Time to take stock
During the
session, interns of the specialty "General Medicine" took an exam in
the elective discipline "Patient-centered care." During the state of
emergency and isolation, both training and exam were remote. And for clinical
discipline, this could look like a formality - interns did not work, did not go
to practice, stayed at home, studied remotely. However, the Department of
Medical Psychology and Communication Skills did not let to get bored - the
students had to demonstrate in a short video with any simulated patient the
skills to solve the health problems and psychosocial problems of their patients
from clinical experience.The patient-centered
approach is an actual direction for improving medical care for the population,
based on focusing the attention of the doctor not only on the problem of his
physical health, but also on the psychological aspects of understanding,
experiencing the disease, understanding and participation of the patient in the
plans for diagnosis and treatment, rehabilitation, and maintaining a healthy
lifestyle, all stages of recovery. So, in the “doctor-patient” relationship,
sometimes it is difficult in current healthcare, an alliance must be formed -
this is the country's Ministry of Health, as well as other world health
systems, give priority.The department teaches this
discipline for the third year, being an actual pioneer - the leadership of only
our university included this discipline in the university component; there are
no analogues to this discipline throughout the CIS. Teaching methods are being
improved, a diverse bank of clinical tasks is being formed, and in this
academic year they do not require the student to be in the clinic, but they are
simulated, which is beneficial in the current quarantine circumstances. The
main thing is that the student can test their clinical treatment skills with
the emphasis of bringing them to the attention of the patient, creating the
aforementioned alliance, the motivation for the patient to recover. It is often
when students say to teachers that “their consciousness turned upside down” -
they suddenly realized that it was important not only to know how to treat, it
was important to convey this correctly to any patient and take him as a
colleague. It is often difficult for students to shoot videos with themselves
as a doctor - the teachers of the department are picky about the wrong
intonations, awkward and incomprehensible medical phrases are forced to polish
the skills of effective communication. The most difficult patients for a
student are the teachers, who create complex clinical and life situations, but
they take them from real life. And, having suffered in the classroom, six-year
students say the following: “In the process of training, highly qualified
specialists of the department, giving us theoretical knowledge, taught us to
communicate with each patient on a clinical basis. Complete mastery of
communicative skills is invaluable, in my opinion (Seytenova Diana 6 year
course “General Medicine”). “This is the most interesting course for me
"Patient-centered care." ...
To be honest, I did not think that this was not one of the important directions.
But you convinced me ... to achieve the result from the patient is a very
important aspect” (Kasenov Salman, 6 year course “General Medicine”).