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| Version 2013-2014 |
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| MEDE1163-1 | Incorporation of competences
- Workshop of complex problem solving
- Ambulatory medicine
- Palliative and End of Life Medicine
- Critical Analysis of Alternative Practices
- Bioethics and societal medicine: Part I
- Pathological anatomy
- Therapy
- Integrated clinics (13h Surgery, 14h Medical, 11h Paediatrics, 7h Obstetrics and Gynecology, 7h ambulatory medicine, 11h pathology)
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| Duration : | Workshop of complex problem solving : 48h LBOPS
Ambulatory medicine : 4h Pr
Palliative and End of Life Medicine : 10h Th
Critical Analysis of Alternative Practices : 10h Th
Bioethics and societal medicine: Part I : 10h Th
Pathological anatomy : 7h Pr
Therapy : 60h Th
Integrated clinics (13h Surgery, 14h Medical, 11h Paediatrics, 7h Obstetrics and Gynecology, 7h ambulatory medicine, 11h pathology) : 63h Pr
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| Number of credits : |
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| Lecturer : | Workshop of complex problem solving : Didier Giet
Ambulatory medicine : Didier Giet
Palliative and End of Life Medicine : Jean-François Brichant, Marie-Elisabeth Faymonville, Didier Giet, Guy Jerusalem
Critical Analysis of Alternative Practices : Marie-Elisabeth Faymonville, André Scheen
Bioethics and societal medicine: Part I : Philippe Boxho, Jean-Yves Reginster
Pathological anatomy : Philippe Delvenne
Therapy : Collégialité
Integrated clinics (13h Surgery, 14h Medical, 11h Paediatrics, 7h Obstetrics and Gynecology, 7h ambulatory medicine, 11h pathology) : Collégialité
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| Coordinator : | André Scheen |
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Language(s) of instruction :
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| French language |
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Course contents :
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 | | Palliative and End of Life Medicine |
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| · Overview of potential paths to care and their goals
· The ethics of communication in cancer and palliative care
· Communication skills for oncology and palliative care
· Breaking bad news
· Communication to achieve shared treatment decisions and how to respond to difficult emotions and difficult questions
· Information about the wide spectrum of unique patient family responses to a potentially fatal illness
· Pathophysiology of cachexia - asthenia - cough - nausea - vomiting - cognitive problems - cancer pain
· Description of possible causes, treatment options for symptoms relief and management of side effects
· Prevention of symptoms
· When and to whom and for what kind of problem can we propose radiotherapy
· Role of psychologist in Oncology - Palliative care
· Global pain and its approach : correct diagnosis - clinical observations
· Cancer pain management pharmacological approach - opioids - non opioids - neuropathic pain management
· How to initiate a therapy, opioid rotation, side effects and their treatment, concept of tolerance - dependence
· Alternative routes of administration to control complex pain syndrome
· Development of palliative care and legalisation of euthanasia
· Control of end life stressful situation with palliative sedation
· Anticipating demand of euthanasia and ethical questioning about euthanasia in patients with altered consciousness
· Death - the dying process and notion about how to support bereaved
· Stress and burnout in palliative caregivers |
| | Bioethics and societal medicine: Part I |
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| The student will integrate the basic and advanced concepts leading to the optimization of his/her interaction with health professionals and patients. He/she will integrate the ethical dimensions helping him/her to better take into account the global societal challenges that will help to improve his/her diagnostic and therapeutic armamentarium. Participative and proactive interaction would be considered as the basis of the course. |
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Learning outcomes of the course :
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| | Palliative and End of Life Medicine |
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| This course will give skills to :
· Enable each student to demonstrate stratagems for resolving ethical issues about palliative rather than life prolonging treatment
· Demonstrate techniques for communicating distressing information to patients and families
· Provide understandable information and convey hope by emphasizing what can be done
· Welcome questions, listen to and interpret with concern
· Use techniques to ensure that you are hearing the patient's and family's primary areas of concern in order to assist them with appropriate decision-making
· Learn about interdisciplinary approach and global care of patient
· Identify correctable causes of dyspnae - vomiting - caught - constipation - cognitive impairment
· Develop skills in using pharmacological and non pharmacological approaches to manage undesirable symptoms line cachexia - asthenia - constipation - dehydration - vomiting
· Apply pharmacological treatment and the impact of their therapy on the patient's symptoms
· Utilize the concepts of tolerance - physical dependence in pain management
· Adopt a perspective on the limitation of treatments (chemotherapy - enteral - parenteral nutrition)
· Do a functional assessment of dying patient at home
· Set up an appropriate medication calendar
· Assess emotional status and appropriately support patient and other caregiver
· Assess family functioning to intervene as necessary
· Use resources available for home care
· Give information to the patients - families about euthanasia, anticipated demand of euthanasia and provide ethic questioning when families were confronted with patients in altered states of consciousness
· When and how to use sedation with dying people to control complex symptoms |
| | Bioethics and societal medicine: Part I |
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| The experiences of the learning have to be: "Arrange ethical and ethical bases, allowing to develop a humanist reasoning in front of social problems met in a common way in the practice of health care" |
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Prerequisites and co-requisites/ Recommended optional programme components :
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| | Bioethics and societal medicine: Part I |
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| There is no prerequisited and no corequired |
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Planned learning activities and teaching methods :
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| | Bioethics and societal medicine: Part I |
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| The planned activities of learning will be: " Courts oral and interaction with representatives of the civil society, recognized for their expertise in the concerned problem " |
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Mode of delivery (face-to-face ; distance-learning) :
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| | Bioethics and societal medicine: Part I |
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| The mode of education will be face-to-face |
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Recommended or required readings :
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| | Bioethics and societal medicine: Part I |
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| There is neither recommended or compulsory reading nor notes |
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Assessment methods and criteria :
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| | Bioethics and societal medicine: Part I |
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| A note of 6 points on 20 will be granted for every presence to three lessons
A note of 2 points will be reserved for the teacher's assessment or the teachers according to the participative approach of the students
For the second session, the student will have to realize a personal work of 25 pages, in one of the themes which will have been approached, during the teaching of the concerned academic year. The work must be put back in duplicate before August 15th, on one hand to Professor Boxho and on the other hand, to Professor Reginster |
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Work placement(s) :
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| | Bioethics and societal medicine: Part I |
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| There is no training course to be considered |
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Organizational remarks :
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| | Bioethics and societal medicine: Part I |
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| /// |
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Contacts :
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| | Palliative and End of Life Medicine |
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| Valérie MASSART
Département de Médecine Générale
www.dumg.be
Faculté de Médecine - Université de Liège
Avenue de l'Hôpital, 1 CHU B23
4000 Liège - Sart-Tilman
Tél : +32 4 366 42 78
Fax : +32 4 366 42 77
V.Massart@chu.ulg.ac.be |
| | Bioethics and societal medicine: Part I |
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| Jean-Yves REGINSTER, Professeur
Service de Santé Publique, d'Epidémiologie de la Santé
DSSP
CHU SART TILMAN
Bât. B23
Tél. 04/366.25.01 - Fax : 04/366.28.12 - Email: episp@ulg.ac.be -
Secrétaire : Françoise DAOUD |
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