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Syllabus - CONVERSATIONAL ENGLISH COURSE.docx
Attention -->Topics for Presentation -- If you have a topic or idea that you would like to present, then please advise me. Otherwise I have provided a list of ideas. CONVERSATIONAL PRESENTATION TOPICS.docx
Medical Conversation Topics - Medical Conversation.docx
Week One -
Class One - Orientation/Introductions, Discussion Topic- "The Use of Antibiotics in Animal Feed and the Development of Anti-Microbial Resistance"
https://www.youtube.com/watch?v=dkHL7g3KxVQ&spfreload=10
https://www.youtube.com/watch?v=iLhSk_0tWJ4
https://www.youtube.com/watch?v=mGpFANXkpXI
New England Journal article (March 2014) on Methicillin-resistant Staphylococcus aureus staphaureusresistance.pdf
Bacterial Strategies-
Class Two - "Genetically Modified Foods"
https://www.youtube.com/watch?v=AozZvqERv9M
Article on the suspected connections between the development of GMO crops and the use of pesticides. https://www.theguardian.com/us-news/2015/aug/23/hawaii-birth-defects-pesticides-gmo
Scientific American article on GMO https://www.scientificamerican.com/article/the-truth-about-genetically-modified-food/
Pros
1. Lowers the cost of food
2. Health risks are theoretical
3. Increased farmer safety
4. Allows for crops to grow in dry climates, high/low temperatures, tolerate insects, diseases, herbicides
Cons
1. Safety
2. Use of viral probes to insert DNA
3. Possibility of altered genes inserting into the human genome
4. Long term health problems can be subtle and nearly impossible to link -- Alzheimer's Disease, cancers, autoimmune diseases
We will discuss the pros and cons in regards to the use of GMO plants and animals in our food system.
Genetically Modified Food.docx
Class Three - "Delivering Bad News to Patients"
" any news that drastically and negatively alters the patient's view of his or her future"
Medical Conditions: examples: cancers/leukemia's, HIV, Hepatitis C, Hepatitis B, autoimmune disease (Rheumatoid, SLE, ankylosing spondylitis, etc)childhood diagnoses (cancers, sickle cell, metabolic diseases, Type I diabetes, thalassemia, etc), adult diagnosis (diabetes, heart disease, multiple sclerosis), in-utero diagnoses
https://www.youtube.com/watch?v=jaB9M8B_Tuw Brigham Hospital Boston
https://www.youtube.com/watch?v=N4objV7cLYg Mt. Sinai ICU
https://www.youtube.com/watch?v=LA5YtZm0Pkk USMLE melanoma
https://www.youtube.com/watch?v=KBrmMW9c8_g
The Situation Involves ---
1. Communication Complexity
2. Emotional Intensity
The Tools Needed ---
1. Professionalism
2. Communication Skills
January 2016 article from Baylor University " Delivering Bad News to Patients" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677873/
Methods:
1. SPIKES
http://theoncologist.alphamedpress.org/content/5/4/302.long
https://www.youtube.com/watch?v=Kh67JV3W0Zk
2. ABCDE --- from American Family Physician Journal
http://www.aafp.org/afp/2001/1215/p1975.html
Fundamental Communication Skills http://vitaltalk.org/sites/default/files/Oncotalk_Fundamental_Skills.pdf
Let's Talk http://vitaltalk.org/
Class Four - The Use of Glyphosate in Farming
What is Glyphosate?
Toxicology ---> The study of the safety and biological effects of drugs, chemicals, agents, and other substances on living organisms. It includes:
Investigations to study the relationship between the dose and effect.
Dosing regimens.
Routes of exposure.
Age, gender, environment
Involves collaboration between chemistry, biology, pharmacology, human and animal medicine, and environmental science.
Glyphosate in the EU debate - https://www.youtube.com/watch?v=NBapbs5-7b8
in Hungary ELISA study - http://bdarvas.hu/download/pdf/Mortletal.pdf
http://www.gmoseralini.org/wp-content/uploads/2013/01/Gasnieral.TOX_2009.pdf
http://articles.mercola.com/sites/articles/archive/2013/07/30/glyphosate-toxicity.aspx
Extra interest -- How to be a Medical Toxicologist https://www.youtube.com/watch?v=Uxo-O4Few2A
Class Five - Being a History Major
Bedside Presentation by a medical student https://www.youtube.com/watch?v=nOewqkejNXc
Bedside presentation - https://www.youtube.com/watch?v=allPEamRsok
Getting the Facts -- Interviewing the Patient (inpatient vs outpatient)
Not all these categories are used all the time, situation specific, old vs. new patient
Quick Assessment in an Emergency Situation---> Mnemonic SAMPLE (Signs/Symptoms, Allergies, Medications, Past Medical/Surgical History, Last Meal, Events preceding Arrival)
1. Allergies - medication, food, environmental
2. Medications - prescription, over-the-counter (OTC), supplements/vitamins, home remedies
3. Past Medical History - medical, childhood
4. Past Surgical History - to include dental, eyes
5. Social History - alcohol, illicit drugs, work history, military
6. Family History - maternal/paternal, siblings
7. GYN/OB History - GP, LMP, menstrual history
8. Travel History - as needed
9. Review of Systems - ROS
Class Six - Medical Marijuana in the United States
https://www.youtube.com/watch?v=WJhELv4Ayt4
https://www.youtube.com/watch?v=YM5eX1qcPJ8
https://www.youtube.com/watch?v=QkSnuUu4cY8
https://www.youtube.com/watch?v=SSLfOrQWT9Q
List of Treatable Conditions: (in Arizona)
1. Chronic Pain
2. Glaucoma
3. Amyotrophic Lateral Sclerosis (ALS)
4. Post Traumatic Stress Disorder
5. Cachexia
6. Cancer
7. HIV positive
8. AIDS
9. Hepatitis C
10. Crohn's Disease
11. Agitation associated with Alzheimer's
12. Severe nausea associated any of the above conditions
13. Seizures
14. Muscle spasms
How it Works in Arizona http://azmedicalmarijuanacard.com/how-it-works.html
https://medicalmarijuana.azdhs.gov/
Class Seven - Giving Report to Other Providers
Mass Casualty Triage - https://chemm.nlm.nih.gov/startadult.htm
US Army Triage Doctrine - http://www.cs.amedd.army.mil/FileDownloadpublic.aspx?docid=68aca9a0-9cd7-4d8f-a17f-a4c01264daef
Classs Eight - Presenting Patients
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