Clinical Shadowing Educational Sessions and Interactive Assignments
Please share feedback of sessions on our FB group or by email ([email protected]).
Session # 8: Clinical communication skills - A (with patients)
April, 2015: This session aims to intorduce the importance of communication skills to you. Communication is now evaluated in all international clinical exams and medical training programs. Poor communication is not tolerated anymore in clinical practice world wide. The following videos are published by the Royal College of Obstetrics and Gynecology and will help you get very basic idea on what is good and what is poor communication with patients. Discuss the differences between the 2 videos of each group with your friends.
Breaking Bad News:
Example # 1:
1-Poor version
2-Good version
Example # 2:
1- Poor version
2- Good version
Dealing with a Complaint:
1- Poor version
2- Good version
Interactive assignment: make your own good and poor version of communication with a simulated patient (one of your colleagues) and email it to us for publication.
Breaking Bad News:
Example # 1:
1-Poor version
2-Good version
Example # 2:
1- Poor version
2- Good version
Dealing with a Complaint:
1- Poor version
2- Good version
Interactive assignment: make your own good and poor version of communication with a simulated patient (one of your colleagues) and email it to us for publication.
Session # 7: CanMed
Sunday February 15th: Mark your agenda Sunady 15th of February at 5 pm, Cairo time.
Dr Dina Khalaf at Princess Margret Hospiatl, University of Toronto, Canada will resume our CSP lectures and will present a live online lecture about CanMed.
Lecture site:
https://www.anymeeting.com/326-946-911
Please test your computer and internet connection compatibility with Anymeeting website.
(No technical help will be provided during the lecture)
Dr Dina Khalaf at Princess Margret Hospiatl, University of Toronto, Canada will resume our CSP lectures and will present a live online lecture about CanMed.
Lecture site:
https://www.anymeeting.com/326-946-911
Please test your computer and internet connection compatibility with Anymeeting website.
(No technical help will be provided during the lecture)
Session # 6: Roles of the Physician
This session is about watching this Plenary session by Dr Andrew Browning that was presented in the RCOG World congress in 2013.
The assignment is to discuss the video with other friends in the CSP. Talk about it either in real meetings or in social media, how it inspires you, what's special about the video and the speaker, how you reflect your own dreams and our reality on the story..etc. Share the story with other doctors and medical students in Egypt.
The assignment is to discuss the video with other friends in the CSP. Talk about it either in real meetings or in social media, how it inspires you, what's special about the video and the speaker, how you reflect your own dreams and our reality on the story..etc. Share the story with other doctors and medical students in Egypt.
Session # 5: Heart Failure and Volume Overload
Clinical assessment of volume status, intravascular volume depletion or volume overload is detrimental for all physicians.It is an acquired tool, the more you practice, the better sense of volume assessment you get.
It is carried out by many tools:
1- History taking: dyspnea, orthopnea, paroxysmal nocturnal dyspnea.
2- Vital signs: precisely the blood pressure and heart rate.
3- General phsycial xam:
- Decubitus.
- Respiratory distress, how many words or sentences a patient able to utter.
- Peripheral perfusion, diaphoresis, cyanotic discolouration.
- Jugular vein, hepatojugualr reflux.
Cardiovascular and respiratory examination:
. Additional heart sounds, murmurs.
. Adventitious sounds (crackles, velcro crackles, rhonchi, wheezes).
. Pedal edema (all 3 grades).
Watch the videos:
Assignment # 5:
It is carried out by many tools:
1- History taking: dyspnea, orthopnea, paroxysmal nocturnal dyspnea.
2- Vital signs: precisely the blood pressure and heart rate.
3- General phsycial xam:
- Decubitus.
- Respiratory distress, how many words or sentences a patient able to utter.
- Peripheral perfusion, diaphoresis, cyanotic discolouration.
- Jugular vein, hepatojugualr reflux.
Cardiovascular and respiratory examination:
. Additional heart sounds, murmurs.
. Adventitious sounds (crackles, velcro crackles, rhonchi, wheezes).
. Pedal edema (all 3 grades).
Watch the videos:
- Video # 1 (General)
- Video # 2 (Clinical Case Counselling)
- Video # 3 (lecture notes by Andrew Wolf at University of Rochester)
Assignment # 5:
- Email us what you thought interesting in the clinical case counselling video, something you think you will remember.
- Practice volume status assessment on one patient (Reception, ER, outpatient internal medicine clinics are good places to do that). Try also to practice on a family member or friend if possible. Email us of the most difficult to detect clinical sign (for you).
Session # 4: Patient Safety- Patient Transfer
This is a simple and short session although it is a very important aspect of patient safety.
You can see how the medical team members (physicians, nurses and workers) cooperate in such task.
Watch this video:
Patient Transfer Demo
Assignment # 4:
This is a simple and short session although it is a very important aspect of patient safety.
