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Palliative care PSU curriculum นพ.สกล สงหะ หนวยชวนตาภบาล โรงพยาบาลสงขลานครนทร
Future palliative care education
WORKPLACE-BASED
Family meeting
Discharge planning
Advance care planning
EVIDENCE-BASED LEARNING of symptom controls
REFLECTION and FEEDBACK
SOCIETY with more talking point about how to live in order to have good death
Desirable graduates to perform palliative care
Professional
Compassion & Empathy
Communication : sensitive and understanding
Companionship
Humanity and Humility
Salutogenesis and Pathogenesis
Narrative Medicine
Life experiences and willing to learn
Reflection and Growing
Resilience and Perseverance
The competencies include both technical skills and values
so it must be longtitudinal and a lot of reflection
Year II
NARRATIVE INTERVIEW PSU-model
พฒนาโดย รศ.พญ.จารรนทร ปตานพงศ และ ผศ.นพ.อานนท วทยานนท
Interview เพอไดเนอหาและสรางความสมพนธ (contents and build rapport)
Suspension of assumption บรรยาย ๑ ชวโมง ฝก workshop small-group ๒-๓ ชวโมง
tune-in
see the world with patients’ eyes (narrative and empathy) บรรยาย ๑ ชวโมง ฝก workshop small-group ๒-๓ ชวโมง ใชผปวยจ าลอง ๒ คน
workshop interview / video-recording and group discussion
Medical interview รวม ใช case ผปวยจ าลองและอาจารยทงจตแพทยและอาจารยคลนกอนๆ
Year II (continued)
CLINICAL IMMERSION
Field-trip ๒ อาทตยไปทโรงพยาบาลชมชน เดนตามผปวย/ญาต ท OPD, IPD, ER, Labour room เยยมบาน ออกชมชน ไปตามงานเวชกรรมสงคม เขยนรายงาน small-group presentation and reflection, PhotoVoice activities
Patients’ experiences
Patients’ journeys
Life is holistic
Professional relationships in hospital and community
Inter-professional collaboration in community
MEDICAL ETHICS
ความงาม ความด ความจรง
Year III
THANATOLOGY (มรณวทยา)
ผลกระทบของการตาย (death and dying) ทางจตสงคมตอบคคลทเกยวของ ครอบครว ผดแล ญาตสนทมตรสหาย และทมผใหการดแลรกษา
Drama film (whole-class) ทเกยวกบ death and dying เชน Departures, Go Toward the Light, My Sister’s Keeper, WIT, etc
Small group discussion and reflection
Essay of death and dying
TOPIC:
Psycho-social impact of death and dying on people
Good death vs Bad death
Roles and responsibilities of physicians during death and dying process
Year IV
Medical Counseling (interactive lecture ๒ ชวโมง)
๔ types of counseling and Hope/self-help as the results
concept of deep listening and healing listening
Health Promotion (individual patient) interactive lecture ๒ ชวโมง / case presentation ๖ cases + presentation (๔ ชวโมง)
Salutogenesis (concept ของสขภาวะก าเนด และการน ามาใชในทางคลนก) Empowerment : the integration of empathy + medical sciences
Health Promotion Block (๕ สปดาห) WHO Health Promotion 101 : Health Promotion Features
System-based practice in medicine
project-based, design-thinking, oral presentation and invited lecturers
Year V
Palliative Care
Interactive lecture ๒ ชวโมง principle of palliative care
Narrative interview in palliative care (review and boost)
Palliative care home vist // small-group. palliative home vist with interprofessional team (nurse, fam-med doctors, social services)
Case discussion (from home visit) with interprofessional team (๓ ชวโมง)
TOPIC:
common symptoms management
system-thinking when illness happens to a person
How to set advance care plan (ACP) and goal of care
Grief and Bereavement care
Care-giver burden: how to identify and how to care
Year VI
Holistic Doctor Program (HDP)
กจกรรม ๓ ชวโมง ตอนทนกศกษาผาน rotation medicine, surgery และ obgyn (รวมทงหมด ๙ ชวโมง) ประกอบดวย case presentation, bedside round and reflection
(small group ๘ คน) TOPIC:
Goal of care and advance care planning (ACP)
Management of advance symptoms
End-of-life care planning and approach
Communication in palliative care
Ethical dilemma in palliative care: euthanasia, palliative sedation, withhold
and withdraw of treatment, suspension of life-supporting medication
Year VI
Discharge Planning
กจกรรม ๒ ชวโมง case discussion in Surgical rotation เปน team-teaching แพทยเจาของไข (trauma) ผศ.โอสร อครบวร พยาบาลประจ าหอผปวยอบตเหต และแพทย palliative care
TOPIC:
when and how to discharge
concept of discharge planning: continuity of care, life-style adjustment
and empowering care-giver
how to identify primary care-giver and how to empower them
burn-out of care-giver: how to detect and help
good medical record in discharge planning
networking of care
Year VI
Interprofessional education program (IPE)
Faculty of medicine, Faculty of Nursing and Faculty of Pharmacy รวมกนเรยน (learn with, learn from and learn about) เปน project-based and team-based learning // small group // oral presentation // reflection
TOPIC:
Patient safety
Discharge planning
Palliative care
RDU
Health Promotion
Don’t just add days to their lives, but we should add life to their days.” Robert Twycross, The introduction of Palliative care
The journey of students is the tool grooming them to be competent, caring, compassionate doctors and human-beings
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