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DR ANITA RAMESH
PROFESSOR,OBGY DEPARTMENT
VISWABHARATHI MEDICAL COLLEGE
AETCOM
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
AETCOM
ATTITUDE
 Refers to a set of emotions,beliefs and
behaviour towards a particular object,person
or event.Influenced by our upbringing.
ETHICS
 A system of moral principles that applies value
to the practice of clinical medicine & scientific
research.
 We refer to it in case of any confusion or
conflict
 Ethical where?
PATIENTS
PEERS
MEDICAL INDUSTRY
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
COMMUNICATION
IS COMMUNICATION ONLY
VERBAL?
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
WHICH DOMAIN HAS TO BE
STRENGTHENED?
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
KRATHWOHL MODEL
FIVE STEPS
OF
ATTITUDE
FORMATION
RECEIVING
RESPONDIN
G
VALUING
ORGANISAT
ION
CHARACTE
RISATION
MCI Revised ME Regulation
2017
AETCOM
 The goal of our systems approach is to
produce an IMG who is a PROFESSIONAL.
 PROFESSION:It is an occupation that
regulates itself through systematic,required
training & collegial discipline that has a base in
technical,specialized knowledge & that has a
service rather than a profit organization
enshrined in its code of ethics…….STARR
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
IMG AS A PROFESSIONAL
 Compassionate
 Caring
 Ethical
 Responsive
 Commited to excellence
 Accountable to patients,profession &
community
 Respect for others
WHY AETCOM MODULE AS A
CURRICULUM?
 FORMAL….WHAT WE SAY
 HIDDEN…...WHAT WE DO
FORMAL CURRICULUM(what we
say)
 Altruism
 Empathy
 Compassion
HIDDEN
CURRICULUM(today’s
scenario)
 Failure of communication
 Strong distrust of emotions
 Weariness
Todays culture of medicine is
hostile to
altruism,compassion,integrity,fid
elity &self effacement……
COULHEN
CAN WE DO SOMETHING?
We can incorporate these
professional values during the
learning process
AETCOM MODULE?
 STUCTURED LOGITUDINAL MODULAR
PROGRAMME on attitude,ethics &
communication
 Explicit way of teaching
attitudes,ethics & communication
 Competency based model
 PROFESSIONALISM IS A CORE
COMPETENCY in giving accredition to
our IMG
 We have to teach & assess the
professionalism which is challenging but
possible
 To assess we can use both SUBJECTIVE
& OBJECTIVE TOOLS
AETCOM MODULE
 Case based module(small group teaching)
 Case scenarios with discussion points
 Distributed over all the years
 Total 54 competencies & 39 core
competencies
 Total 27 modules over 4 years
 140 instructional hours including SDL
METHOD ADOPTED
 HYBRID PROBLEM ORIENTED APPROACH
A case scenario intervening with lecture
sessions &SDL
 Uses real life case scenarios or simulated
case scenarios(OPDs,wards,field visits)
 Encourages Problem solving skills
collaborative learning,team work,reflection &
SDL
 Assessment scheme
 Logbook has to be maintained for
documenting competency certified by the
teacher
LOG BOOK
TEACHING METHOD
 Didactic lecture
 Small group discussion
 DOAP
 Skill teaching methods:paper case,simulated
patients or real patients
 Role model(observe the faculty)
 mentoring
ASSESSMENT:3 types of
evaluation
 Process evaluation:process of
teaching learning by case scenario
approach
 Progress evaluation:all through the
