#27 Slide - Communication Skills

7/30/2019 #27 Slide - Communication Skills

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Communication Skills in

MedicineIntroductory Course, 2011-2012

Khaled Jadallah, MD
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Whats that??

I know you believe you

understand what you think Isaid BUT I am not sure you

realize that what you heard is

not what I meant!!!


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Whats Communication

The act by which information is shared between

humans. Such encounters may cover

Desires

Needs

Perceptions

Knowledge

Affective states


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Whats Communication/2

Communication is the process by which we

relate and interact with other people

It is a mutual process between 2 sides (Dialogue)

not a one-sided monologue

It includes

listening and understanding with passion and respect

Expressing views and ideas

Passing information to others in a clear manner


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Whats Communication/3

Communication is a natural process which may

be intentional or unintentional

It may involve conventional or non-

conventional signals

It may take linguistic or non-linguistic forms


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Communication is an ART, a

learned skill

which is influenced by presence of

special gift or talent

in some persons


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Types of Communication


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Communication Theory

Communication is a learned skill based on 3

pillars:

Accuracy

Efficiency

Supportiveness

All contribute to effectiveness of communication


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ACGME Endorsed

General Competencies

I Competency: Patient Care

II Competency: Medical Knowledge

III Competency: Practice Based Learning andImprovement

IV Competency: Interpersonal and

Communications SkillsV Competency: Professionalism

VI Competency: Systems Based Practice


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Do Doctors Need

Communication Skills? Doctors need to have good communication

skills because patients are humans with sensitive

needs

Doctors can not practice medicine without

effective communication skills

Poor communication causes a lot of medico-

legal and ethical problems


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Communication Skills Training

for Students. Why?To acquire knowledge of the basic features of

verbal and non-verbal communication

To learn how to take a medical history from

patients and relatives

To know about illness behavior, physician and

patient roles, and relevant cultural beliefs

To learn how to draw up a plan for an interview,

open and close interviews, explain the purpose

and summary


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Communication: With Whom?

Patients and care-givers

Nurses and auxiliary staff

ColleaguesAdministrators

Evidence in court

Reporting research findingsTalking to media


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Communicating What, with Whom and

When?

Communication skills may include the way we

use for:

Explaining diagnosis, investigation and

treatment

Involving the patient in the decision-making

Communicating with relatives

Communicating with health care professionals

Breaking bad news


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Communicating What, with Whom and

When? (contd)

Seeking informed consent/clarification for an

invasive procedure or obtaining consent for a

post-mortem Dealing with anxious patients or relatives

Giving instructions on discharge

Giving advice on lifestyle, health promotion orrisk factors


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Communication: How?

The medical interview is the usual

communication encounter between the doctor

and the patient

It can be classified according to the purpose of

the interview into 4 types

History taking

Breaking bad news

Consultations

Obtaining informed consent


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Effective Communication

Ensures good working relationship

Increases patients satisfaction

Increases patients understanding of illness andmanagement

Improves patients compliance with treatment


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Effective Communication

Ensures an interaction rather than a direct

transmission process

Reduces uncertainty

Demonstrates dynamism

Requires planning and thinking in terms of

outcomes Shows empathy and learn how to handle

emotional outbreaks


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Communication with Peers

Mutual trust and respect

Exchange information

Ask your seniors Do your share of work

Communicate with patients in peers

Seminars held in good communication


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Barriers to Effective

Communication Personal attitudes

Language

Time managementWorking environment

Ignorance

Human failings (tiredness, stress)


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Lack of Communication: Why?

Clinicians often focus on relieving patients

bodily pain, less often on their emotional

distress, seldom on their suffering

Some of them view suffering as beyond their

professional responsibilities


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Questions to ask your self after

each interviewWas I curious?

Do I know significantly more about this person

as a human being than before they came

through the door?

Did I listen?

Did I make an acceptable working diagnosis?

Did I explore their beliefs?


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Can you hear me??


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Conclusions

Communication between the patient, family and

doctors play a vital role in the adherence to

treatments proposed

Good communication is essential for proper

doctor-patient relationship and helps avoid

problems of misunderstanding

Effective communication is the key to success in

professional career


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Communication is human NATURE,,,,,

sharing knowledgeis human NURTURE

Anonymous

#27 Slide - Communication Skills

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