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Effective Communication in Clinical
Practice
• • Kalamazoo Consensus Statement
• • SPIKES Protocol (Breaking Bad News)
• • Universal Upset Patient Protocol
Importance of Effective
Communication
• • Builds trust between doctor and patient
• • Improves patient satisfaction and adherence
• • Reduces medical errors
• • Encourages shared decision-making
Kalamazoo Consensus Statement
• A Framework for Assessing Communication
Skills
• 1. Builds a Relationship
• 2. Opens the Discussion
• 3. Gathers Information
• 4. Understands the Patient’s Perspective
• 5. Shares Information
• 6. Reaches Agreement on Problems & Plans
Kalamazoo-Based Assessment
Tools
• • Likert Scale-Based Evaluations
• • Checklist for Patient Encounters
• • 360-Degree Feedback (Peers, Patients, Self-
Reflection)
SPIKES Protocol – Breaking Bad
News
• A 6-Step Strategy for Delivering Difficult News
Compassionately
• 1. Setting: Create a private, comfortable
environment
• 2. Perception: Assess patient’s understanding
• 3. Invitation: Ask if patient wants details
before explaining
• 4. Knowledge: Provide clear, simple, honest
information
SPIKES – Do’s & Don’ts
• ✔ Do: Be empathetic, pause to allow
reactions, use layman’s terms
• ❌ Don’t: Rush, overload with details, ignore
emotions
Universal Upset Patient Protocol
• A 6-Step Model for Handling Emotional
Patient Interactions
• 1. Acknowledge the Emotion
• 2. Validate the Experience
• 3. Explore the Reason
• 4. Clarify Misconceptions
• 5. Provide Reassurance & Solutions
• 6. Follow-Up
Practical Application – Role Play
Exercise
• • Scenario 1: Breaking bad news using SPIKES
• • Scenario 2: Handling an upset patient
• • Scenario 3: Effective doctor-patient
conversation using Kalamazoo elements
Conclusion & Takeaways
• ✔ Effective communication improves patient
care & trust
• ✔ Kalamazoo – Structured assessment of
communication skills
• ✔ SPIKES – Stepwise approach to breaking
bad news
• ✔ Universal Upset Patient Protocol –
Managing emotional patients with empathy
References & Further Reading
• • Kalamazoo Consensus Statement on
Communication
• • Baile WF, Buckman R, et al. SPIKES Protocol
• • Communication strategies in difficult patient
interactions

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Effective Communication aetcom module,mbbs

  • 1. Effective Communication in Clinical Practice • • Kalamazoo Consensus Statement • • SPIKES Protocol (Breaking Bad News) • • Universal Upset Patient Protocol
  • 2. Importance of Effective Communication • • Builds trust between doctor and patient • • Improves patient satisfaction and adherence • • Reduces medical errors • • Encourages shared decision-making
  • 3. Kalamazoo Consensus Statement • A Framework for Assessing Communication Skills • 1. Builds a Relationship • 2. Opens the Discussion • 3. Gathers Information • 4. Understands the Patient’s Perspective • 5. Shares Information • 6. Reaches Agreement on Problems & Plans
  • 4. Kalamazoo-Based Assessment Tools • • Likert Scale-Based Evaluations • • Checklist for Patient Encounters • • 360-Degree Feedback (Peers, Patients, Self- Reflection)
  • 5. SPIKES Protocol – Breaking Bad News • A 6-Step Strategy for Delivering Difficult News Compassionately • 1. Setting: Create a private, comfortable environment • 2. Perception: Assess patient’s understanding • 3. Invitation: Ask if patient wants details before explaining • 4. Knowledge: Provide clear, simple, honest information
  • 6. SPIKES – Do’s & Don’ts • ✔ Do: Be empathetic, pause to allow reactions, use layman’s terms • ❌ Don’t: Rush, overload with details, ignore emotions
  • 7. Universal Upset Patient Protocol • A 6-Step Model for Handling Emotional Patient Interactions • 1. Acknowledge the Emotion • 2. Validate the Experience • 3. Explore the Reason • 4. Clarify Misconceptions • 5. Provide Reassurance & Solutions • 6. Follow-Up
  • 8. Practical Application – Role Play Exercise • • Scenario 1: Breaking bad news using SPIKES • • Scenario 2: Handling an upset patient • • Scenario 3: Effective doctor-patient conversation using Kalamazoo elements
  • 9. Conclusion & Takeaways • ✔ Effective communication improves patient care & trust • ✔ Kalamazoo – Structured assessment of communication skills • ✔ SPIKES – Stepwise approach to breaking bad news • ✔ Universal Upset Patient Protocol – Managing emotional patients with empathy
  • 10. References & Further Reading • • Kalamazoo Consensus Statement on Communication • • Baile WF, Buckman R, et al. SPIKES Protocol • • Communication strategies in difficult patient interactions