Medical humanities quality and doctor-patient communication skills course

Date of publication:2011-8   Press: Peking University Medical Press Ltd.   Author:Liu Huijun   Pages´╝Ü243  

The copyright page: illustration: in daily life, people around is familiar to him, but when the patient is in the hospital, they feel anxious, strange and not safe, and even some unconscious, this state patients make moral decisions and living a normal life is different, even can't make moral judgments. Therefore, physicians need to have medical ethics knowledge, help patient to calmly analyze and solve the ethical problems. Because of the rapid development of medical technology, such as life support system, the modern medicine to control people's life force is greater, the field of health care is more different from the daily life, the doctors involved in the moral dilemmas and completely different daily life, involved in a person and a family bereavement position, therefore, the doctor's daily moral judgment has not been possible to cope with this life-threatening condition. @ doctor to serve many roles, to relations with patients, colleagues, family, society and even the court etc., may be at a certain time, certain aspects of the role to priority. But what should be a priority? Relates to the interests of different people and priorities. Involve the interests are bound to lead ethical problems, therefore, how to make the behavior more in line with the ethics, is the need to learn. But, in the medical occupation, supervision and evaluation of some of the problems can rely on the law, some problems are not to be controlled by law. But in any case, these problems affect physician behavior, affect the interests of patients. Legally condemned certainly belongs to the scope of legal ethics, but can be understood as the minimum standard, and moral concern is beyond these minimum standards, to inspect those may be legally accepted but may not conform to certain moral principles and norms of behavior, this is because the legal behavior is sometimes not necessarily moral. Such as "prescription", "defensive medicine" word, or a disdained eyes, a cold words, although the range is not law, but can be hurt, it was obvious personality insulted or discomfort. So, the doctor medical ethics knowledge learning, not only to understand why doctors should have moral, more important is about how to recognize the moral, how to know and comply with the field of moral requirements, improve the sensitivity of the ethical issues in medical and health field, from others and their own conduct moral problems and solve them the problem. Of course, the vast majority of ethical problems is not clear, clear, singleOne answer, at least not exist any people are absolutely agree with the answer. However, there is also the reality is: a person's moral realm with moral education and training to improve and has been moving forward, so, as doctors have to do is to improve their own moral self-cultivation through study and practice, and our country has been emphasized moral tradition. Study of medical ethics knowledge, can make the doctor increases on patients with different values of understanding, ability can improve itself as a treatment, caregivers, determine the role, which can judge the conflict potential, and a breakthrough in real before the outbreak of the conflict. Therefore, medical ethics is not attached to the doctor outside of work, but a component of every doctor and patient and others essential. Each doctor has more or less contact with the interests of patients, therefore each doctor contains ethical factors, they all involved in ethics, and play an important role in solving method for determining ethical issues. If the doctor aware of ethics in medical work, and willing to put to practice to integrate ethical behavior, reflected in the patient contact and communication and so on, this contribution will be immeasurable. This is joined to the humanity dignity in medical treatment.
Catalogue of books

Module I medical ethics and medical culture, the first chapter of medical ethics and occupation ethics, medical ethics and occupation moral outline two, medical ethics, medical ethics principle and norm three, occupation morals and doctor-patient communication between the second chapter of medical mode and the doctor-patient relationship, medical model change two, biological psychological social medical model the third chapter the traditional doctor-patient relationship doctor-patient culture, traditional medicine, traditional medical ethics view of life two three, the traditional doctor-patient communication module of doctor-patient communication principles and skills of the fourth chapter, the principles of effective communication skills, interpersonal communication and a summary of the two elements of interpersonal communication, and process of three, effective communication skills in the fifth chapter, patients as the center of history taking skills, two, a history of taking patients as the center of history three, history collection problems and barriers in the four, patient centered medical history collection process and techniques of the sixth chapter explains the problems and formulate treatment program of communication, two, a summary to the patients and their family members, explain the problem three with the patient and family to jointly formulate agreed scheme of diagnosis and treatment of the seventh chapter to increase patient compliance with principles and skills, compliance with Meaning and function of the two, patient compliance assessment of the factors influencing the compliance of three, four, and improve the patients compliance strategies in Chapter eighth and severe patients and their family members communicate, patients and patients with severe two, bad news the psychological reaction of three, the doctor told the bad news of difficulties and obstacles, the right four the notification procedure and inform the strategy of the ninth chapter conflict situations of doctor-patient communication, understanding of a conflict, conflict resolution, two three how to face the wrath of the patients with the tenth chapter of hospice care and communication between doctors and patients, hospice care, a summary of two hospice principle and significance of three dying patients and their family members, the psychological characteristics of four, in the hospice care communication five, euthanasia and hospice relationship module III medical legal principles and norms of the eleventh chapter law ethics from the perspective of informed consent, medical ethics and medical legal relation between the two, the principle of informed consent, ethical basis of three principle of informed consent in China related legislation in four, the principle of informed consent in the twelfth chapter of practicing physicians practice access and practicing physician qualification standard, law two, physician practice specification three, the legal responsibility of the thirteenth chapter of medical dispute prevention and Responding to the factors of a legal relationship between doctors and patients, two, three, medical dispute prevention medical dispute response module IV medical students' psychological quality fourteenth chapter positive thinking, optimistic overview two, optimistic measuring three, Fifteenth chapter learning optimistic psychological elastic resilience, overview of two, three, impact resilience resilience measurement four, the resilience of the main references @##@ promotion Medicine is the combination of science and humanism, the special subject is determined by the nature of the training of medical education cannot do without the humanities quality and the humanities medicine professional skill. As a national higher school undergraduate teaching quality and teaching reform project -- medical students humanities quality education and cultivate innovative talents experimentation area model, we explore the practice in recent three years, update, from the education concept of teachers training, course construction, teaching method reform and other aspects, and gradually establish a set of "problem centered, with doctor-patient communication skills training as the main body, the system of education and training in order to participate in the study and interdisciplinary characteristics" of the humanistic quality of medical students. Training the comprehensive use of group discussion, cosplay, standardized patient, case analysis and other methods of teaching, let the students in "the experience of understanding", in the "discussion", found "in play" self-examination ", in improving in practice". The general principles and core value training can not only make the students understand the occupation spirit, also can make the students to master the "patient-centered communication skills". After training, practice teaching repeated experiments and clinical hospital, we gradually grinding out of this training course. This tutorial is training the medical humanity quality and doctor-patient communication skills for medical undergraduate, college and post-graduate stage, continuing education is also suitable for clinicians.
Chapter excerpt

"The medical humanity quality and doctor-patient communication skills course" is the National University undergraduate teaching quality and teaching reform project.
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