Medical Communication

Faculty of Medicine Institute of Behavioural Sciences
Name of the course: Behavioral sciences I. (medical communication)
Type of the course:
code: AOKMAG398_2A
credit: 2 credits
CONTACTS
Course director: Dr. Ferenc Túry
Course leader: Dr. János Pilling
Study affairs: Dr. Adrienne Stauder (stauder.adrienne[at] med.semmelweis-univ.hu
Secretary:     Jozefa Barreto (secretariat)  barreto.jozefa[at]med.semmelweis-univ.hu 
Secretariat: NET Building, 20th floor, Room-2015;  Tel: 210-2930/56114, 56501
With any request concerning the course, please first contact Jozefa Barreto, course secretary.


Semester: 2017/18 I.


Course objectives:
Proper communication is essential in effective healing. The aim of the course is to teach communication strategies that can make the doctor’s everyday tasks more effective: how to listen, ask, inform and collaborate with the patient. The subject also contains some recent elements of the doctor-patient relationship, like shared decision making, patient education, and suggestive communication. We emphasize difficult situations in medical practice: communicating bad news, communication with aggressive patients, communicating about sexual problems, and analyzing cultural differences in medical practice.  The main goal of the course is to teach special communication knowledge to medical students that can help them create proper doctor-patient relationship and improve their effectiveness in medical practice. 
COURSE SYLLABUS
LECTURES: Week 1-8
Time: Tuesday, 11.00-12.30 
Venue: II. Department of Obstetrics and Gynecology, 1082 Budapest, Üllői út 78/a (at Klinikák)

Week 1 (September 12): Introduction. [prezi link] Communication difficulties and possible solutions in the everyday medical practice. [prezi link] (János Pilling, János Kollár )
Week 2. (September 19):  The development of patient-physician collaboration, promote behavior change. (Adrienne Stauder)
Week 3. (September 26):  Suggestive communication in medical practice. (Katalin Varga)
Week 4. (October 3):  The specialties of age in medical communication: communication with ill children (Andrea Békési)
Week 5. (October 10): Communication about functional complaints (Adrienne Stauder )
Week 6. (October 17): Communicating bad news. [prezi link]  Disclosing Medical Errors. [prezi link] (János Kollár)
No lecture on week 7!
Week 8. (October 31):  Telemedicine. (Györyg Purebl)

SEMINARS:  Week 5-12  (see times, venues and teachers at the bottom)
Week 5. (October 9-13) Seminar. Communication in everyday life and in the medical practice. The role of non-verbal and metacommunicative signs in communication.
Week 6.:  (October 16-20) Seminar. The active listening. Communication aspects in empathy.
No seminar on week 7!
Week 8. (Oct. 30-Nov 3): Seminar. Patient information, patient education.
Week 9. (Nov. 6-10): Seminar. Creating and maintaining compliance.
Week 10. ((Nov. 13-17): Seminar. Communicating bad news (practice). How to recognize communication signs of suicide?
Week 11. (Nov. 20-24):  Seminar. Communication with agitated patients, strategies to prevent violence. Communication about sexual problems.
Week 12. (Nov. 27- Dec 1): Seminar. Cultural aspects in medical communication. Review.

Exam period: December 18, 2017 – February 02, 2018

Participation and making up for absences:
A signature will be given with the prerequisite of participation (minimum 75% of the lectures and 75% of the seminars). Participation list will be recorded at the end of every lecture/seminar. It is possible to make up for ONE absence by participating in another seminar group the same week (only once in a semester, upon agreement with both teachers!).
Justification of the absence in the lectures and examinations: medical certificat

Checks during the semester (reports, written checks) :  -

Requirements for the signature at the end of the semester:
Regular participation on the lectures and seminars.
Method of the calculation of marks: performance on the oral exam
Type of the exam: oral
Requirements for the exam:
Exam topics:
„A”  list
1.    Basic definitions in communication and their role in medical practice: basic elements, axioms and levels in communication; verbal communication.
2.    The role of non-verbal communication.
3.    The role of active listening and the role of empathy.
4.    The doctor-patient consultation.
5.    Communication issues in patient information.
6.    Patient education and shared decision making.
7.    Convincing strategies in medical practice: learning theories and cognitive models;
8.    Convincing strategies in medical practice: the role of arguments, behavior change model.
9.    The role of suggestive communication in the doctor-patient interactions.

„B” list
1.    Communication with acute patients.
2.    Communication with sick children.
3.    Communication with older patients.
4.    Communication with somatizing patients.
5.    Communication with alcohol- and drug-dependent patients.
6.    Communication about sexual problems.
7.    Communication aspects with patients committing suicide attempt.
8.    Prevention and management of violence
9.    Communicating the diagnosis of incurable disease.
10.    Breaking news of death and congenital disorders.
11.    Telemedicine.

Application for the exam: Through the Neptun system.
Changing the application for the exam: Through the Neptun system.
Justification of the absence from the exam:
Course and recommended text books:
Course text book:
János Pilling (ed..): Medical Communication. Medicina Könyvkiadó, Budapest, 2011.

Recommended text books:
Washer, P. (2009): Clinical Communication Skills. (Oxford Core texts). Oxford University Press.
Tate, P. (2009): The doctor's communication handbook. Radcliffe Publishing, 6th edition
Hall, J.A.; Roter, D. (2006): Doctors talking with patients / Patients talking with doctors. Praeger; 2nd  edition
Williams, D. (1997): Communication skills in practice: a practical guide for health professionals. Jessica Kingsley Publishers.

Times, venues and teachers of the seminars
group    Day    Time    Room    Teacher
1    Tuesday    08:00- 09:30    EOK-sem.2.    Tamás Szalai
2    Monday    13.00-14.30    EOK-sem.7.    Márta Varga
3    Friday    10:00- 11:30    NET-Sz10.    János Kollár
4    Friday    11:40- 13:10    NET-Sz10.    János Kollár
5    Monday    13:00- 14:30    EOK-sem.6.    Péter Ujma
6    Monday    14:30- 16:00    EOK-sem.6.    Márta Varga
7    Monday    08:00- 09:30    EOK-sem.4.    Nóra Fóris
8    Friday    15:00- 16:30    NET-Sz10.    Nóra Fóris
9    Thursday    14:30 -16:00    EOK-sem.1.    Márta Varga
10    Thursday    16:10 -17:40    EOK-sem.4.    Márta Varga
11    Friday    13:20- 14:50    NET-Sz10.    Nóra Fóris
12    Thursday    08:00- 09:30    EOK-sem.6.    Tamás Fenyves
13    Monday    09:50- 11:20    EOK-sem.6.    Evelin Várnai
14    Tuesday    08:00-9:30    NET-Sz.2    Mónika Tóth
15    Monday    14:35- 16:05    EOK-sem.7.    Péter Ujma
16    Monday    09:40- 11:10    EOK-sem.1    Éva Zsák

Teachers’ contact
Fenyves, Tamás    fenyves.tamas[at]gmail.com
Fóris, Nóra    noraforis[at]gmail.com
Várnai, Evelin    varnai.evelin[at]gmail.com
Kollár, János     janoskollar[at]gmail.com
Zsák, Éva    zsak.eva[at]phd.semmelweis-univ.hu
Tóth, Mónika Ditta     tmonika85[at]gmail.com v

Szalai, Tamás Dömötör     szalai.domotor[at]gmail.com
Ujma, Péter    peteru88[at]gmail.com

Varga, Márta    vmarta104[at]yahoo.com