Psychiatry 1655-Lek5PSYC-J

1. Workload associated with the direct participation of academic teachers: - lectures: 18h - seminars: 30h - tutorials: 42h - final credit: 4h Total workload involving the direct participation of academic teachers: 94h, which equals 3,76 of an ECTS point. 2. Total student workload: - lectures: 18h - seminaries: 30h - tutorials: 42h - preparation for tutorials (including reading of the selected literature): 10h - preparation for final credit and final credit: 6 + 4 = 10h Total student workload: 110 h, which equals 4,4 ECTS points. 3. Workload related to achievement of learning outcomes in medical simulation settings (group E): - tutorials: 4,5 h Total workload related to achievement of learning outcomes in medical simulation settings: 4,5 h, which equals 0,18 ECTS points. Percentage of classes required to achieve necessary learning outcomes: 5 % 4. Workload associated with the achievement of learning outcomes related to medical communication: - tutorials: 3h Total workload associated with achievement of learning outcomes related to medical communication: 3h, which equals 0,12 ECTS point.

W1: characterizes the psychosocial consequences of acute and chronic illness in children, including adolescents, and adults; (D.W8.) W2: describes the psychosocial consequences of children and adolescents hospitalization, and adults in emergency situations and chronic diseases (D.W9.) W3: describes psychosocial consequences of the disease for the patient's family (family with an ill child, including a teenager, an adult and an elderly person); (D.W10.) W4: describes the role of the patient's family in the disease process (diagnosis of the disease, adaptation to the disease, treatment) and ways of coping with difficult situations (progress of the disease, dying process, mourning); (D.W11.) W5: characterizes problematic use of psychoactive substances and addictions to them, as well as behavioral addictions, methods of conducting short interventions for people who use psychoactive substances with problems, mechanisms of addiction development and goals and methods of treating addicted people, as well as effective preventive strategies, psychosomatic disorders occurring in people who are in close relationships with an addicted person and methods of therapeutic treatment; (D.W12.) W6: describes the forms of violence, including domestic violence, the social determinants of various forms of violence and the role of the doctor in recognizing it, as well as the rules of conduct in the event of suspected violence, taking into account the "Blue Cards " procedure; (D.W13.) W7: discusses the issues of a maltreated and sexually abused child and the principles of intervention in case of such patients; (E.W4.) W8: discusses the issues of mental retardation, behavioral disorders, psychoses, addictions, autism spectrum disorders, eating and excretion disorders in children; (E.W5.) W9: presents the general symptomatology of mental disorders and the principles of their classification according to the main classification systems; (E.W17.) W10: describes environmental and epidemiological conditions, causes, symptoms, principles of diagnosis and therapeutic management of the most common psychiatric diseases and their complications: 1) schizophrenia; 2) affective disorders; 3) neurotic and adaptive disorders; 4) eating disorders; 5) substance use related disorders; 6) sleep disorders; 7) dementia; 8) personality disorders; (E.W18.) W11: discusses problems of suicidal behavior (E.W19.) W12: describes the specificity of mental disorders and their treatment in children, including adolescents, and elderly; (E.W20.) W13: characterizes the symptoms of mental disorders in the course of somatic diseases, their impact on the course of the underlying disease and prognosis, and the principles of their treatment; (E.W21.) W15: presents legal regulations on mental health protection, with particular emphasis on rules for admission to a psychiatric hospital; (E.W23.)

