Why study Communications skills? . This slide presentation is based on Introductory talks given by Dr Jonathan Silverman from Cambridge The controls at the bottom of the slides allow you to change slide - click on the right arrow View or collapse outline on left
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This slide presentation is based on Introductory talks given by Dr Jonathan Silverman from Cambridge
The controls at the bottom of the slides allow you
Communication skills - why bother?
l Why learn communication skills?
l Can you learn communication skills?
l What is there to learn?
l How is it taught?
l Where next?
The ability to integrate
- knowledge base
- communication skills
- examination skills
- problem-solving ability
Communication is a core clinical skillHow we do things is just as importantas what we doCommunication skills turn theory into practice The average GP undertakes 200,000 consultations in a professional lifetime!
Are there problems in communication between doctors and patients?
Is there evidence that communication skills can overcome these problems?
Can these communication skills be taught?
l reasons for the patient's attendance
l gathering information
l explanation and planning
l adherence to plans
l lack of empathy and understanding
We now have research evidence to validate the use of specific communication skills:
l process of the interview
l recall and understanding
l outcome: decreased patient concern symptom resolution physiological outcome
l communication is a clinical skill
l it is a series of learnt skills
l experience is a poor teacher
l there is conclusive evidence that communication skills can be taught
l and that communication skills teaching is retained
Effective communication offers more than just good manners or being nice
Effective communication enables us to become better doctors clinically
Effective communication improves patient care and disease outcomes
What is there to learn?
Content: what we do
Process: how we do it
Perceptual: what we're thinking and feeling
Initiating the session
Building the relationship
Explanation and planning
Closing the session
where am I and what do I want to achieve?
how do I get there?
Phrasing or behaviour:
how can I incorporate these skills into my own style and personality?
Knowledge is important but only allows you to know about communication
Experiential teaching is required to know how to communicate
How do we change our behaviour in the consultation?
Where is the block?
Skills or attitudes?
Experiential or didactic teaching?
Know about or know how?
l video or audio playback
l well-intentioned feedback
l active small group or 1:1 learning
The challenges of experiential learning:
l potentially unsafe
l it makes things worse before they get better!
l how to provide a supportive environment
l how to maximise learning and safety
l how to structure sessions
l how to conceptualise learning
l how to introduce didactic material such as theory and research
l how to structure learning over time
l needs to be on-going, developing and "helical"
l cannot be learnt as a a one-off experience
Many established doctors have received little previous instruction in communication
Their only "training" has been gained from their experience in medicine
Experience alone is a poor teacher: need observation, well-intentioned feedback and rehearsal
l further to fall
l more ingrained habits
l more threatening
l less aware of need
You need a methodology that:
l is based on experiential learning - observation, feedback and rehearsal
l tackles the participant's own problems
l extends their understanding of underlying communication skills and principles