Communication/EBM: Communicating Prognosis
Activity
PC Session
PC Session
Physicians tend to focus on diagnosis and treatment, while patients care about etiology - "why did this happen to me?" and prognosis - "what will this mean for me?" The evidence around diagnosis and treatment is clearer to collect, evaluate and summarize; gathering the evidence around prognosis, and translating it to apply and communicate it to a particular patient is much trickier. We hope this session will help you to: Answer patients' questions about "What does this mean to me?" (prognosis); Realize that even with evidence there is uncertainty but that information still needs to be communicated; Understand that physicians play a supportive role in interpreting test results, planning the future and monitoring symptoms.
Curriculum Block
Part 3 / Professional Competencies 3 / Week 4
- Indicates most relevant
Objectives
Activity Objectives
- Summarize the evidence in order to answer patients' questions about "What does this mean to me?" (prognosis).
- Recognize that even with evidence there is uncertainty.
- Practice applying a framework for decision-making when ethical issues are at play.
- Understand that physicians have a supportive role for patients when interpreting test results, communicating results and planning the future
General Objectives
- Demonstrate active planning for the pursuit of knowledge and lifelong learning to maintain competency.
- Demonstrate how to engage in shared decision-making with a patient, group, community, or population.
Assessments
PC Interim Student Assessment
PC Integrative Exercise
Tags
Basic Sciences
Ethics
Prognosis
CanMEDS Roles
Communicator
Professional
Scholar
Curriculum Block
Part 3
Professional Competencies 3
Week 4
Curriculum Week
Part 3
Week 4
MCC Presentations
Assessing and Measuring Health Status at the Population Level
McMaster Professional Competency
Effective Communication
Medical Decision Making
Moral Reasoning and Ethical Judgement
McMaster Program Competencies
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.
2.6 Understand the process of the dissemination, application, and translation of new health knowledges and practices.
3.6 Locate, appraise, and incorporate evidence from research related to patients’ health problems and the provision of healthcare
3.7 Use information technology and information systems to optimize patient care
3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
5.2 Demonstrate compassion, integrity, and respect for others
5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations
8.5 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty
MeSH
Evidence-Based Medicine [H02.249.750]
Prognosis [E01.789]
Professional Competency
Yes