Year Four Courses

Four Week Electives

PED 739 - Pediatric Cardiology Elective with global health experience (4th year) - 5

Instructor: Linda Pauliks, MD

 

FCMED 730 - Advanced Communications Elective—Paired Observation & Video Editing (POVE) (4th year)

 

Credits: 5.0

 

Program Directors:

  • Peter Lewis, MD; Professor, Department of Family & Community Medicine; C1613; x8736; plewis@psu.edu

 

Prerequisites:

Successful completion of third year required clerkships.

 

Maximum Number of Students:

At least two students working as a pair

 

Length Of Course:

1 month

 

Description:

This advanced communications elective is appropriate for students looking to strengthen their communication skills so as to enhance their care and caring of patients during the 4th year of medical school and to prepare them to be more patient-centered in their communication with patients during their residency; regardless of specialty selection. While focusing on clinician-patient communication the elective will also enhance mindfulness/self-reflection, peer-peer communication, and other interprofessional communication and collaboration. This course will contribute to the renewed emphasis on the medical home model and patient-centered communication in medical education and practice; and, while providing training in the ambulatory setting is designed to have application in other patient care settings (ED, hospital, chronic care facility, home).

 

Course Outline:

1. Brief outline
This is a 4 week elective experience for fourth year medical students working in pairs seeing patients in the outpatient setting under the guidance of faculty preceptors. Students take turns in the roles of interviewer/examiner v. observer for these taped encounters, compose a computer-edited narrative summary of selected portions of their taped encounters, construct a separate doctor-patient communications tape, and receive added didactic training on advanced elements of the doctor-patient relationship & patient-centered communication.

This advanced communications elective was first implemented over a decade ago at the University of Washington (Seattle, WA) by Larry Mauksch (MEd; Department of Family Medicine). Mr. Mauksch received grant funding to disseminate the POVE elective to other medical schools.
Penn State College of Medicine was selected as a participant school and Dr. Peter Lewis as its site course director.
For added information see http://courses.washington.edu/pove/

Learning opportunities will include:
a. Direct patient care in the ambulatory family medicine setting working in pairs, being taped (digital format)—with appropriate patient selection (age > 18 years) and consent, and structured peer observation/feedback forms.
b. Structured peer to peer and faculty-mentored tape review and reflection.
c. Communications teaching sessions with faculty preceptors with emphasis on narrative and motivational interviewing techniques.
d. Medical humanities—literature & film with emphases on the doctor-patient relationship & patient-centered communication.
e. Participation (as schedule permits) in medical student communications teaching sessions (such as small group teaching in FCM I or 3rd Year Island I component on Motivational Interviewing).
f. Creation, sharing, and review/commentary of patient-care related video essay.
g. Creation, sharing, and review/commentary of teaching tape (acted student-patient encounter).
h. Student pre and post elective self evaluation

2. Topics which will be covered include:
a.Relationship, Communication, & Efficiency in the Clinical Encounter.
b.Eliciting, Respecting, & Responding to the Patient’s Perspective
c.Up-Front Collaborative Agenda Setting
e.Narrative Medicine
f.Motivational Interviewing
g.Patient-Centered Communication
h.Communication with the Patient during the course of the Physical Examination
i. Shared Decision-Making
j. Communication (as appropriate) with Patient’s Family, Friends, Spouses/Partners
k. Cross-Cultural Dimensions of Patient Care/Communication
l. Use of IMovie on MacBook Pro for creation of video essay and teaching tape

Goals
1. Advance Patient Centered-Communication Theory & Practice of 4th Year Medical Students.
2. Increase capacity for Self, Peer, and Faculty-Mentored review, reflection, and evaluation of observed and taped encounters.
3. Participate in Medical Student Communications Teaching.
4. Create and share a Video essay compiled from actual patient encounters that chronicles growth & development in patient-centered communication
5. Create and share a patient-centered communication Teaching Tape of a simulated encounter
Objectives
At the conclusion of this advanced communications elective 4th year medical students will have
1. Increased their abilities to communicate in a patient-centered fashion.
2. Increased their capacity for Self, Peer, and Faculty-Mentored review, reflection, and evaluation of observed and taped encounters
3. Participated in Medical Student Communications Teaching (precise course/role contingent on time of AY in which the elective is taken).
4. Created and shared a Video essay compiled from actual patient encounters that chronicles growth & development in patient-centered communication.
5. Created and shared a patient-centered communication Teaching Tape of a simulated patient encounter.