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Introduction to Clinical Medicine

Introduction to Clinical Medicine. Introduction MRI Medicine Barriers to good medical student practice The Eight Golden Secrets of Good Rapport The tasks this term. The Tasks this first Term. Self management and building professionalism Familiarisation with hospital and wards

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Introduction to Clinical Medicine

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  1. Introduction to Clinical Medicine • Introduction • MRI • Medicine • Barriers to good medical student practice • The Eight Golden Secrets of Good Rapport • The tasks this term

  2. The Tasks this first Term • Self management and building professionalism • Familiarisation with hospital and wards • Clinical Skills • Medicine • Keep your general education alive: * READ!

  3. 21ST Century Barriers to good Medical Rapport • Wrong people as doctors • Group practices / Multiple Doctors • Technology • Bad Press reports • Doctors shift working • Litigation

  4. Barriers to Good Medical Student Practice

  5. Student problems 1 • Fear of appearing foolish • Shyness • Cultural problems • Religious problems • Language problems • Illness • Emotional involvement • Personal problems

  6. Student problems 2 • Personal problems • Finance • Parents/family • Accommodation • Drink /drugs/ gambling • “Forced” Marriage • Depression • Abuse past/present • Sexuality • Bereavement • Wrong career choice

  7. Patient problems 1 • Culture • Sexuality • Embarrassment • Guilt • Pain / discomfort • Language • Lack of trust - Is Doctor any good? - Will they tell me - Can NHS afford it? • Worry / fear

  8. Worry / Fear Diagnosis Pain Death Uncertainty Disability Relatives Job / Exam Finance Operation / Anaesthetic Guinea pig Feeling of “strangeness” Patient problems 2

  9. Feeling of strangeness 1 • Away from home • In bed • Clothes gone • Can’t come and go • Strange / unpalatable food • Maybe bathed by stranger • Using urinal / bedpan

  10. Feeling of strangeness 2 • No privacy • Can’t sleep • Doctor too young / too busy • “Feel like just a number” • Loss of control

  11. The Eight Golden Secrets of Good Rapport ?

  12. The Eight Golden Secrets of Good Rapport • First Impressions

  13. The Eight Golden Secrets of Good Rapport • First Impressions • Dress

  14. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile

  15. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction

  16. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction • What should I call you?

  17. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction • What should I call you? • Eye contact

  18. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction • What should I call you? • Eye contact • Active listening

  19. The Eight Golden Secrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction • What should I call you? • Eye contact • Active listening • Extreme Courtesy

  20. The Tasks this first Term • Self management and building professionalism • Familiarisation with hospital and wards • Clinical Skills Communication History taking Examination Presentation • Medicine • Keep education alive # READ!

  21. AND FINALLY: 1. “ALL BETS ARE OFF!”

  22. 2. NOBODY CAN IMPOSE THEIR STANDARDS UPON YOU - YOU MAKE YOUR OWN STANDARDS!

  23. GOOD LUCK!

  24. The Eight GoldenSecrets of Good Rapport • First Impressions • Dress • Smile • Handshake / Introduction • What should I call you? • Eye contact • Active listening • Extreme courtesy

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