CORE Year 3
Full course description
In the third year students learn to conduct difficult encounters with patients (breaking bad news and communicating with a couple who disagree, and irritated of anxious patients). The simulated patients present with slightly unpredictable cases. Simulated patients present the cases while students integrate their knowledge, preferred approach and attitude in consultations that run as smoothly as possible. The simulated patients provide tailor-made feedback after the consultation. Additionally the consultations are recorded on video. The students watch the recordings and two weeks later a feedback session takes place with a teacher. In this session they address the medical content, their ‘approach’ and possible ethical issues relevant for the case.
Intended learning objectives of the second-year CORE-programme:
- Being able to conduct a full doctor-patient encounter, as far as their knowledge allows
- Being able to break bad news in such a way that the patient understands an the news and feel this was done in an acceptable way
- Being able to deal with difficult communication contexts (breaking bad news and adequately addressing the reaction, dealing with irritated or anxious patient.
Being aware of the limitations in their knowledge, and being able to handle these limitations with regard to themselves and the (simulated) patient
-Silverman J, Kurtz S, Draper J. Skills for communicating with patients. 2nd edition. Oxford: Radcliffe. 2005.