook Social Determinants of Health reading “Lion in the House” video Population Health tutorial Health Economics & Disparities tutorial |
|
Students will be able to describe the leading causes of mortality and the leading morbidity risks for each of the following life stages: Birth/Infancy; Childhood; Adolescent; Young Adulthood/Middle Adulthood; and Older Adulthood. |
Quizzes TBLs (RAT) |
Case Discussions TBLs (APP) |
Leading Causes of Mortality and Morbidity tables |
|
Students will be able to describe physical developmental milestones (motor, language and cognitive), psychological development (Erickson’s Stages), sexual development (gender identity, sexual identity and sexual orientation) and social development for the following live stages: Birth/Infancy; Childhood; Adolescent; Young Adulthood/Middle Adulthood; and Older Adulthood |
Quizzes TBLs (RAT) |
Case Discussions TBLs (APP) |
Behavior & Medicine reading Childhood Didactic & Videos RWJF Briefs Adolescence, Adulthood, Aging tutorials Development Charts |
|
Students will be able to write a comprehensive description of each of the components of the following life stages: Birth/Infancy; Childhood; Adolescent; Young Adulthood/Middle Adulthood; and Older Adulthood |
Quizzes |
|
Behavior & Medicine reading Adolescence, Adulthood, Aging tutorials |
|
Students will be able to describe the major issues and common reactions to normative crises for the following live stages: Birth/Infancy; Childhood; Adolescent; Young Adulthood/Middle Adulthood; and Older Adulthood |
Quizzes TBLs (RAT) |
Case Discussions TBLs (APP) |
Behavior & Medicine reading Adolescence, Adulthood, Aging tutorials |
|
Students will be able to define child abuse, elder abuse and intimate partner violence, including the types of abuse; identify the risk factors for the various types of abuse and the psychological consequences; and be able to describe the responsibilities of a physician for managing intimate partner violence, child abuse and elder abuse |
Quizzes TBLs (RAT) |
Case Discussions TBLs (APP) |
Child, Intimate Partner, and Elder Abuse readings Falls Overview |
Institutional Educational Objectives
Category addressed | Definition |
---|---|
1. Institutional Objectives | What does our institution want our graduates to do? |
2. Learning Goals | If your students mastered the content of your course, what would they be able to do? |
3. Assessment Activities (graded) 4. Practice/Feedback Activities (non-graded) |
What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal? |
5. Teaching and Learning Activities | How will students get the information they need to learn? |
Knowledge and Lifelong Learning
- K1: The graduate will demonstrate knowledge of the basic medical sciences; clinical skills; and the ability to acquire, manage, and use current information for clinical decision-making and problem-solving in the care of individual patients, family members, populations, and systems of care delivery.
- K2: The graduate will demonstrate knowledge of the ethical, social, economic, and cultural influences upon the health of and health care delivery to patients and patient populations, and will be able to propose realistic approaches to improving the health of an individual patient and for a patient population.
- K3: The graduate will be able to identify the diverse factors that influence the health of the individual and the community; identify the socio-cultural, familial, psychological, economic, environmental, legal, political, and spiritual factors impacting health care and health care delivery; and be able to respond to these factors by planning and advocating the appropriate course of action at both the individual and the community level.
Interpersonal and Communication
- C1: The graduate will demonstrate the ability to establish a professional relationship with a patient, build a comprehensive medical and social/personal history, conduct either a focused or comprehensive physical examination as indicated, construct a differential diagnosis, and recommend a course of treatment consistent with current standards of care.
- C2: The graduate will demonstrate the ability to communicate (written and oral) clearly, professionally, and effectively with patients, their family members, health care team members, and peers.
- C3: The graduate will demonstrate the capacity to listen to and respond appropriately to constructive feedback from peers and teachers, as well as give constructive feedback and evaluation to peers and faculty as requested.
Professionalism, Advocacy, and Personal Growth
- P1: The graduate will be able to identify personal strengths and weaknesses in the care of patients and working with colleagues and allied health professionals, and, if indicated, demonstrate the ability to make changes in behavior that facilitate collaborative relationships.
- P2: The graduate will demonstrate through the period of undergraduate medical education a pattern of responsible behaviors consistent with the highest ethical standards of the profession: honesty, confidentiality, reliability, dependability, civility, and punctuality.
- P3: The graduate will demonstrate a commitment to leadership and the advancement of new knowledge.