course
 Product evaluation:clinical training
& internship
METHODS TO ASSESS
EVALUATION
 Professional mini evaluation exercise
 Written tests
 OSCE
 Simulated or standardised patients
 Self assessment
 Assessment by patients
 360 degrees evaluation
4 SECTIONS
2 APPENDEXES
AETCOMMODULE
WALKING THROUGH AETCOM
TEACHING AETCOM
 Who
 What
 When and
 How
Section 1
Roles,goals &competencies
of an IMG:extract from
GMER,2018
5 star doctor
SECTION 2
LEARNING MODULES
Professional year1
Professional year 2
Professional year 3
Professional year 4
YEA
R
1st
2nd 3rd 4th
MODU
LE 5 8 5 9 27
HOURS
34h 37h 25h 44h 140
hrs
MODULES &
HOURS
SECTION 3
COMPETENCY
ACQUISITION:
SUGGESTED LOG BOOK
PATTERN
SECTION 4
FORMATIVE ELEMENTS TO
BE MARKED BY THE TUTOR
(Desirable competencies in attitude
,ethics&comm skills that may be
included in whole or part of formative
assessment of the student)
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
MODULE
1
MODULE 2
 2.1 Foundation of communication-2
 2.2 Foundation of bioethics
 2.3 Healthcare as aright
 2.4 Working in a healthcare team
 2.5 Bioethics contd-case studies on patient autonomy &
decision making
 2.6 Bioethics contd-case studies on patient autonomy &
decision making
 2.7 Bioethics contd-case studies on patient autonomy &
decision making
 2.8 What does it mean to be a family member of a sick
patient
MODULE 3
 3.1 Foundation of communication -3
 3.2 Case studies in bioethics –disclosure of
medical errors
 3.3 Foundation of communication-4
 3.4 Case studies in bioethics –
CONFIDENTIALITY
 3.5 Case studies in bioethics –FIDUCIARY
DUTY
MODULE 4( 9 modules )
 4.1 Foundation of communication 5
 4.2 Case studies in medicolegal and ethical
situations
 4.3 Case studies in medicolegal and ethical
situations
 4.4 Case studies in ethics empathy and doc
patient relationship
 4.5 Case studies in ethics empathy and doc
industry relationship
Contd…..
 4.6 Case studies in ethics and doc industry
relationship
 4.7 Case studies in ethics and patient
autonomy
 4.8 Dealing with death
 4.9 Medical negligence
CONCLUSION
 Professionalism is a continuous &
incremental process
 Involve students in community based
social service activities
 Develop a robust mechanism of faculty
development
 Teachers influence as a role model
 Strong institutional support
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION
OUR SENIORS R ALREADY
DOING IT.COME LET US ALL
JOIN HANDS TO MAKE OUR
FUTURE GRADUATES
FUTURE REAL LIFE
SUPERHEROES.ARE U WITH
ME?
MY JADU KI JHAPPI TO ALL OF
U & THANK U FOR BEING
PATIENT LISTENERS
AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL  EDUCATION] EDUCATION

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AETCOM [ATTITUDE,ETHICS & COMMUNICATION IN MEDICAL EDUCATION] EDUCATION

  • 1. DR ANITA RAMESH PROFESSOR,OBGY DEPARTMENT VISWABHARATHI MEDICAL COLLEGE AETCOM
  • 5. ATTITUDE  Refers to a set of emotions,beliefs and behaviour towards a particular object,person or event.Influenced by our upbringing.
  • 6. ETHICS  A system of moral principles that applies value to the practice of clinical medicine & scientific research.  We refer to it in case of any confusion or conflict  Ethical where? PATIENTS PEERS MEDICAL INDUSTRY
  • 12. WHICH DOMAIN HAS TO BE STRENGTHENED?
