DEVELOPEMENT OF LEARNING ATTITUDE AND COMMUNICATION SKILLS AMONG MBBS STUDENTS

1. ATECOM
Attitude, Ethics, Communication
for MBBS students
By dr m balaji singh M.D.,
Professor of Forensic Medicine
ACS medical college and hospital, Chennai.

2. Topics to be discussed
 What is attitude, definition, dictionary meaning
 Attitude among medical students
 How to develop good attitude
 Learning attitudes
 Self directed learning
 student centered learning
 Attitude of a Doctor
 Communication skills

3. Attitude

4. Attitude
Meaning :A feeling or opinion
about something .
Usage of word ‘attitude’ in general
 He has a very good attitude towards his work.
 He undergone a change in his attitude, and
became more cooperative.
 I like your attitude (behavior).
 A boy has a real attitude problem ( difficult to
make relationship with him or work with him).

5. It means favorable or unfavorable
evaluative reactions toward
something
or
someone exhibited on one’s beliefs,
feelings, or intended behavior.
Attitude

6. Attitude
Belief is an important element in the formation of
attitudes.
Information about other people, objects, or
issues, that are considered to be factual for our
belief.

7. Change in attitude is common
• Attitudes have a past, present, and future.
• Attitude comes from the Latin word ‘aptus’
which means “fitness” or “adaptation.”
Attitude

8. Building a positive attitude
ATTITUDE contributes to SUCCESS
a. When a opportunity knocks at your door , you may complain of noise.
b. The same opportunity never knocks twice.
c. The next one may be better or worse, but it is never the same one.
d. Hence develop a positive attitude towards available opportunity

9. Our attitude towards our failures.
• For a positive thinker, it can be a stepping stone to
success.
• To a negative thinker, it can be a stumbling block.

10. A attitude of a successful man………
A popular quote
“Success doesn't mean the absence of failures; it
means the attainment of ultimate objectives.
It means winning the war, not every battle.”
- Edwin C. Bliss

11. Three factors that influence our attitude.
1. Environment
2. Experiences we encountered
3. Level of education

12. Attitude-
Environmental factors
• Home: positive or negative influences
• School: peer pressure
• Work: supportive or over critical supervisor
• Media: television, newspapers, magazines, radio, movies
• Cultural background
• Religious background
• Traditions and beliefs
• Social environment
• Political environment

13. 2. Experiences
Our behavior ( attitude) changes according to our experiences with people
and events in our life.
A positive experience with a event, a attitude towards it will be positive and
vice versa.
3. Education
Both formal and informal education, not just academic qualifications
influence the attitude of the person
Attitude and factors…….

14. Attitude- Importance of developing
good attitude
a. Student level
b. As a medical practitioner

15. Student level attitude
a. Towards course/ profession
b. Towards self
c. Towards team or classmates
d. Towards institution
e. Towards teachers
f. Towards patients

16. Attitude towards
facilities
1. Ignore deficiencies
2. Proper utilization of all recourses
3. May criticize teacher but never give up learning from teachers
4. Convert knowledge in to wisdom
5. Attitude to use critical thinking , reasoning in subject matters
6. Simplifying difficult and complex subject matters for better memory
7. Expansion of academically important topics
8. Never hesitate to invite your casemates / seniors/ teachers for
academic discussion
9. Follow simple principle of learning -Easy to difficult
-Known to unknown
10. Good expressive attitude – in examinations ( writing theory/ oral )

17. People with positive attitudes
Personality traits –
Caring, confidence, patience, and humble.
High expectations and hard working attitude.
Anticipating positive outcomes and contributing their effort
accordingly.
He is like a fruit of all seasons.

18. BENEFITS OF A POSITIVE ATTITUDE in students
• Loyalty towards institution and course
• Better learning capabilities.
• Promotes – problem based learning.
• Improves - quality of under standing.
• Fosters - teamwork.
• Better relationships with classmates, seniors ,teachers and patients.
• congenial ( happy) study atmosphere. • Reduces stress
• Positive out comes.
• Becomes a skilled expert in medical field
and an asset to the country.

20. Quotes about attitude

21.  Curriculum /syllabus……..is a Barden ? or
pleasurable ?
it will depend upon…………..attitude of the student

23. Be regular and sincere

24. Learning attitudes

25. Stages of involvement in learning

29. Triangle of Learning
Books/ literature
on internet
patient/practical
demo
Teacher to
facilitate
learning

30. Learning attitude
Life long learning attitude
Good Attitude towards -
1. Medical profession
2. Educational objectives
3. Curriculum/ syllabus,
4. Teaching and learning methods
5. Subject matters, and skills
6. Examinations and Evaluation procedure

31. Attitude towards self
1. Be Positive
2. Self assessment and realization
3. Correctly judge your capability
4. Rectify your deficiencies
5. Self motivational attitude
6. Never give-up practicing learning

32. Triple ‘R’ for better output
1. Record
2. Review
3. Repeat

34. Observation and performance

35. Active learning at bedside

36. Small group discussion

37. Hesitation to
read a new
topic Self motivation
Reading books
Learning
something
Feel of stress
Familiarizing a
new topic
Ability to recall
Stress released
Relaxed
mood
Stress
to
relax
Dr m balaji singh
ACSMCH, chennai

38. Our mind will do compilation and integration of various subject matters
what we studied before during physical exercise
- hence better understanding ,
- Develop self confidence,
- hence relaxing smile on our face.

