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7/30/2019 #27 Slide - Communication Skills
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Communication Skills in
MedicineIntroductory Course, 2011-2012
Khaled Jadallah, MD
http://images.search.yahoo.com/search/%20http:/images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Djordan%2Buniversity%2Bscience%2Btechnology%26fr%3Dyfp-t-501%26toggle%3D1%26cop%3Dmss%26ei%3DUTF-8&w=261&h=261&imgurl=www.cis.just.edu.jo%2FPeople%2FInstructors%2Fqais%2Fimages%2Fimage003.jpg&rurl=http%3A%2F%2Fwww.cis.just.edu.jo%2FPeople%2FInstructors%2Fqais%2FCIS%2520351.html&size=16.1kB&name=image003.jpg&p=jordan+university+science+technology&type=jpeg&no=7&tt=42&oid=94caf4459f3a28f2&ei=UTF-87/30/2019 #27 Slide - Communication Skills
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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
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