Why study communications skills
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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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Why study communications skills

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

  • View a slide full screen – icon bottom left


Why study communications skills

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?


Why study communications skills

CLINICAL COMPETENCE

The ability to integrate

- knowledge base

- communication skills

- examination skills

- problem-solving ability


Why study communications skills

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!


Effective communication is essential to the practice of high quality medicine

Effective communication is essential to the practice of high quality medicine


Why learn communication skills

Why learn communication skills?

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?


Are there problems in communication between doctors and patients

Are there problems in communication between doctors and patients?

l reasons for the patient's attendance

l gathering information

l explanation and planning

l adherence to plans

l medico-legal

l lack of empathy and understanding


Is there evidence that communication skills can be used to overcome these problems

Is there evidence that communication skills can be used to overcome these problems?

We now have research evidence to validate the use of specific communication skills:

l process of the interview

l satisfaction

l recall and understanding

l adherence

l outcome: decreased patient concern symptom resolution physiological outcome


Can communication skills be taught

Can communication skills be taught?

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


The goals of medical communication

The goals of medical communication

Accuracy

Efficiency

Supportiveness


Is the prize on offer worth the effort

Is the prize on offer worth the effort?

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


Why study communications skills

What is there to learn?

Content: what we do

Process: how we do it

Perceptual: what we're thinking and feeling


Calgary cambridge observation guide

Calgary-Cambridge Observation Guide

Structure:

Initiating the session

Gathering information

Building the relationship

Explanation and planning

Closing the session


Why study communications skills

Structure:

where am I and what do I want to achieve?

Specific skills:

how do I get there?

Phrasing or behaviour:

how can I incorporate these skills into my own style and personality?


How do we change our behaviour in the consultation

How do we change our behaviour in the consultation?

Knowledge is important but only allows you to know about communication

Experiential teaching is required to know how to communicate


How to teach communication skills

How to teach communication skills?

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?


How to teach communication skills1

How to teach communication skills?

l observation

l video or audio playback

l well-intentioned feedback

l rehearsal

l active small group or 1:1 learning


Why study communications skills

The challenges of experiential learning:

l opportunistic

l unstructured

l potentially unsafe

l it makes things worse before they get better!


The challenges of experiential learning

The challenges of experiential learning:

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


How to teach communication skills2

How to teach communication skills?

l needs to be on-going, developing and "helical"

l cannot be learnt as a a one-off experience


The particular problems of teaching established doctors

The particular problems of teaching established doctors

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


The particular problems of teaching established doctors1

The particular problems of teaching established doctors

l further to fall

lmore unlearning

l more ingrained habits

l more threatening

l less aware of need


How to teach

How to teach?

You need a methodology that:

l is based on experiential learning - observation, feedback and rehearsal

l tackles the participant's own problems

BUT ALSO

l extends their understanding of underlying communication skills and principles


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