1 / 11

Health disparities Caring for vulnerable groups Personcentredness Reflection on your self

Health disparities Caring for vulnerable groups Personcentredness Reflection on your self Minor 2018. Prof. Dr. Maria van den Muijsenbergh, GP / streetdoctor. Causes of health disparities. Air pollution Unhealthy work Poverty Loneliness Violence Social exclusion Chronic stress

pereiraa
Télécharger la présentation

Health disparities Caring for vulnerable groups Personcentredness Reflection on your self

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Health disparities Caring for vulnerable groups Personcentredness Reflection on your self Minor 2018 Prof. Dr. Maria van den Muijsenbergh, GP / streetdoctor

  2. Causes of health disparities • Air pollution • Unhealthywork • Poverty • Loneliness • Violence • Socialexclusion • Chronic stress • Low selfesteem Marc Chagall loniless

  3. Person centred care Example of the man with tennis elbow to illustrate the difference between protocol right care and person centred good care – need for broad bio – psycho-social approach Need for positive affirmative communication to restore the self

  4. Good doctor sees and listens: need for personal continuity of care – being a person yourself Luke Fildes 1887 The doctor

  5. Equity = everyone gets what he needs

  6. Programme • 3 monthsfull-time • 3d year medical school (ageapprox 21 years) • 15 students • Theme: health disparitiesandpersoncentred care for • Migrants • People withintellectualdisabilities • Homeless / prisoners • Addiction / violence / psychiatry / low literacy • Focus on the person and his experiences: Of thepatientand of the student

  7. Methods • practicevisits, patients in classroom, communication training, lectures, casus, • Focus on storytelling andexperiences • Each week intervision meetings on personal experiences • Start: • telling ourown life story and development • Asignment: writingan essay on howtheypersonnally view vulnerablepeopleandtheirrole as a doctor Last week : • re-writethe essay • Pitch: “what has changed in yourself”

  8. Observations • Difficult / ackward in the beginning • Used to protocols • Used to “professional distance” • Used to biomedical approach • Recognition from own life experiences • Impressive personal growth • Pitches and presentations not traditional PPT’s • Fairy tale • Movie about the life of a homeless • Refugee invited for role play consultation • Animated movie

  9. experiences students “Got insight in my own vulnerability” “Lost my fear for the homeless” “Realise now that the emphasis on autonomy can be a symptom of creating a distance when you do not want to take responsibility as a doctor and person” “I was always trying hard to change myself, now I realise I can simply be myself – imperfection is human” “I feel the distance between me and the others is smaller, yet I know better how to set my own boundaries”

  10. Lessons for next year • More lectures / textsaboutpsychology / self • First introductiontophilosophy • Training debating skills

More Related