August-December 2005
Marty Adams, Ph.D. madams7417@aol.com
D’ana Snow, Ph.D. dannasnow@aol.com
Phone: 434-3486
This course provides an overview of the psychological/behavioral components of health and illness. The focus is on the theoretical and practical bases for understanding the complexities of relationships between doctor, patients, their families, their environment and their health issues. The course will highlight ways in which the doctor-patient relationship is at the core of medical care and is significantly impacted by the background, history, and current status of the patient and the self-awareness, attitudes and professionalism of the physician. It will examine the ways in which developmental stages can be used to understand the dynamics of a patient whether in childhood, adolescence, or aging. It will address various mental disorders that present to the physician for diagnosis and treatment. The course will explore common psychosocial problems that cross the lines of specialties, such as substance abuse, domestic violence, child abuse, and psychological trauma.
Upon completing the course the student will have:
A variety of instructional methods will be used including lecture, small group exercises, videos, case studies, problem-solving simulations, and multiple choice testing. Many class sessions will be based on a case that is appropriate for the topic. There will be extensive use of resources from the community, from the Department of Family Practice and Community Medicine, and from the College of Medicine at large.
Your grade is based upon class participation as well as on exam scores. There will be two multiple-choice tests during the course. These tests will include material from lectures, small group work and reading assignments. Credit will be weighted as follows: Class participation, 20%; Each of two tests, 20%; Final examination, 40%. You must be in class 80% of the time (twelve sessions) to receive full credit for participation.
Martha S. Adams, Ph.D. and Diana D. Snow, Ph.D., Behavioral Science Faculty in the Department of Family Medicine, will direct and coordinate this course. They will participate in each session in addition to the resource speakers. They will be available at the front of the auditorium after each class. At other times you can reach them by e-mail or by contacting Alicia Camp at the Department of Family Practice. Alicia’s number is 434-3486.
You will be asked to fill out course evaluations before each of the two tests and before the final exam. We are always open to feedback.
Human Behavior: An Introduction for Medical Students, 3 rd Ed. Stoudemire. Lippincott, Williams & Wilkins.
Resource: Diagnostic and Statistical Manual of Mental Disorders, 4 th Ed. (DSM-IV)
Optional: Behavioral Medicine in Primary Care, Second Edition. Feldmann and Christensen.
Board Review Series, Behavioral Science or High Yield Behavioral Science. Fadem.
Psychiatry Essentials: A Systematic Review. Kolevzon and Simeon.
To understand the course requirements and the grading policy.
To explain the biopsychosocial model of patient care.
To identify factors which influence the success of the
physician-patient relationship.
Speakers: Dr. Adams and Dr. Snow
Reading: TEXT: Chapter 1, pgs3-17, and Chapter 2.
To understand the nature of professionalism for the physician.
To develop techniques for presenting unexpected or unwanted information
To identify strategies for managing difficult encounters with patients.
Speakers: Dr. Adams and Dr. Snow
Reading: TEXT: Chapter 1, pgs 17-33.
To define ways in which the family system influences health and
illness behavior
To identify challenges inherent in cross-cultural communication
To understand the importance of cultural influences on health
Speakers: Dr. Adams and Dr. Snow
Reading: TEXT: Chapters 4, 9, and 10, pgs 340-368.
To identify physician behaviors which maximize patient cooperation
To understand how to be effective in helping patients change their
behavior.
Speaker: Allen Perkins, M.D., Department of Family Medicine
To identify normal developmental milestones as well as common
deviations
To name key concepts presented by the major child development
theorists
To discuss diagnosis and treatment of ADHD
Speaker: Franklin Trimm, M.D., Department of Pediatrics
Reading: TEXT: Chapter 8, pgs 261-298.
To understand appropriate strategies for managing patients with chronic
disease
To recognize some common sexual health issues in adults.
Speaker: Ehab Molokhia, M.D., Department of Family Medicine
Reading: TEXT:Chapters 4 and 7.
To recognize the major developmental tasks of adolescence
To develop appropriate strategies for establishing rapport with these
adolescent patients and for confronting behavioral problems Speaker: Shannon Morgan, M.D., Department of Family Medicine
Reading: TEXT: Chapters 7 and 8, pgs 296-314.
To identify the unique problems and psychosocial issues which
influence the older patient
To explore some ways the physician can address these needs
Speaker: Thomi Sharpe, M.D., USA Student Health
Reading: TEXT: Chapter 10, pgs. 368-381.
To examine ways in which stressful life events are related to
health/illness.
To understand how some coping strategies affect susceptibility
to illness.
To learn effective ways of managing stress.
Speakers: Dr. Adams and Dr. Snow
Reading: TEXT: Chapter 3.
To understand the structure of the diagnostic system for mental
disorders
To recognize and differentiate among common anxiety disorders
and to identify some appropriate treatment strategies
Speakers: Dr. Adams and Dr. Snow
Reading: Reference: DSM-IV, Handouts, Psychiatry Essentials
To identify the characteristics of psychosis
To understand the symptoms of schizophrenia and mood disorders
To differentiate between thought disorders and mood disorders
Speaker: TBA Reading: Reference: DSM-IV, Handouts, Psychiatry Essentials
To understand the system of classifying common personality disorders
To differentiate among these disorders regarding diagnosis and
management
Speakers: TBA
Reading: Reference: DSM-IV, Handouts, Psychiatry Essentials
To understand the dynamics of sleep disorders, both physical and
psychological.
Speakers: Larry Henderson, M.D. USA Dept. of Family Medicine
Reading: TEXT: Chapter 12, pgs 464-469
To identify the characteristics of somatoform disorders, adjustment
disorders, and eating disorders
Speaker: Dr. Adams and Dr. Snow
Reference: DSM-IV, Handouts, Psychiatry Essentials
To survey some well-known theories of behavior.
To understand the application of these theories to the practice
of medicine.
Speakers: Dr. Adams and Dr. Snow
Reading: TEXT: Chapters 5 and 6.
To recognize signs of different kinds of child abuse
To understand the role of the physician in situations of child abuse
Speaker: Shannon Morgan, M.D. Department of Family Medicine
Reading: TEXT: Chapter 11
To discuss the physiological, psychological, and social factors related to
addictions.
To define alcohol abuse and alcohol dependence.
To learn a model for assessing a patient’s readiness to change.
Speakers: Thomi Sharpe, M.D. USA Student Health
To discuss the dynamics of domestic violence.
To recognize the signs and symptoms which might be seen in patients.
To develop intervention and referral strategies.
Speakers: TBA
Reading: TEXT: Chapter 12, pgs 459-464
Reading: TEXT: Chapter 12pgs 403-459.