39. Triple ‘R’
for better memory
1. Recognition
2. Recording
3. recall

40. Student centered
learning –new
method
Teacher directed
– old method

41. Student- centered learning
Pedagogical innovation
Student centered seminars

42. Student- centered learning
 learner autonomy and independence.
 Focuses on skills and practices that enable
lifelong learning and independent problem-solving.
 Student’s interests first.
 acknowledging student voice as central to the
learning experience.
 Learning setting - an indoor or outdoor location,
either actual or virtual.
 Active in their own learning and foster transferable
skills such as problem-solving, critical thinking,
and reflective thinking.
 Encourages students in creating the learning
process

43. Pedagogy to involve all learners
Student’s needs - first
All the students should understand the subject matters
Teacher is accessible to each and every student

44. For a medical student
from the bottom of the
flow chart all the skill are
important up to academic
skills.

45. 5 ‘R’ Learning attitudes
reasoning

46. Every student should have
Expressiveness – writing
and oral answering in
exams
Good learning behavior
Learning mindset
Self motivation
Reading and language skills
Listening skills
Understanding by reasoning
Memory
Recall
Expressiveness

47. Once you became a medical
practitioner…………your attitude
should be……..

48. Attitude of a medical practitioner
a. Towards profession and service
b. towards patients
c. Towards professional colleges
d. Towards state (Government)
e. Towards development or research

49. For a registered
medical practitioner
These 5 skills are
necessary.
Attitude

50. Thank you…..for
watching
next topic is…..

51. Communication
skills

52. Communication skills- 5
points
1. Active listening
2. Empathy
3. Straight and clear talk
4. Non verbal communication
5. Emotional balance

54. 1.Active listening…….
Open-ended questions- cannot be answered with a
simple ‘yes’ or ‘no’. demands elaborate answers on their
points.
Paraphrase ; listener express the meaning of the words,
what he heard , to achieve greater clarity.
Probing questions are designed to deepen the knowledge
and understanding.

55. 2.Empathy-
the ability to understand and feel the
mind setup and emotions of other person.
a. Empathy is the capacity to understand
or feel what another person is
experiencing from within their frame of
reference.
b. capacity to place oneself in another's
position.

56. sympathy is feeling sorry for someone,
while empathy is understanding their pain.
These words are related, but they are not
synonyms.

57. • Empathy is stronger than sympathy.
• It goes beyond feeling compassion for their loss.
• It is the ability to put yourself in the place of another and understand
someone else's feelings by identifying with them.
• Sympathy is just feeling bad for the other person,
• But showing empathy involves sharing their feelings.
Empathy, is putting yourself in
another's place and view the situation
through their eyes

58. 3.straight and clear talk
- effective and direct talk

59. 4.Non-verbal
communication

63. Paralanguage
non-lexical component of speech,
intonation,
pitch and speed ,
hesitation noises,
gesture,
facial expression.
Intonation the rise and fall of the pitch of voice

64. Proxemics
is the study of human use of space and the effects in
communication.
Chronemics is the role of time in communication.
Artifacts can include clothes, accessories, props,
jewelry, and other things that can be attributed to a persons style.

67. Personality types- based on timing
and relations

68. Communication skills

69. Proxemics- intimate

70. Intimate proxemics

71. Proxemics- close

72. Close proxemics

73. Proxemics- close

74. Proxemics - social

75. Mass communication -proxemics

76. Environmental factors
Circumstantial Evidence
Scene it self SPEECKS…….
a. A festival
b. A funeral
c. A crime scene
d. A tranquility and peace
e. A scene of joy and celebration
f. A scene of study and learning…….etc.

77. Non verbal communication –
Our face is very expressive

78. Body language

79. Advantages…..of N V C

80. 5. Emotions
 Emotions are manifestations of neurophysiological changes
 They associated with thoughts, feelings, behavioral responses,
pleasure, displeasure etc..
 linked with mood and personality.
 Expressed consciously or subconsciously.
 27 categories of emotions.
 With this many emotions, it is important to know how and when
to use them.
 Even when it comes to communication, we need to know how to
use our emotions.

81. 5. Emotional speech
Why Emotions Are Important In Communication
1. It allows us to express ourselves.
2. It gives others to better understand.
3. It makes people relate.
4. It creates opportunities to be heard. The last three points all come down
to this. When you have emotions in your communication, you create opportunities for
more people to listen to you.
Emotional expression is the main source in mass communication/
entertainment (cinema)

82. Thank you for active listening…….