PBL - Early Clinical Experience ECE
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This document provides information about the Early Clinical Experience (ECE) program including topics, commitments, tutorials, workshops, and site visits. It discusses listening to patients, history taking, hand washing, consent, and confidentiality. Site visits include hospital and primary health care center tours led by coordinators who instruct students and ensure attendance is recorded. Feedback aims to be constructive while completing portfolio requirements.
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This document describes an early clinical exposure (ECE) curriculum in Slovenia that aims to provide primary care experiences for medical students. The curriculum includes interviewing nursing home residents, observing general practitioner office visits, and assessments. Student feedback indicated that the ECE was important for personal and professional development and they appreciated learning communication skills and life experiences from elderly patients, though some students found interacting with residents too demanding initially. The curriculum was found to be educationally effective by teachers and feasible to implement, though subjective in practical assessments. Some dilemmas included students' inadequate communication skills and personal immaturity in some cases.Resident-as-Teacher Presentation
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- 2. ECE Headlines • All about listening – Yourself – Patient – Family • Calgary Cambridge – Interview Guide • Pendleton's Role – Feedback
- 3. ECE Headlines • Hand washing • Consent • Confidentiality • Empathy Vs sympathy • History taking • Closing the session
- 4. ECE Commitments • Twice Weekly –Sundays –Tuesdays –Attendance –Stamp & Signature
- 6. Tutorials • Power Point Presentation –Highlighting positive aspects –Not a formal lecture • Workshop –14 Groups –14 Tutors
- 7. ECE Topics • Introduction to communication • Learning with simulated patient • Practicing a whole encounter with a patient
- 8. ECE Topics • Listening to the patient • Simulated clinic • Introduction to physical examination
- 9. WORKSHOP
- 10. Site Visits • Hospital Visit –Hospital Tour –OPD Clinics • Primary Health Care (PHC) Visit –PHC Tour –PHC Clinics
- 11. Site Visits • Dress code • Internes / experienced nurses –Instruction for coordinators
- 12. Directions for Coordinators • Start the mission with greetings • Take the student to the academic affairs to get their IDs • Each group should start the tour with their supervisors • Respect the students and treat them politely • Try to explain as much as you can
- 13. Directions for Coordinators • Visit – (OPD, ED, Wards, Pharmacy, Laboratory, OR, Radiology, Administration, Library...........) • Remember, Students should not touch any patients or equipment • Control the group and don't disturb others • Avoid arguments with the students • Sign attendance sheet
- 14. Feedback • Constructive and challenging –Pendleton's Role • Fill in the portfolio
- 15. THANK YOU