Spring 2019 - HSCI 481 D100

Senior Seminar in Social Health Science (3)

Class Number: 3010

Delivery Method: In Person

Overview

  • Course Times + Location:

    Jan 3 – Apr 8, 2019: Wed, 9:30 a.m.–12:20 p.m.
    Burnaby

  • Exam Times + Location:

    Apr 10, 2019
    Wed, 3:30–6:30 p.m.
    Burnaby

  • Prerequisites:

    90 units, including at least 15 upper division HSCI units. Other prerequisites may vary according to topic.

Description

CALENDAR DESCRIPTION:

An in-depth overview of the sociocultural, epidemiological, and policy aspects of population and public health. May be repeated for credit.

COURSE DETAILS:

The burden of conflict is intrinsic to modern healthcare, as ethico-legal and policy controversies are commonly encountered in this environment. Conflict may be experienced internally between individual professionals, groups in clinical teams or administrators, or between patients and providers. The latter form may result in complaints or even costly malpractice litigation. Cultural and language diversity of patients and their families can result in varying expectations of healthcare institutions and providers, and such intrinsic differences in values are potentially troublesome during clinical communications and medical decision-making. Competent conflict management in healthcare contributes to the building of trust amongst members of the community. It also encourages collaboration between professional groups, reduces moral stress, and promotes staff well-being. As clinical practice models have moved steadily towards a team approach to patient care, it follows that efficient conflict prevention and management reduces cost and enhances teamwork, and in so doing contributes critically to patient safety and better treatment outcomes.

Course Format & Objectives

In this seminar we will begin by engaging with general theoretical principles centered on conflict analysis and a method of organizing approaches to conflict specific to the healthcare environment. We will then explore several individual topics in healthcare where ethical and practical controversies and conflict are commonly encountered, for example, end-of-life decision making, medical assistance in dying (MAiD), inter-professional relationships in teamwork and the place of family voices during medical decision-making. The seminar format is aimed at enhancing students’ critical engagement with complex and controversial issues in healthcare, using a conflict analysis lens in each instance, benefiting from the contributions of fellow students, learning from diverse materials and the facilitated discussions.

COURSE-LEVEL EDUCATIONAL GOALS:

On completion of this seminar, students will be able to:

1.    Summarize and explain basic concepts of conflict analysis in healthcare environments, including the identification of sources of conflict and the recognition of the interests and perspectives of different professional teams in patient care.
2.     Engage theoretically with difficult issues in healthcare that are the source of ongoing controversy and conflict between stakeholders in the healthcare system or with the public that is served.
3.     Critically examine the role of policies and services (e.g., geographic, cultural, historical) related to conflict and controversy in healthcare.
4.     Identify public health approaches to some contentious issues in healthcare that are consistent with parameters such as ethics, economics, evidence of need and effectiveness.
5.    Understand approaches to prevention of conflict as well as the development of measures to intervene early in the life-cycle of a healthcare conflict, aiming to prevent its escalation to a costly dispute.

Grading

  • Weekly Reflections 15%
  • Facilitated Discussions 20%
  • Midterm Assignment 20%
  • Final Presentation 35%
  • Participation 10%

NOTES:

Participation (10%)

Students will be expected to contribute thoughtfully and analytically to class discussions and activities in a respectful and engaged manner. In order to do so, you are expected to have completed the weekly readings, coming to class well prepared.

Weekly Reflections (15%)

Students will be required to submit a reflection (1-page minimum, 2-page max, double-spaced) on the pre-readings for that week. Students are required to read all of the assigned readings. These reflections can be commentaries, synthesizing and contrasting, or analyses/questions that you have about the readings. The goal is NOT to summarize the literature but to show that you have applied critical thinking. Reading reflections are due VIA SFU Email at the beginning of each class. Late assignments will not be graded.

Facilitated Discussions (20%)

During the first class on Jan 09, students will work in groups of 4-5 to pick a topic/week that they would like to present on. Each group member is responsible for facilitating 1 activity that relates to the topic or readings for that class, and the first activity MUST be a 25 min. plenary discussion of the readings for that week. Each activity should take approx. 15-25 minutes of the class, with a maximum of 90 minutes of facilitation by your group. Some examples of possible facilitation activities include: showing a video for discussion, a skit, simulation via role-play, case studies, matching games, debates, new story analysis, etc. Use your imagination (and the internet…)! Groups will be required to discuss and confirm their facilitation plan with Dr. Veerapen during office hours/free class time one week before they are scheduled to present. NOTE: The mark assigned will be for your entire group and will reflect both your classmates and instructors’ evaluation of your work.

Midterm Assignment (20%)

The midterm assignment will be handed out/explained in class on Feb 6th and will be due at the beginning of the following class on Feb 13th VIA Email. For this assignment, students are required to select a healthcare-related news story to analyze (2018-present), using a critical, conflict-oriented lens. You will be required to write a 150-word summary of the story, then answer 3 questions that will be provided to you, within 3 to 3.5 pages. Late assignments will be subjected to a 5% penalty and these must be submitted the following class to be marked.

Final Presentation (35%)

The first component of this assignment is the Research Proposal (5%). This will be handed out on Feb 13th and students will receive class time to work on it. It will be due VIA Email at the beginning of the class after reading break on Feb 27th. The research proposal will be a 1-page outline of the topic that the student would like to research, including: a general introduction, the reason for selecting this topic and how it relates to class material, as well as a short explanation of what the student expects to find in the literature. If you would like to research a topic relevant to healthcare conflict but which is not covered in this course, you must first obtain approval from your instructor. The final presentation (30%) will focus on the topic that you chose and will be 5 minutes long, with 2 minutes for questions. The expectation is that students will be able to convey their topic in a concise and coherent manner, while keeping it engaging for the class (in the style of a ‘mini TED talk’). Students will be graded on their professionalism, knowledge of the topic, and incorporation of course concepts.

Materials

REQUIRED READING:

Required readings have been detailed in the course syllabus and will be updated on Canvas

Registrar Notes:

SFU’s Academic Integrity web site http://www.sfu.ca/students/academicintegrity.html is filled with information on what is meant by academic dishonesty, where you can find resources to help with your studies and the consequences of cheating.  Check out the site for more information and videos that help explain the issues in plain English.

Each student is responsible for his or her conduct as it affects the University community.  Academic dishonesty, in whatever form, is ultimately destructive of the values of the University. Furthermore, it is unfair and discouraging to the majority of students who pursue their studies honestly. Scholarly integrity is required of all members of the University. http://www.sfu.ca/policies/gazette/student/s10-01.html

ACADEMIC INTEGRITY: YOUR WORK, YOUR SUCCESS