Clinical Communication (Medicine, English)-E3

Numbering Code U-LAS51 10012 SE48 Year/Term 2021 ・ First semester
Number of Credits 2 Course Type Seminar
Target Year 2nd year students or above Target Student For science students
Language English Day/Period Wed.1
Instructor name YAMADA YUKARI (Graduate School of Medicine Program-Specific Senior Lecturer)
POUDYAL, Hemant (Graduate School of Medicine Senior Lecturer)
KONISHI YASUHIKO (Institute for Liberal Arts and Sciences Professor)
Outline and Purpose of the Course Successful communication helps us better understand people and situations, which is the cornerstone of patient-centered healthcare as well as in a research carrier. This course aims to develop effective (clear and sensitive) communication skills in English within clinical and academic context. To achieve this goal, a practical training such as small group discussion on ethical issues and role-play on simulated clinical situations is employed in this course.
Small group discussions deal with some selected medical/ethical/ public health issues that are often without a clear right or wrong answer. Students are expected to deepen their understanding of the topic through self-directed learning; discussion with their peers and presentation while learning to reflect on their own and universal values. For the role play, students have the freedom to develop their own idea based on a given scenario through effective team working/communication. Group sizes are reduced to enable all participants to play an active role for this purpose.

To help the students get the most out of the course, we collaborate with a part-time lecturer, Guita Youssefian, and several international graduate students as TAs. Also, we divide students into two groups. While one group participates in classroom activity the other group engages in self-directed learning (SDL) sessions, and vice versa. This enables the classroom to be more intensive as well as the learning experience to be more a learner-centered in which students can explore topics in greater depth by themselves before participating in the classroom.

This course is primarily for the 2nd year students in the Faculty of Medicine, but we welcome a few students from healthcare-related departments, with a short English proficiency test on the first day of the course.
Course Goals By the end of the course, students will be able to;
1) Collect and interpret relevant evidence, discuss it with other people, and express their opinions showing traces of reasoning
2) Understand how to construct good relationship between patient and doctor and demonstrate them.
Schedule and Contents Basic communication skills
Educational Goals: Practice English communication to connect with group members.
[1] Introduction: Introduction/Greeting from teachers/Class rule discussion
[2] Team building activity: Forming 5 teams of 5-6 students/Team activity/Practice English conversation
Group discussion on medical/ ethical/ public health issues
Educational Goals: Learn how to discuss sensitive topics, learn about ethical challenges, learn from other people's experiences/perspective through group discussion, reevaluate one’s own perspective, and learn how to present own ideas appropriately.
[3] SDL1_ Research on a relevant topic: Different ethical topics are provided to each team. Individual work to research the topic/Create questions to deepen understanding of the topic.
[4] Small group discussion: Share and discuss the topic using the questions in the team / Lecture about values
[5] SDL2_ Work on presentation: Individual work to structure own thoughts reflecting other people’s perspective and own value
[6] Presentation: Forming new teams from different topics/Presentation of own topic to others who are not familiar with the topic/ Question and answers
[7] SDL3_Peer review: Submission of own presentation as a video and evaluation of the videos by team members: Assessment1
Role-play : Dr-patient communication
Educational Goals: Learn about patient-centered interviewing skills, learn about patient’s experience in clinical consultation, and learn how to work as a team
[8] SDL4_Elements of good and bad Dr- Patients communication: Watch videos to extract elements to differentiate those consultations
[9] Role play in a circle: Lecture about framework for clinical consultation/ demonstration of role play using patient’s card.
[10] SDL5_Preparation for role play: Research to identify a possible diagnosis for a given scenario and further explore about possible harm/benefit of examination/treatment
[11] Role playing in a pair : Scenario assignment for assessment 2
[12] Preparation of assessment 2: Developing scenario/Rehearsal /submission of written plan as a team
[13] Role playing : Assessment 2
[14] SDL0_Recommended reading
[15] Reflection & Feedback
[16] Make-up exam

The schedule shown above is for one of the two groups. The other group starts with [14] followed by [2][3]..
Evaluation Methods and Policy Since the course employs a small group discussion style, not only your presence in class but your active participation in the discussions is essential for this course. Students are responsible for satisfying all academic objectives as defined by the instructor. Grading consists of “Assessment I” 30%, “Assessment II” 30%, and “Participation” 40%. Required submissions for SDLs indicate their level of participation. Criteria are different in each assignment, and we announce them in the class and make it clear and open to all students.

Students have to achieve a minimum of 60% of “Participation” credit for this purpose. However, students are exempt from the required condition about attendance when they have acceptable reasons for absence such as illness, serious family emergencies, special curricular requirements, severe weather conditions, and participation in official university activities. In such cases, the students are obliged to submit a valid document to the instructors and use a reasonable amount of time to make up the material or activities covered in their absence.
Course Requirements None
Study outside of Class (preparation and review) This class requires minimum study out of the class. Active participation in the class is highly expected.
References, etc. Developing communication skills: A Handbook for Japanese Speakers, Hemant Poudyal, (Hemant Poudyal), ISBN:9781792706707