2023-2024 M3/M4 Course Syllabi
Medical Education
COURSE NUMBER:
28 01 24
TITLE:
REFINING COMMUNICATION TECHNIQUES FOR FUTURE PHYSI
This is a 12 week elective to reinforce doctor-patient, and doctor-family communication techniques designed for the 4th year medical student nearing the end of their medical school training. Participants view, on average, one movie each week and participate in an asynchronous online discussion of the communications observed in the film. Students will keep a reflective journal. Students will participate in four SP encounters and are given feedback on these sessions. Students work in small groups to write, film, and produce a short movie of a doctor-patient interaction highlighting the techniques they have learned. Viewing of these will serve as the final student assessment for the course. Through these activities, students will increase their understanding of communication techniques; and via self-observation and reflection increase the diversity of communication techniques they can employ to foster effective provider-patient, provider-family, and even team relationships.
PREREQUISITES:
  • Successful completion of all 3rd year clerkships
  • One student from each group must have either a video camera or a cell phone with high quality video capabilities. Video cameras can be borrowed from course faculty or checked out from the UC libraries.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical, Online
STATUS:
Part-Time  (12 week PT Elective) 
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
12 weeks PT
DIRECTOR:
Michael Binder, MD
michael.binder@uc.edu
5135580701
MSB, 7462
ADMINISTRATIVE SUPPORT PERSON:
Kimberly Benna
bennakm@ucmail.uc.edu
(513)558-7581
MSB, 7559
SITE(S):
College of Medicine
MAX ENROLL:
20 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 0
2 06/26/2023 - 07/21/2023 0
3 07/24/2023 - 08/18/2023 0
4 08/21/2023 - 09/15/2023 0
5 09/18/2023 - 10/13/2023 0
6 10/16/2023 - 11/10/2023 20
7 11/13/2023 - 12/08/2023 0
8 12/11/2023 - 01/05/2024 0
9 01/08/2024 - 02/02/2024 0
10 02/05/2024 - 03/01/2024 0
11 03/04/2024 - 03/29/2024 0
12 04/01/2024 - 04/26/2024 0
Please check course length. Some PT courses may extend beyond the noted 4 week blocks above.
NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
Flexible as most content is delivered online
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective.

INSTRUCTION

LEARNING ACTIVITIES:
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
100% Attending Physician
FEEDBACK:
Faculty and other students enrolled in the course
ASSESSMENT:
Assessments of encounters with simulated patients, journal entries, online discussions, and in role-play sessions that the students film.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Required Texts:
  1. Readings will be assigned from the following book.  These will be available online:
  2. Kurtz, S., Silverman, J., & Draper, J. (2009)  Teaching and learning communication in medicine (2nd ed.). Abingdon, UK: Radcliffe Publishing. 
  3. Chapter 1: The ‘why’: a rationale for communication skills teaching and learning. pp. 13-27.
  4. Chapter 2: The ‘what’: defining what we are trying to teach and learn. pp. 29-56.
  5. Chapter 5: Analyzing interviews and giving feedback in experiential teaching sessions. pp. 110-129.
Instructional Methods:
Observation and evaluation of:
- Asynchronous online discussions of the communication techniques observed in films that the students will watch. 
- Reflective journals
- 4 simulated patient encounters
- Short movies produced by students that highlight doctor-patient interactions.
Knowledge/Skills:
Demonstration of communication techniques.
Main Course Topics :
  • Interpersonal communication
  • Psychosocial aspects of medical care
  • Patient-centered communication
  • Delivering bad news
  • Cross culture communication
Procedures:
Each week a student will watch the assigned film and will post responses to at least 2 talking points related to the film on Canvas.

During the course, each student will meet with 4 standardized patients (SP) during sessions where they will a) deliver bad news, b) counsel a patient regarding a lifestyle change, c) consent a patient from a different culture for a procedure, and d) discuss a loved-one's care with a family member. At the end of each encounter, the SP will give feedback to the student. Each student will be asked to reflect on their own skill performance (via video, if available). The students will also give feedback to and receive feedback from 2 fellow students on the communications and interactions in the standardized patient sessions -- if virtual, they will instead receive feedback from the standardized patients.
Remediation Plan:
Potential remdiation plan(s) includes:

- Discussion with the attending physician to discuss additional assigments

- Additional SIM Center Time

SAMPLE WEEK

Monday:
7:30AM 4:30PM Possible Scheduled Sim Center Times with SP
Tuesday:
7:00AM 5:30PM After Weekly Film Viewing, Post 2 Talking Point Responses
Wednesday:
7:00AM 5:30PM Work on Personal Reflective Journal Entries
Thursday:
7:00AM 5:30PM After Weekly Film Viewing, Post 2 Talking Point Responses
Friday:
7:00AM 5:30PM Complete Talking Point Posts or Work on Personal Reflective Journal Entries
SCHEDULE NOTE:

Assignments and Grading:

Grades for this course are Pass/Fail, based on the quality and timeliness of learning activities. An average score of 70% or above is required to earn a Pass in the course. Grades will be calculated from the following activities:


SP cases (4 total)                                             40%

Film discussions (10 total)                                 35%

Short film activity in small groups                       15%

Reflective journal (3 entries)                               10%


Incomplete ("I") grades will not be given—apart from exceptional circumstances.  Circumstances that might result in an "I" grade must be determined by the instructor as having merit for consideration. Typically these circumstances include significant medical or personal emergency outside the student's control.  In order to receive an "I" grade,the student must complete a contract that details the incomplete assignments and a time line for the completion of those assignments. In the event that the student fails to fulfill the obligations of the contract, the instructor will submit a Change of Grade with the grade based on the student's work that was completed prior to the end of the semester.   


The "Weekly Sample Schedule" is an example of how a typical week could be laid out and not reflective of a "set weekly student schedule" for this elective. Due to the fact that this course is online based, the schedule is flexible and should work within the student's daily schedule. The student is not required to be onsite where indicated on the sample schedule UNLESS they have scheduled time in the SIM Center and will need to be on campus to meet with a SP.  Student will plan out their time and course requirements based on the course information listed in the syllabi as well as course director/professor indicated requirements and time frames. Please contact the course director Michael Binder, MD at Michael.Binder@uc.edu, or the course coordinator Kim Benna bennakm@ucmail.uc.edu or (513) 558-7581 with any questions.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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