Integrated Care 1
Full course description
The APT of period 'Integrated care' is : Being able to address a care problem from different perspectives and to integrate these perspectives where needed appropriately. In this period the student will apply clinical reasoning and clinical management in an integrated manner. Integration will take place at various levels: multiple tracti; multiple perspectives; multiple stakeholders; multiple guidelines; multiple (conflicting) interests. The student learns to apply integrated clinical reasoning and management in the context of various health care settings and gains insight in choosing the appropriate approach, dealing with emotions, including self- management support, tailored to the context. A variety of patients presenting different complaints allows the student to rehearse all organ systems, and study these organ systems in an integrated and contextual (acute care, short term, chronic care) manner dealing with the individual patient/client in their system and global health. On top of this, the student learns how to summarise the patient case to the clinical supervisor (reporting), and about responsibilities and delegation of tasks with respect to sharing data and medical decision making of an individual patient with colleagues, including non-medical collaborative partners.This period also challenges the student to learn about big patient data and how to best share medical data with the patient. The student will learn about the basics of quality assurance and public health policy. After period Integrated care the student is able to formulate and express a personal opinion or policy plan on a complex, controversial health problem that receives much attention on social media, underpinned with adequate academic reasoning.This period will also support the transfer to the master phase. At the end of this period the student has developed a start-document as part of the substantiated analyses. Personal growth and reflection on professional development and identity will have specific attention in this period.
Course objectives
- analyse a patient’s health problem in a simulated practice or simple practice setting from different medical tracts, applying clinical reasoning, while taking the patient’s profile and context (apply the biopsychosocial approach) into account, resulting in working diagnosis and differential diagnosis.
- perform a whole consultation with a patient in a simulated practice or simple practice setting, resulting in formulating possible treatment plan/care plan (for screening, diagnostic, therapeutics, monitoring, or palliation) together with the patient (Shared Decision Making).
- critically appraise the value of available medical knowledge (e.g. in bibliographic databases, clinical practice guidelines, AI based prediction rules. etc) from medical and societal perspective and translate to an individual patient with a complex problem.
- explain how interdisciplinary and interprofessional care is being organised, including an effective and efficient role of the doctor in such collaboration, and how to report the patient’s data in the (digital) medical record.
- recognise being a person in a continuous learning process, that needs to be prepared for an intense process of socialisation and professionalization (professional identity) during the master internships, and to recognize the principles of change management needed being a professional working in a healthcare system and society that is continuously changing (e.g. digitization).
Recommended reading
See canvas course
- G.D.E.M. van der Weijden
- R.I. Lalisang