You can see how the medical team members (physicians, nurses and workers) cooperate in such task.
Watch this video:
Patient Transfer Demo
Assignment # 4:
- Visit an OR in your near by hospital and check how many of the items you learned in the video are performed by the medical team.
- Are you able to transfer the knowledge you learned in this session to others in a nice and indirect way?
Session # 3: Best sepsis educational video, CSP Students' Pick up:
*Alaa Wael and Wesam Soliman: Best reality sepsis six video
* Besho Botros : Best sepsis study notes
CSP Committee Pick Up on Hand Hygine: New England Journal Article Video (Yves Longtin et al, 2011)
*Alaa Wael and Wesam Soliman: Best reality sepsis six video
* Besho Botros : Best sepsis study notes
CSP Committee Pick Up on Hand Hygine: New England Journal Article Video (Yves Longtin et al, 2011)
Session # 3: SEPSIS
Subject: Sepsis is a leading cause of death if unidentified or missed.
Aim: identify and manage sepsis.
Please watch Dr. Salah El-Hamamsy videos about sepsis and SIRS
Assignment # 3:
1- Get acquainted with SIRS criteria.
2- Remember the initial steps for work up and management of sepsis (investigations, intravenous fluid resuscitation)
3- Watch videos about different presentations of sepsis and different clinical scenarios. Pick up the best SEPSIS video ever and email it to us. The best video will be awarded extra scores and will posted with your name in our website.
4- For exceptional students only!:
Subject: Sepsis is a leading cause of death if unidentified or missed.
Aim: identify and manage sepsis.
Please watch Dr. Salah El-Hamamsy videos about sepsis and SIRS
Assignment # 3:
1- Get acquainted with SIRS criteria.
2- Remember the initial steps for work up and management of sepsis (investigations, intravenous fluid resuscitation)
3- Watch videos about different presentations of sepsis and different clinical scenarios. Pick up the best SEPSIS video ever and email it to us. The best video will be awarded extra scores and will posted with your name in our website.
4- For exceptional students only!:
- Would you be able to make the poster Dr Salah advised and put it somewhere in your hospital?
- Would you be able to understand what is the BUNDLE or the Famous SEPSIS SIX?! Check in here
Session # 2: Best Hand Scrub Students Videos:
Keep Up the Good Work!
*Wesam Soliman, Assiut University -(Video)
* Ahmed Karam Helmy, Sohag University (Video)
*Rana Mahmoud, Assiut University (Video)
Session # 2- Patient Safety- Surgical Hand Scrub
(Note: Sessions will be organized so that you get medical and surgical information in an alternative way)
Assignment # 2:
Part A) ----Please visit the hospital at any of the surgical departments (Example: surgery, orthopedics, ENT, Ophthalmology, Obstetrics and Gynecology...etc), either in the ER (Open for 24 hours) or before the operative lists (usually 8 am - 1 pm).
Your assignment is very simple: just watch how any available surgeon does a hand scrub before going into the Operating Room. Best to do that twice.
===========After coming back home, watch these demonstrations=============
Watch this video
Scrub Demo # 1
Then this video (for confirmation and observing small differences)
Scrub Demo #2
===============================================================================
Part B)---- With the help of a colleague, ask him/her video record a short video, in which you perform the surgical hand scrub properly. Send us the video by email, this will add to your chances of rewards at the end of the program. More important, you will never forget the correct way of doing such important skill.
(Note: Sessions will be organized so that you get medical and surgical information in an alternative way)
Assignment # 2:
Part A) ----Please visit the hospital at any of the surgical departments (Example: surgery, orthopedics, ENT, Ophthalmology, Obstetrics and Gynecology...etc), either in the ER (Open for 24 hours) or before the operative lists (usually 8 am - 1 pm).
Your assignment is very simple: just watch how any available surgeon does a hand scrub before going into the Operating Room. Best to do that twice.
===========After coming back home, watch these demonstrations=============
Watch this video
Scrub Demo # 1
Then this video (for confirmation and observing small differences)
Scrub Demo #2
===============================================================================
Part B)---- With the help of a colleague, ask him/her video record a short video, in which you perform the surgical hand scrub properly. Send us the video by email, this will add to your chances of rewards at the end of the program. More important, you will never forget the correct way of doing such important skill.
Session # 1--History taking and writing clinical notes
Assignment # 1: The assignment of the first lecture, will be done beforehand:
Please choose one person in your friends, family, or a neighbor and get the following (in the best method you could come up with, using no books or references while doing this):
1- Personal history
2- Past medical history
3- Past surgical history
4- Family medical history
5- Any current medical complaints.
Take notes while doing this and wait for the lecture to judge your performance and pin point what the lecture will add to your current clinical skill.
====Now Listen to Dr Salah's Tips=====
Tips on Writing History and Examination Notes
By Dr Salah El-Hamamsy