DOC-20251009-WA0001. (2).pptx for mbbs student

aetcom module

1. DR ANITA RAMESH PROFESSOR,OBGY DEPARTMENT VISWABHARATHI MEDICAL COLLEGE AETCOM

2. AETCOM

3. ATTITUDE Refers to a set of emotions,beliefs and behaviour towards a particular object,person or event.Influenced by our upbringing.

4. 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

5. COMMUNICATION

6. IS COMMUNICATION ONLY VERBAL?

7. WHICH DOMAIN HAS TO BE STRENGTHENED?

8. KRATHWOHL MODEL FIVE STEPS OF ATTITUDE FORMATION RECEIVING RESPONDING VALUING ORGANISATION CHARACTERISATION

9. MCI Revised ME Regulation 2017

10. 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

11. IMG AS A PROFESSIONAL Compassionate Caring Ethical Responsive Commited to excellence Accountable to patients,profession & community Respect for others

12. WHY AETCOM MODULE AS A CURRICULUM? FORMAL….WHAT WE SAY HIDDEN…...WHAT WE DO

13. FORMAL CURRICULUM(what we say) Altruism Empathy Compassion

14. HIDDEN CURRICULUM(today’s scenario ) Failure of communication Strong distrust of emotions Weariness

15. Todays culture of medicine is hostile to altruism,compassion,integrity,fidelity &self effacement…… COULHEN

16. CAN WE DO SOMETHING? We can incorporate these professional values during the learning process

17. AETCOM MODULE? STUCTURED LOGITUDINAL MODULAR PROGRAMME on attitude,ethics & communication Explicit way of teaching attitudes,ethics & communication Competency based model

18. 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

19. 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

20. 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

21. LOG BOOK

22. TEACHING METHOD Didactic lecture Small group discussion DOAP Skill teaching methods:paper case,simulated patients or real patients Role model(observe the faculty) mentoring

23. 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

24. METHODS TO ASSESS EVALUATION Professional mini evaluation exercise Written tests OSCE Simulated or standardised patients Self assessment Assessment by patients 360 degrees evaluation

25. 4 SECTIONS 2 APPENDEXES AETCOM MODULE

26. WALKING THROUGH AETCOM TEACHING AETCOM Who What When and How

27. Section 1 Roles,goals &competencies of an IMG:extract from GMER,2018 5 star doctor

28. SECTION 2 LEARNING MODULES Professional year1 Professional year 2 Professional year 3 Professional year 4

29. YEAR 1 st 2nd 3rd 4th MODULE 5 8 5 9 27 HOURS 34 h 37h 25h 44h 140hrs MODULES & HOURS

30. SECTION 3 COMPETENCY ACQUISITION: SUGGESTED LOG BOOK PATTERN

31. 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)

32. MODULE 1

33. 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

34. 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

35. 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

36. 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

37. 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

38. 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?

39. MY JADU KI JHAPPI TO ALL OF U & THANK U FOR BEING PATIENT LISTENERS