Medical Student

UpToDate

UpToDate is an electronic learning tool that provides current, authoritative, and clinically focused information available on 10,000+ topics covering 22+ medical specialties. We integrate the best evidence with clinical experience to produce practical and detailed topics to answer physicians’ questions…

DocCom Module 41: Professionalism: Boundary Issues

Mutual caring between clinician and patient only thrives within the mutually understood boundaries of a professional relationship. Occasionally, unexamined feelings or misinterpreted communications by patient or clinician lead to incursions beyond those boundaries, and such incursions always threaten the relationship….

DocCom Module 39: Talking with Impaired Physicians

Clinician rates of impairment from substance abuse and from psychiatric and physical disability are at least as high as the general population. As a clinician, you owe allegiance to both your colleagues and to a professional standard of ethics and…

DocCom Module 36: Ending Clinician-Patient Relationships

In this module, we explore typical reactions to disruptions, terminations and transfers of care as well as communication strategies that have proven effective in managing such separations. Diplomate Engagement Self-assessment questions tailored to each specific module topic are required upon…

DocCom Module 35: Dialog about Unwanted Outcomes

Unexpected death, any major complication or any error produces very strong emotions high reactivity. Clinicians need support setting up and conducting conversations about tragic outcomes. In conversations regarding “major” complications or clear errors, emotions and disappointment are stronger, particularly the…

DocCom Module 34: Communication near the End of Life

Communicating news about a diagnosis of life-threatening illness, discussing prognosis, eliciting patients’ goals, translating goals into interventions, providing psychosocial support and saying goodbye are critically important interventions for all clinicians. Often, specialists such as oncologists, cardiologists, pulmonologists, and others provide…

DocCom Module 33: Giving Bad News

This module describes a six step process for giving bad news and discusses special circumstances that commonly arise in the communication of bad news. These circumstances include discussing prognosis, discussing conflict between what the provider and the family think the…

DocCom Module 32: Advance Directives

This module describes advance care planning (ACP) concepts and skills to encourage you to enter into ACP conversations. Conversations could be during a time of health in the office setting or during the end-of-life in the hospital setting. Diplomate Engagement…