U1: can adapt verbal communication to the patient's needs, expressing themselves in an understandable way and avoiding medical jargon (D.U11) U2: recognizes and analyses difficult situations and challenges related to communication, including crying, strong emotions, anxiety, interruptions, embarrassing and sensitive issues, silence, withdrawal, aggressive and demanding behaviors, and is able to cope with them in a constructive manner; (D.U12.) U3: establishes contact with a patient and a person accompanying the patient in order to build a proper relationship (e.g. 4 Habits Model: Invest in the beginning, Demonstrate empathy, Elicit the patient's perspective, Invest in the end); (D.U13) U4: is able to look at the situation from the patient's perspective, building the appropriate context of the conversation and using the elicitation method, and then taking it into account in the construction of the verbal communication (D.U14). U5: conducts an interview with an adult, including an elderly person, using skills on the content, process and perception of communication, taking into account the biomedical perspective and the patient's perspective; (E.U1.) U6: conducts a psychiatric examination of the patient and assesses his or her mental state; (E.U7.) U7: recognizes symptoms of risky and harmful alcohol use and problematic use of other psychoactive substances, symptoms of substance dependence and addiction to psychoactive substances, and behavioral addictions. Proposes proper therapeutic and medical management; (E.U11.) U8: recognizes conditions requiring treatment in a hospital setting; (E.U12.) U9: fills in patient medical records, including electronic form, in accordance with the law; (E.U18.) U10: provides health services with the use of available ICT systems or communication systems used in health care (E.U20.) U11: conducts patients’ health education, including nutrition education tailored to individual needs; (E.U21.) U12: conduct an interview with the patient for the occurrence of suicidal thoughts, if justified; (E.U24.) U13: makes diagnostic and therapeutic decisions together with the patient (assess the degree of patient involvement, his needs and capabilities in this area, encourage the patient to take an active part in the decision-making process, discuss advantages, expected outcomes and consequences of the decision) and obtain informed consent from the patient; (E.U26.) U14: communicates with patients from groups at risk of economic or social exclusion, respecting their dignity; (E.U27.) U15: identifies social determinants of health, prevalence of anti-health and self-destructive behaviors and discuss them with the patient and takes notes in medical record; (E.U28.) U16: identifies possible indicators of violence, including domestic violence, take a medical history to verify whether there is a risk that the patient is experiencing violence, takes notes in the medical records and initiate the "Blue Card" procedure; (E.U29.) U17: applies the principles of feedback (constructive, non-judgmental, descriptive) as part of a teamwork; (E.U30.) U18: assumes, explains and analyses his/her own role and responsibilities in a team and recognize their role as a doctor in a team; (E.U31.) U19: obtain information from team members while respecting their diverse opinions and specialist competences and take this information into account in the patient's diagnostic and therapeutic plan; (E.U32.) U20: discusses the patient's situation in the team, excluding subjective assessments, respecting the patient's dignity; (E.U33.) U21: uses the following protocols (e.g. when handing over patient care, requesting or providing patient consultation): 1) ATMIST (A (Age), T (Time of injury), M (Mechanism of injury), I (Injury suspected), S (Symptoms/Signs), T (Treatment/Time); 2) RSVP/ISBAR (R (Reason), S (Patient Story), V (Vital signs), P (Plan)/I (Introduction), S (Situation), B (Background), A (Assessment), R (Recommendation)). (E.U34.)

K1: establishes and maintains a deep and respectful relationship with the patient, as well as shows understanding of philosophical and cultural differences (K_K01) K2: guided by the patient's well-being (K_K02) K3 remembers to respect medical confidentiality and patients' rights: (K_K03) K4: takes action towards the patient based on ethical principles, being aware of the social determinants and limitations resulting from the disease (K_K04) K5: recognizes his/her own limitations and self-assesses deficits and educational needs (K_K05) K6: promotes health-promoting behaviors (K_K06) K7: implements the principles of professional camaraderie and appropriate rules of cooperation in a team, including representatives of other medical professions, also in a multicultural environment (K_K09) K8: accepts the assumption of responsibility related to decisions made in the course of professional activity, including both own and others’ safety (K_K11)

Lectures: • informational lecture • educational discussion Seminars: • didactic discussion • analysis of case reports Tutorials: • development and improvement of practical skills • analysis of case reports • utilization of medical simulation methods • exposure methods: film

- informative (conventional) lecture

- observation
- seminar
- case study
- practical

compulsory course

Students attending a course in Psychiatry should be familiar with subjects covered as part of Preclinical Sciences (group C) and Clinical Sciences (group D), and have acquired communication skills through medical communication classes conducted in the 2nd year of studies.

Entry test for credit, 25 questions covering all topics presented in lectures. The minimum number of points required to pass is 15 (≥ 60%).

Lectures- written exam, graded (≥ 60%), W9-W11, W15; U12; K3-K4
Seminars- written exam, graded (≥ 60%), W1-W10, W12-W13; U16, U21; K5, K7
Tutorials: practical exam, graded (≥60%); W1-W5, W8-W10, W12-W13; U2-U11, U13-U15, U17-U20, K2, K6, K8
Prolonged observation (> 50%): K1 – K8

Detailed information is included in the Rules and Regulations for the subject.

Scoring system – the ability to establish contact with a patient with mental disorders and conducting an interview: 5 points; ability to make an initial diagnosis: 5 points; ability to plan diagnostic and therapeutic procedures: 5 points; total max. 15 points.

The final grade in Psychiatry is given as a cumulative grade that takes into account the number of points gained from the entrance test, the written exam from lectures and seminars, as well as the number of points from the practical exam. The total number of points obtained, max. 100 points is then converted to a grade according to the rules outlined in the University Regulations.

Additional information (registration calendar, class conductors, localization and schedules of classes), might be available in the USOSweb system:

• Description of 1655-Lek5PSYC-J in USOSweb