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Course Description Course Name : Difficulty conditions in the physician–patient relationship Course Code : MED612 Course Type : Optional Level of Course : First Cycle Year of Study : 6 Course Semester : Fall and Spring (52 Weeks) ECTS : 2 Name of Lecturer(s) : Prof.Dr. DERYA ALTINTAŞ Learning Outcomes of the Course : Physician learns and performs the importance of asking open- and close-ended questions Physician understands and performs the importance of descriptive feedback. Physician knows recognition of the patient subjected to violence, discussion techniques and the responsibility of a doctor Physicians are able to take precaution against the violence to health workers and physicians, and know crisis management and the protection techniques against an assault. Physicians get information about medical intervention conditions and their limitations. Physicians communicate with patients, who refuse to get diagnosis and treatment. Physicians perform breaking bad news to patients and their families. Physicians get information about style and ethic rules in communication with each other. Mode of Delivery : Face-to-Face Prerequisites and Co-Prerequisites : None Recommended Optional Programme Components : None Aim(s) of Course : Purpose of IVth term is to get students through difficulties and special conditions in Physician- patient communication in their careers. Course Contents : Ethic and Mode in Communication Communication with Colleagues, Consultation Asking Questions Techniques, Taking Feedback and Transmitting Techniques Approaching to Polysymptomic Patient Approaching to Disabled Patient Disabled Patient, Scenarios Violence Aimed to Physician and Health workers Taking sexual history Language of Instruction : Turkish Work Place : Interactive classrooms   Course Outline /Schedule (Weekly) Planned Learning Activities Week Subject Student's Preliminary Work Learning Activities and Teaching Methods 1 Ethic and Mode in Communication Communication with Colleagues, Consultation Asking Questions Techniques, Taking Feedback and Transmitting Techniques Approaching to Polysymptomic Patient Approaching to Disabled Patient Disabled Patient, Scenarios Violence Aimed to Physician and Health workers Taking sexual history None Interactive discussion   Required Course Resources Resource Type Resource Name Recommended Course Material(s)  Hahn SR. Physical Symptoms and Physician-Experienced Difficulty in the Physician–Patient Relationship Annals of Internal Medicine 2001;134(9_Part_2):897-904.  LEONARD JH, JENNIFER PL, MICHAEL KM, et al. Management of the Difficult Patient Am Fam Physician. 2005;15;72(10):2063-2068 Required Course Material(s)   Assessment Methods and Assessment Criteria Semester/Year Assessments Number Contribution Percentage     Mid-term Exams (Written, Oral, etc.) 0 100     Homeworks/Projects/Others 0 0 Total 100 Rate of Semester/Year Assessments to Success 40   Final Assessments 100 Rate of Final Assessments to Success 60 Total 100   Contribution of the Course to Key Learning Outcomes # Key Learning Outcome Contribution* 1 Describes the normal human body and mental structure, function and interaction in all stages of life. 4 2 Explains and sequences common physical and mental disorders-diseases’ epidemiology, pathology, symptoms, signs, prognosis, and treatments. 3 3 Has the knowledge of ethical principles and preventive medicine methods about creating conditions for healthy living and disease prevention. 3 4 Defines common diseases in our country by selecting current, reliable diagnostic methods and appropriate pharmacological, physical, nutritional, psychosocial treatment methods. 3 5 Understands, analyzes and evaluates health and illness components, process and result, uses the evidence-based methods and updated information in the treatment of patients. Adopts the principle of making a decision by evaluating prevailing evidence of the patient’s choice, and self-experiences. 4 6 Takes accurate, comprehensive and problem focused anamnesis, with a systematic approach to the individual makes physical examination and mental evaluation, decides by paying respect to patient privacy, secrets, honor, faith, cultural differences, sexual orientation. 4 7 In cases that requires emergency response such as significant function and loss of an organ; offers first aid and basic life support and plans the next process. 4 8 Makes differential diagnosis by approaching holistically to the patient, has the skills and competence of rational diagnosis and treatment planning, information about patient and disease management, as an individual and team member takes responsibility for unexpected circumstances, monitors and embraces the patient. 4 9 Makes Individual, family and community oriented health education, executes the field of work as an individual or as a team member, makes counseling, supervision, expertise, leadership. 4 10 Within the framework of the project which will be conducted, plans, manages the staff development of the team and their education, monitors the process and evaluates, works in partnership with other disciplines. 4 11 Develops a positive attitude towards lifelong learning and behavior, adopts the universal conditions required by the profession of medicine. 5 12 Improves self in cultural, artistic and social fields constantly as well as professional development, plays a part in social responsibility projects with other professional groups. 5 13 Has the ability to communicate intercultural, effectively communicates with patients, coworkers and other parts of the community, and supports ideas and suggestions for solutions with qualitative and quantitative data, transfers verbally and in writing by using Turkish correctly. 5 14 Have the philosophy of science, the limits and the accuracy of the knowledge, validity and reliability of the information, knows how to access information and evaluates information by using critical thinking skills, determines the learning needs and resources related to medicine, directs the learning by using the resources effectively. 5 15 Uses medical informatics and communication technologies along with computer software in required level in the field. 4 16 Understands socio-economic effects of health along with the social and behavioral aspects, by using at least one foreign language European Language Portfolio B1 level monitors information and progress in the field and communicates with colleagues. 5 17 Keeps accurate and reliable records, collects data, analyzes, deciphers epidemic, clinical and laboratory data and acts in accordance with ethical principles in the sharing of the results. 5 18 Bears susceptibility and responsibility in the subject of self-mental and physical health, workers´ health, labor and environment safety, individual and public health, becomes role model to society by developing professional attitude. 5 19 Knows the basic health care legislation, as an individual acts in accordance with regulations, laws, legislations and ethical rules about rights and responsibilities. 5 20 Uses professional autonomy, has sufficient experience to carry out preventive medicine service and capable of doing clinical applications in national and international standards. 5 * Contribution levels are between 0 (not) and 5 (maximum).   Student Workload - ECTS Works Number Time (Hour) Total Workload (Hour) Course Related Works     Class Time (Exam weeks are excluded) 1 40 40     Out of Class Study (Preliminary Work, Practice) 0 0 0 Assesment Related Works     Homeworks, Projects, Others 0 0 0     Mid-term Exams (Written, Oral, etc.) 0 0 0     Final Exam 0 0 0 Total Workload: 40 Total Workload / 25 (h): 1.6 ECTS Credit: 2