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