MDS3008 University of Melbourne Dialogue between Doctor and Patient HW The assignment is divided into 2 parts 1- dialog between doctor (me) and patient on

MDS3008 University of Melbourne Dialogue between Doctor and Patient HW The assignment is divided into 2 parts

1- dialog between doctor (me) and patient on the case that is given in the file attached below in a 3 column grid

2- reflection on the dialog created (500 words)

I am a third year clinical medical student studying in malta and I have had some experience with patients on the wards.

All the requirements are in the attached file below

Note: the grid alone (the dialog between patient and doctor) should be 1500 words an

and the reflective essay should be 500 words

thanks. MDS3008
Assignment – (70%) (approx. 1,500 words)
Read the following case study and follow the guidelines below to write a short
essay. Do not come up with a different case. Please only use the one given
below.
Case Study:
A 60 year old male presents himself with his wife in an outpatients’ clinic where
you have been recently attending as part of your clinical attachment.
You are new to the hospital system, your colleagues do not seem particularly
very warm or helpful and you wish that you had not taken up this new venture.
You have had a long day and you are encountering a series of personal
difficulties in your private life of which no one really knows about.
The patient presented to emergency 6 months ago with slight chest pains. His
father has a history of cardiac health issues but has never been for regular
check-ups. On investigation he was given a stent to help reduce blood
pressure. Six months later he presents to you in clinic with his wife. On
investigation cardiac work up is good, and blood tests are all fine. However he
presents with high blood pressure and palpitations despite being on
medication for it. During the clinical interview you find out that his blood
pressure and anxiety got worse following the death of his father one month
ago. It does not help that the wife keeps interrupting your examination.
Essay Points:
For this essay, draw from:
● Your clinical experiences during your ward rounds
● The reflections on practice you learnt from your tutorials
● Make reference to what you have learnt during these three years in
the medical leadership seminars
1) Write about 10 lines of a typical doctor- patient conversation to show
how you would engage with the patient.
2) At the side of the conversations (as per example below), note down your
reactions, feelings, thoughts, sensations and your reflections
3) In the next column (as per example below, write down some reflections
referring to some of the basic theory learnt from the four medical
leadership seminars.
Note: As a reminder the other three medical leadership seminars were:
Interpersonal communication
Teamwork
Intrapersonal skills I (Dealing with stress and burnout)
Hint: Go through your notes/previous Medical Leadership Assignments (if you
still have them!!) to remember some of the contents/theory
The example below is meant only as a guideline:
Dr-pt
conversation
Line 1:
Dr: Good morning
Pt:
morning
wincing in pain)
My feelings/thoughts/
reactions
Feeling tired
Reflections on Medical leadership
content
Aware of my personal troubles
but
keeping
a
boundary
Thinking that shift is nearly between private life
& work
(visibly over
situations
Not particularly warmed Going beyond first impressions.
up to this patient
Engaging genuinely.
Line 2:
Dr: How can I help you?
Listening Skills
He deserves to be treated
Pt: I am not sleeping at well and with respect
Open-ended question to invite
night and its difficult to
him to elaborate on his problem;
breathe at times
Giving message to patient that
this is a collaborative interview;
To show I am genuinely
interested in pt’s subjective and
objective experience of pain.
To start formulating a hypothesis
of what is going on.
2) Final reflections & Conclusion of this doctor- patient conversation (500
words)
Looking at the conversation grid you have created, as well as reflecting on
your hospital experience this year, which skills do you feel you have acquired
during these 3 years of medical leadership seminars and which do you feel you
still need to develop?
Which particular skills do you feel are going to be really useful and will further
enable you to develop both as a person as well as a future practitioner?
Important
You will naturally not be evaluated on your ability to carry out a medical
differential diagnosis but on your ability to integrate the various strands of
knowledge, communication skills and competencies that you have
assimilated from these seminars mostly in terms of doctor- patient relationship,
self awareness and self growth as well as team-work.

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