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
Pathological anatomy : 7h Pr
Administrative and organisational aspects of medicine (part of the course given within the Supplementary Teaching Certificate specific to General Medicine). : 10h Th
Number of credits
| Master in medicine (240 ECTS) | 20 crédits |
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
Pathological anatomy : Philippe Delvenne
Administrative and organisational aspects of medicine (part of the course given within the Supplementary Teaching Certificate specific to General Medicine). : Jean Luc Belche, Philippe Burette, Didier Giet, Christian Montrieux, N..., Marc Vanmeerbeek
Coordinator
Language(s) of instruction
French language
Organisation and examination
All year long
Units courses prerequisite and corequisite
Prerequisite or corequisite units are presented within each program
Learning unit contents
Palliative and end of life medicine
· 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<br /><br /> 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.
Learning outcomes of the learning unit
Palliative and end of life medicine
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<br /><br /> The learning outcomes are: "To possess ethical and deontological bases, allowing to develop a humanist reasoning in front of social problems met commonly in health care practice".
Prerequisite knowledge and skills
Palliative and end of life medicine
There is no prerequisited and no corequired
Planned learning activities and teaching methods
Palliative and end of life medicine
The planned activities of learning will be: "Oral lessons and interaction with representatives of the civil society, recognized for their expertise in the concerned problem"
Mode of delivery (face-to-face ; distance-learning)
Palliative and end of life medicine
The teaching will be face-to-face
Recommended or required readings
Palliative and end of life medicine
There is neither recommended or compulsory reading nor notes
Assessment methods and criteria
Palliative and end of life medicine
A score of 6 points (out of 20) will be given for each lessons (5 sessions), but only the presence at 3 sessions of your choice is required to obtain the maximum score. 2 additional points will be given to students who will have attended the 3 lessons.
For the second exam session, the student will have to realize a personal work of 15-20 pages, on 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's secretary (Unity of Public Health - Bât. B23 - niveau 0 - porte 0/7).
Work placement(s)
Palliative and end of life medicine
There is no training course to be considered
Organizational remarks
Palliative and end of life medicine
At each of the lessons, attendance will be electronically recorded. It is the student's responsibility to ensure that his/her registration has correctly been recorded
Contacts
Palliative and end of life medicine
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<br /><br /> Jean-Yves REGINSTER, Professor Service of Public Health, Epidemiology and Health Economics DSSP CHU SART TILMAN Bât. B23 Tel. 04/366.29.26 - Fax : 04/366.25.96 - Email: episp@ulg.ac.be - Secretary : Vanessa STRAUVEN