PATIENT-CENTRED MEDICAL EDUCATION TOWARDS THE HUMANISATION OF - - PowerPoint PPT Presentation

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PATIENT-CENTRED MEDICAL EDUCATION TOWARDS THE HUMANISATION OF - - PowerPoint PPT Presentation

Feb 17, 2024 36 likes •252 views

PATIENT-CENTRED MEDICAL EDUCATION TOWARDS THE HUMANISATION OF MEDICAL TEACHING Prof. Dr. Luis Collado Yurrita Prof. Dr. M. Jose Ciudad Cabaas DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID PATIENT-CENTRED MEDICAL EDUCATION

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PATIENT-CENTRED MEDICAL EDUCATION

“TOWARDS THE HUMANISATION OF MEDICAL TEACHING”

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

BACKGROUND HISTORY

  • 1957 Michael Balint. Developed the Clinician Self-Awareness Model
  • 1970. Balint et al: Created the term “Patient-Centred Medicine”
  • 1979. Wright and MacAdam. Described the Patient-Centred Method
  • 1986 Newman and Young described the clinical approach of the person as a whole
  • SOURCE. Suarez M.A..Medicina Centrada en el paciente.Rev Med. La Paz 18(1):67-72
  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

DOCTORS ARE MEN WHO PRESCRIBE MEDICINES OF WHICH THEY KNOW LITTLE, TO CURE DISEASES OF WHICH THEY KNOW LESS, IN HUMAN BEINGS OF WHOM THEY KNOW NOTHING

Voltaire (1694-1778)

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

EVIDENCE-BASED MEDICINE PATIENT-CENTRED MEDICINE

20TH CENTURY MEDICINE

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PATIENT-CENTRED MEDICAL EDUCATION

HOSPITAL MEDICINE

PRIMARY CARE MEDICINE

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

EVIDENCE-BASED MEDICINE

SPECIALISATION TECHNOLOGICAL ADVANCEMENT MULTI-INTERVENTION INSTITUTIONAL & PROFESSIONAL DEPERSONALISATION

BIOMEDICAL REDUCTIONISM

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PATIENT-CENTRED MEDICAL EDUCATION

SHARED GROUND

KNOWING

BEING REALISTIC

UNDERSTANDIN G RESPECTING

PATIENT-CENTRED MEDICINE

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

  • PATIENT-CENTRED MEDICINE INCREASES SATISFACTION FOR BOTH THE DOCTOR AND THE PATIENT
  • FEWER MEDICAL MALPRACTICE TRIALS
  • REDUCED USAGE OF ADDITIONAL EXAMINATIONS AND REFERRALS
  • IMPROVED RECOVERY IN CHRONIC CONDITIONS AND PATIENTS' EMOTIONAL HEALTH
  • BETTER TREATMENT COMPLIANCE

BENEFITS OF PATIENT-CENTRED MEDICINE

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PATIENT-CENTRED MEDICAL EDUCATION

PATIENT-CENTRED MEDICAL EDUCATION

"A FORM OR METHOD OF TEACHING MEDICINE THAT ENABLES THE FUTURE DOCTOR TO EXERCISE CLINICAL JUDGEMENT THAT COMBINES THE TYPICAL ASPECTS OF THE DISEASE TOGETHER WITH THE PATIENT'S LIFE AND PSYCHOBIOLOGICAL CIRCUMSTANCES"

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

TRUE COMMUNICATION EXCHANGE OF INFORMATION

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

COMPONENTS OF PATIENT-CENTRED MEDICAL EDUCATION

  • UNDERSTANDING THE PATIENT AS A WHOLE
  • EXPLORING THE DISEASE AND THE EXPERIENCE OF BEING ILL
  • LEARNING HOW TO IMPROVE THE DOCTOR-PATIENT RELATIONSHIP
  • LEARNING THE ADEQUATE USE OF RESOURCES AND TIME
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PATIENT-CENTRED MEDICAL EDUCATION

ADVANTAGES FOR THE STUDENT

*LEARNING TO LISTEN TO THE PATIENT'S WORRIES AND CONCERNS *KNOWING AND UNDERSTANDING THE PATIENT'S BELIEFS AND EXPECTATIONS ABOUT THEIR DISEASE *INCLUDE THE PATIENT'S VIEW OF THE PROBLEM IN THEIR WORK AS A MEDICAL PROFESSIONAL *OBTAIN A REALISTIC VIEW OF THE MEDICAL OR PSYCHOSOCIAL PROBLEM THEY ARE ADDRESSING

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

DIFFICULTIES FOR PATIENT-CENTRED MEDICAL EDUCATION

  • TRAINING GIVEN TO CLINICAL TEACHING STAFF
  • SERVICE DELIVERY CONCEPT IN ACADEMIC AND PROFESSIONAL PRACTICE
  • TIME AS A DETERMINING FACTOR IN PROFESSIONAL EFFICACY
  • CONCEPT OF COMMUNICATION SKILLS AS SOMETHING INNATE IN A PERSON
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PATIENT-CENTRED MEDICAL EDUCATION

*ANALYSIS AND EVALUATION OF THE FUTURE DOCTOR'S EMPATHY (JEFFERSON SCALE TEST) *TRANSVERSAL HUMANISTIC CURRICULAR DESIGN *TEACHING HUMANITY AND SCIENCE

WHERE DO WE GO FROM HERE?

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

CAN ANYONE BE A HEALTH SCIENCE TEACHER OR PROFESSIONAL?

THIS SHOULD NOT BE THE CASE!!!!!!

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PATIENT-CENTRED MEDICAL EDUCATION

EMPATHY/GENDER

Source: Esquerda M., et al: Medical Empathy, is it Born or is it Made? Evolution of Empathy in Medical Students. Aten Primaria;48:8-14 2016

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

EMPATHY/YEAR OF STUDY

Source: Esquerda M., et al: Medical Empathy, is it Born or is it Made? Evolution of Empathy in Medical Students. Aten Primaria;48:8-14 2016

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PATIENT-CENTRED MEDICAL EDUCATION

Source: Esquerda M., et al: Medical Empathy, is it Born or is it Made? Evolution of Empathy in Medical Students. Aten Primaria;48:8-14 2016

EMPATHY/FICTION

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PATIENT-CENTRED MEDICAL EDUCATION

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

EVIDENCE-BASED MEDICINE PATIENT-CENTRED MEDICINE

20TH CENTURY MEDICINE

WHERE SHOULD WE GO?

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID

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PATIENT-CENTRED MEDICAL EDUCATION

THANK YOU VERY MUCH FOR LISTENING!!!! “THE BEST DOCTOR ISN'T THE ONE WHO KNOWS THE MOST, IT'S THE ONE WHO LISTENS THE BEST”

  • Prof. Dr. Luis Collado Yurrita
  • Prof. Dr. M. Jose Ciudad Cabañas

DEPARTMENT OF MEDICINE COMPLUTENSE UNIVERSITY OF MADRID