  • 15. MCI Revised ME Regulation 2017
  • 16. AETCOM  The goal of our systems approach is to produce an IMG who is a PROFESSIONAL.  PROFESSION:It is an occupation that regulates itself through systematic,required training & collegial discipline that has a base in technical,specialized knowledge & that has a service rather than a profit organization enshrined in its code of ethics…….STARR
  • 18. IMG AS A PROFESSIONAL  Compassionate  Caring  Ethical  Responsive  Commited to excellence  Accountable to patients,profession & community  Respect for others
  • 19. WHY AETCOM MODULE AS A CURRICULUM?  FORMAL….WHAT WE SAY  HIDDEN…...WHAT WE DO
  • 20. FORMAL CURRICULUM(what we say)  Altruism  Empathy  Compassion
  • 21. HIDDEN CURRICULUM(today’s scenario)  Failure of communication  Strong distrust of emotions  Weariness
  • 22. Todays culture of medicine is hostile to altruism,compassion,integrity,fid elity &self effacement…… COULHEN
  • 23. CAN WE DO SOMETHING? We can incorporate these professional values during the learning process
  • 24. AETCOM MODULE?  STUCTURED LOGITUDINAL MODULAR PROGRAMME on attitude,ethics & communication  Explicit way of teaching attitudes,ethics & communication  Competency based model
  • 25.  PROFESSIONALISM IS A CORE COMPETENCY in giving accredition to our IMG  We have to teach & assess the professionalism which is challenging but possible  To assess we can use both SUBJECTIVE & OBJECTIVE TOOLS
  • 26. AETCOM MODULE  Case based module(small group teaching)  Case scenarios with discussion points  Distributed over all the years  Total 54 competencies & 39 core competencies  Total 27 modules over 4 years  140 instructional hours including SDL
  • 27. METHOD ADOPTED  HYBRID PROBLEM ORIENTED APPROACH A case scenario intervening with lecture sessions &SDL  Uses real life case scenarios or simulated case scenarios(OPDs,wards,field visits)  Encourages Problem solving skills collaborative learning,team work,reflection & SDL  Assessment scheme  Logbook has to be maintained for documenting competency certified by the teacher
  • 29. TEACHING METHOD  Didactic lecture  Small group discussion  DOAP  Skill teaching methods:paper case,simulated patients or real patients  Role model(observe the faculty)  mentoring
  • 30. ASSESSMENT:3 types of evaluation  Process evaluation:process of teaching learning by case scenario approach  Progress evaluation:all through the course  Product evaluation:clinical training & internship
  • 31. METHODS TO ASSESS EVALUATION  Professional mini evaluation exercise  Written tests  OSCE  Simulated or standardised patients  Self assessment  Assessment by patients  360 degrees evaluation
  • 33. WALKING THROUGH AETCOM TEACHING AETCOM  Who  What  When and  How
  • 34. Section 1 Roles,goals &competencies of an IMG:extract from GMER,2018 5 star doctor
  • 35. SECTION 2 LEARNING MODULES Professional year1 Professional year 2 Professional year 3 Professional year 4
  • 36. YEA R 1st 2nd 3rd 4th MODU LE 5 8 5 9 27 HOURS 34h 37h 25h 44h 140 hrs MODULES & HOURS
  • 38. SECTION 4 FORMATIVE ELEMENTS TO BE MARKED BY THE TUTOR (Desirable competencies in attitude ,ethics&comm skills that may be included in whole or part of formative assessment of the student)
  • 42. MODULE 2  2.1 Foundation of communication-2  2.2 Foundation of bioethics  2.3 Healthcare as aright  2.4 Working in a healthcare team  2.5 Bioethics contd-case studies on patient autonomy & decision making  2.6 Bioethics contd-case studies on patient autonomy & decision making  2.7 Bioethics contd-case studies on patient autonomy & decision making  2.8 What does it mean to be a family member of a sick patient
  • 43. MODULE 3  3.1 Foundation of communication -3  3.2 Case studies in bioethics –disclosure of medical errors  3.3 Foundation of communication-4  3.4 Case studies in bioethics – CONFIDENTIALITY  3.5 Case studies in bioethics –FIDUCIARY DUTY
  • 44. MODULE 4( 9 modules )  4.1 Foundation of communication 5  4.2 Case studies in medicolegal and ethical situations  4.3 Case studies in medicolegal and ethical situations  4.4 Case studies in ethics empathy and doc patient relationship  4.5 Case studies in ethics empathy and doc industry relationship
  • 45. Contd…..  4.6 Case studies in ethics and doc industry relationship  4.7 Case studies in ethics and patient autonomy  4.8 Dealing with death  4.9 Medical negligence
  • 46. CONCLUSION  Professionalism is a continuous & incremental process  Involve students in community based social service activities  Develop a robust mechanism of faculty development  Teachers influence as a role model  Strong institutional support
  • 48. OUR SENIORS R ALREADY DOING IT.COME LET US ALL JOIN HANDS TO MAKE OUR FUTURE GRADUATES FUTURE REAL LIFE SUPERHEROES.ARE U WITH ME?
  • 49. MY JADU KI JHAPPI TO ALL OF U & THANK U FOR BEING PATIENT LISTENERS