Thursday, April 23, 2015

Medical Electives in ‘Patient information communication management’


100% practical hands on learning which will be documented and stored in paper as well as archived online for formative assessment at the end of the course (also see section on 'assessment' and 'course-content' below and Telehealth center workflow plan)

Objectives of the Course:

Train course participants to effectively utilize Information and Communications Technologies ICT toward applying information driven clinical problem solving for improving patient health outcomes in the community.

Become efficient tele-health practitioners by collecting patient information through telephone and email and further processing of the data by gathering and adding evidence based solutions from medical consultants
using store and forward techniques with e-mail, phone as well as face to face meetings.

Become efficient health journalists by researching and writing up case studies around interesting clinical problems as well as write health reviews to spread health awareness in local languages.

Duration: Assessment driven

Assessment of Course participants:

A system of formative Assessment will evaluate student generated data/learning points arising from their experiences during the course of their online learning interactions with virtual patients and faculty.This means there will be multiple weekly assessments and validation/corrections of the candidate's learning through a dialogue between the facilitator and the student all of which will be recorded on the web site. At the end of the course all these formative assessment data shall be qualitatively
analyzed for an overall assessment. There will be no formal exam/summative assessment at any point of the course

Course Content and learning outcomes:

At the end of the course students will be able to obtain

1. An overview of clinical problem solving
(The student will learn to prepare a patient problem list, identify an anatomical and
etiological diagnosis and as one of the stakeholders in the patient’s care facilitate a
positive relationship between the patient and his/her primary-secondary-tertiary health
professionals through efficient and optimal knowledge sharing between all these

2. Master Clinical history taking and examination

(The student will learn to assist and facilitate the process of examining the patient’s
narrative and other information obtained through physical examination with and
without the help of modern technological tools such as radiological imaging and
laboratory parameters reflecting the patient’s internal chemistry)

3. Master the Essentials of anatomy, radiology, physiology and biochemistry
(This is necessary to reach an anatomical, functional and molecular diagnosis for a
given clinical problem at hand. Students will be taught to discover these essentials
while practicing online clinical problem solving beginning with the case at hand and
traveling right down to basic anatomy, physiology and biochemistry in context of case-based
information collected from clinical, radiological and laboratory data.)

Students will learn an approach to solve problems around diseases of:

Ø Cardiovascular system (Cardiology)
Ø Respiratory system (Pulmonology)
Ø Renal and genitourinary system (Nephrology, Urology)
Ø Hematological system (Hematology, Immunology)
Ø Nervous system (Neurology)
Ø Gastrointestinal system (Gastroenterolgy)
Ø Reproductive system (Men’s and Women’s health)
Ø Skin and Integumentary system
Ø Cognitive system (Psychology, Psychiatry)
Musculoskeletal system (Rheumatology, Orthopedics)
4. Master Essentials of pathology and microbiology
(Necessary to reach an etiological diagnosis and students will be taught to discover these in
the context of solving their patient’s problems)
5. Master Essentials of Pharmacology, EBM and Net-searching
(Necessary to formulate a solution and treatment plan and students will be taught to discover these in the context of solving their patient’s problems)

Course Faculty: Will comprise of Medical Consultants and Professors

Onsite: 9-4 PM and virtual 24x7

 Project Goal: Finding the best way to train a Community health worker well equipped to handle a variety of patient requirements

Eligibility criteria for project participation: Dreams Big (beyond the Nobel), Good computer and language skills (lives online 24X7 and has own portable device and data card connection), Entrepreneurial mindset


The answer comes from a parable that's very common in the public health community. This is a parable of three friends. Imagine that you're one of these three friends who come to a river. It's a beautiful scene, but it's shattered by the cries of a child, and actually several children, in need of rescue in the water. So you do hopefully what everybody would do. You jump right in along with your friends. The first friend says, I'm going to rescue those who are about to drown, those at most risk of falling over the waterfall. The second friend says, I'm going to build a raft. I'm going to make sure that fewer people need to end up at the waterfall's edge. Let's usher more people to safety by building this raft, coordinating those branches together. Over time, they're successful, but not really, as much as they want to be. More people slip through, and they finally look up and they see that their third friend is nowhere to be seen. They finally spot her. She's in the water. She's swimming away from them upstream, rescuing children as she goes, and they shout to her, "Where are you going? There are children here to save." And she says back, "I'm going to find out who or what is throwing these children in the water." From Rishi Manchanda’s TED talk:

An ideal community health worker may need all the three attributes described in the parable above?
Current day modern medicine and all our medical education is mostly Hospital Based and focused on Rescue and this is one of the characteristics we can expect in most of our community health workers but again training them to the desired levels can be challenging though not impossible especially with the help of technology one can see this being ushered in through 'home-healthcare?

Rescuer Attributes/Myer’s Brigg’s Typologies: Sensory reflexes, Feeling

Raft building in healthcare has been delegated to administrators, policy makers and politicians but raft building needs to begin in the community and the CHW is well positioned to initiate it again with the help of technology that has the power to connect him/her with decision makers?

Raft Builder Attributes/Myer’s Brigg’s Typologies: Extroverted, Sensory, Thinker, and Judgmental.

Upstream swimmers in Healthcare are very few and are generally thought to be taken up by people labelled health activists but this is a role often left to patient’s relatives or even patients themselves. The role of a CHW here is perhaps paramount?

Upstream swimmers Attributes/Myer’s Brigg’s Typologies: Intuition, Thinking, Feeling, Perception

I have used Myer Brigg's typologies and anyone wishing to figure out their own typology can just click on this link: 

There are 72 yes/no questions but once you answer them it may be fun to diagnose your own typology and see what kind of community health work you are suited for?

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