CLINICAL PRACTICE AND COMMUNICATION

SHE Level 2
SCQF Credit Points 10.00
ECTS Credit Points 5.00
Module Code M2B525793
Module Leader Gael Gordon
School School of Health and Life Sciences
Subject Vision Sciences
Trimester
  • B (January start)

Pre-Requisite Knowledge

SCQF Level 7 Module in Ophthalmic Materials; SCQF Level 7 Module in Refraction & Binocular Vision 1

Summary of Content

This module reinforces the application of the principles of optometry and ophthalmic dispensing together with the development of awareness of the patient-practitioner relationship and clinical decision-making skills required for appropriate patient care and management. The structure of the optometric consultation is developed as the framework within which the practical examination skills learnt in other modules are utilised.

Syllabus

Patient-Practitioner Interaction Problems with communication in Healthcare Health beliefs and managing expectation Verbal and Non Verbal Communication Initiating the session Gathering information Explaining and Planning Communicating risk Closing the Session Consideration of Specific Patient groups Infants and Children Elderly patients Patients with disabilities (learning disabilities, communication impairments, hearing impairments, hearing impairment, dementia, stroke and head injury) Cultural competence Clinical Reasoning and Clinical Decision Making Models of Clinical Reasoning processes Diagnosis and disease Sensitivity and specificity Prevelence and incidence Bayesian analysis Optometric Consultation Structure of the optometric consultation: developing the routine Real World Dispensing Applied aspects of Dispensing Revision of frame selection and suitability based on ophthalmic and cosmetic constraints Essential measurements for odering: Facial, frame, lens Frame Alignment and Adjustment Lens selection and criteria Form filling/spectacle ordering Ordering and verification procedures: lens and frame measurement Clinical problem solving and grief cases

Learning Outcomes

On successful completion of this module the student should be able to have:-1. A thorough knowledge of symptomatology and its evaluation in an eye examination2.The ability to generate, and pursue to a logical conclusion, a clinical hypothesis based on smyptomatology and optometric analysis3. A thorough understanding of the theoretical concepts relating to communication and interactive skills and an ability to apply that knowledge in attending to patients in clinical situations4. the basic structural components of good patient-practitioner communication, terminology, the process of a conversation, history taking, understanding the patient's viewpoint and closing a consultation5. A detailed understanding of clinical reasoning and decision-making in evidence based practice6.A knowledge of essential dispensing measurements and ophthalmic material properties and an ability to apply such knowledge in the dispensing of spectacles to patients7. An awareness of the integration of theoretical and practical work

Teaching / Learning Strategy

This module comprises a programme of lectures, seminars, practical laboratories and situational roleplays. During laboratory sessions, students will practice the skills required to successfully dispense optical appliances. The use of roleplay to simulate the clinical environment and in evaluating patients' visual problems and requirements, will provide students with an opportunity to progress their clinical decision making and communication skills. Students will be supported to adopt a reflective approach to clinical interaction and problem solving, encouraging a holistic approach to analysis and resolution of the patients' complaints and in the development of the appropriate treatment. Students will shadow final year students in an optometry and dispensing clinic.

Indicative Reading

Brooks, C F, Borish, I M (2007) System for Ophthalmic Dispensing, 3rd ed. Butterworth-Heinemann Cubbidge R (2010 et seq) Ophthalmic Lens Data, S C Hardy & Co Drew R (1990) Ophthalmic Dispensing, Butterworth Elliot D B (2007) Clinical procedures in primary eye care, 3rd ed. Butterworth-Heinemann Ettinger, E R & Rouse, M W (1977) Clinical Decision Making in Optometry. Butterworth-Heinemann Gigerenzer, G (2002). Reckoning with Risk. Penguin Jalie M (1998-2009) Ophthalmic Lenses and Dispensing, All Editions, Butterworth-Heinemann Leat, S J, Shute R H & Westall C A (1999). Assessing children's vision: a handbook. Butterworth-Heinemann Rabbett R (2007) Bennett and Rabett's Clinical Visual Optics, 4th ed., Butterworth-Heinemann Rosenfield M, Logan N (2009) Optometry: Science, Techniques and Clinical Management, 2nd ed. Butterworth-Heinemann Silverman, J, Kurtz S, Draper J (2005) Skills for Communicating with Patients, Radcliffe Publishing Walsh G (2013 et seq). spectacles, GCU (posted on GCULearn) Zadnik K. (1996). The Ocular Examination. W B Saunders Company

Transferrable Skills

Social, verbal and non-verbal communication skills and interview techniques Advanced level clinical interactive communication Higher order skills in information transfer, liaison, debate, analysis, evaluation and decision-making Ability to critically appraise clinical research to underpin an evidence-based clinical approach Critical interpretation of symptomatology, diagnostic and referral criteria

Module Structure

Activity Total Hours
Independent Learning (FT) 55.00
Lectures (FT) 16.00
Assessment (FT) 5.00
Practicals (FT) 24.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 02 1.00 25.00 35% Class Test
Course Work 01 n/a 50.00 35% 2 OSCEs
Course Work 03 n/a 25.00 35% Group Project