Year 1 MedSoc1: Medicine in Society 1
- Mrs Maria Hayfron-Benjamin
- m.j.hayfron-benjamin@qmul.ac.uk
Introduction
By the end of the course you will have had the opportunity to:
1. Meet patients early in your undergraduate medical education
2. Begin to understand patients and how they are affected by their condition
3. Appreciate how cultural diversity affects the experience of health and healthcare services
4. Begin to understand the public health influences that affect the development of ill-health and the restoration of the healthy state
5. Meet the primary health care team and to begin to understand the roles of different members of the team
6. Develop good communication skills with patients, health professionals and between peers
7. Understand the importance of the consultation, and skills healthcare professionals use
8. Be introduced to the skills of physical examination
9. Reflect on your own learning in terms of personal and professional development
Sessions
Lecture: Introduction to Medicine in Society Year 1
Day 1: Introduction to the Placement
Day 3: Social issues in primary care
- List some of the social issues that impact on patient’s health and their experience of heath care
- Demonstrate an awareness of the importance of considering social factors when treating patients
- Describe the impact social issues can have on the work of the GP and the PHCT (Primary healthcare team)
- Discuss the role of the PHCT in support and treatment of patients whose social circumstances impact on their health
Day 5: Respiratory Medicine
- List common respiratory illnesses in children and adults that are seen in primary care
- Describe the basic assessment of a child with an upper respiratory tract illness (URTI)
- Describe and reflect on the impact of chronic respiratory disease from a patient’s perspective, focusing on the issues of loss of function, autonomy, and well-being and its impact on daily life
- Outline the health promotion interventions, including smoking cessation interventions, provided by the practice team to prevent or manage respiratory illness
- Demonstrate a basic examination of the respiratory system
- Demonstrate the measurement and interpretation of peak expiratory flow
Day 6: Diabetes
- Describe the incidence and prevalence of Type 1 and Type 2 diabetes and the impact of diabetes on the general practice workload
- Discuss some factors that may be contributing to the rise in prevalence of Type 2 diabetes
- Describe the impact of diabetes on an individual
- Describe some health promotion interventions to reduce the prevalence of Type 2 diabetes
- Carry out blood pressure monitoring, blood glucose testing, height and weight measurement
Day 8: Chronic Pain
- Describe the factors that are important in development of chronic, disabling back pain or other pain
- Summarise the socio-economic impact of these condition on individuals, the community and the health services
- Identify pharmacological and non-pharmacological treatments for chronic pain
- Discuss the effect of chronic pain on the doctor patient relationship
- Practise interview skills and be able to carry out patient interviews to achieve meaningful outcomes
Day 9: Mobility and Stroke
- Discuss the impact of stroke on an individual and their family and the role of voluntary agencies in providing support
- Demonstrate an understanding of the effect of poor mobility on the individual; and the changes needed within the community
- Identify important members of the MDT in assessment and care of patients with impaired mobility
- Describe a health promotion intervention that can reduce the risk of stroke in an individual at risk
- Practise blood pressure measurement, examination of central and peripheral pulses, communication skills
Day 10: Mental Health and Addiction
- Identify local and national strategies to improve mental health
- Discuss the national and practice prevalence of mental illness
- Identify the addictions commonly encountered in the practice population
- Describe the local support services for people with addictions and/or mental illness
- Discuss the different needs of patients with acute and chronic mental health problems
Day 11: Pregnancy and Childbirth
- Describe a normal pregnancy and childbirth
- List the possible choices that women can make in relation to ante-natal care and place of birth
- Discuss the different factors that influence women’s choices in pregnancy and childbirth
- Describe a health promotion intervention for pregnant women provided by the practice
- Critically consider the health promotion information available within the practice
- Carry out blood pressure measurement and urinalysis
Day 12: ‘Mother and Baby’
- Describe the daily routine for one mother and baby or young child that you have met
- List some of the health promotion services provided by the practice for mothers and their babies
- Describe in detail one health promotion intervention provided for babies or young children
- Describe some of their experiences communicating and engaging with the children
- Discuss the most significant changes parents have to deal with after the birth of a child
- Practise interview skills, and communication through play
Day 7: Nutrition and Gastrointestinal Disorders
- Describe the components of a ‘healthy diet’
- List the current recommendations for daily exercise
- Describe some of the broad spectrum of symptoms that relate to the GI tract
- Describe the impact of a chronic bowel disorder on a patient’s life
- Discuss how embarrassing symptoms might influence people’s decision to visit their doctor
- Discuss the role of the primary care team in encouraging people to lead healthier lives
Day 2: The Doctor Patient Relationship
- Report and reflect on their experience of meeting a patient for the first time as a medical student
- Describe some reasons why patients present in general practice
- Describe some differences in relationships between patients and different members of the Primary Care Team, and how these are expressed
- Identify some of the skills doctors use in their relationships with patient
- Demonstrate how to obtain consent from a patient for history-taking
- Explain the ethical and practical guidelines for interviewing patients
- Describe a health promotion intervention they have observed, such as a new patient check
Day 4: The Older patient
- Recognise ageing as a natural, developmental process
- Describe different ways that the elderly are regarded within different groups and communities
- Describe the range of services, people and agencies that are involved in the support of the older patient in the local community
- Demonstrate appropriate communication with an older patient (with suitable empathy, respect and interest)
- Explain some of the implications for the health and social services of an ageing population
- Identify key policy documents relating to care of older people
11/12: MEDSOC1 All Lectures
11/12: MEDSOC1 All Placement Days
