Introduction to clinical communication skills.pptx 2011
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This document introduces clinical communication skills and their importance. It discusses how effective communication involves understanding the patient's perspective, sharing information with empathy and respect. Good doctors depend not only on medical knowledge but how they communicate with patients. The objectives are to explore what makes a good doctor and the importance of the medical interview from both the doctor and patient perspectives. Key aspects of a good doctor-patient relationship are establishing rapport, demonstrating interest and respect, and good communication skills like active listening and using appropriate language. The medical interview aims to obtain a factual account of the patient's illness and their perspective to help develop a management plan.
Introduction to clinical communication skills.pptx 2011
- 1. INTRODUCTION TO CLINICAL COMMUNICATION SKILLS Dr RM Abraham Clinical skills NRMSM UKZN
- 2. CLINICAL COMMUNICATION SKILLS(CCS) AIM: To promote the practice of effective communication within healthcare with patients, carers, collegues and other professionals.
- 3. EFFECTIVE COMMUNICATION/GOOD CONSULTATION involves: Sharing information with Understanding the the patients with regards patients problems from to: his/her perspective by allowing the patients to a)Explaining procedures narrate their story in their that would be necessary words and at the same to help make a diagnosis. time demonstrating b)Discussing the various interest, empathy, respect treatment options and and attending to their their effects. comfort at all times.
- 4. GOOD DOCTOR Remember that the success of a good doctor depends not only on his/her medical knowledge but also the way he/she communicates with his/her patients e.g the way he explains the problems, diagnosis and treatment to his patients. Since Medicine is a subject that is learnt from the interaction with patients, it is therefore essential that medical students develop their communicating capacity at the undergraduate level. We would therefore be teaching and providing you with the building blocks that are necessary to create a Good consultation.
- 5. CCS-OBJECTIVES To explore the basics of what makes a good doctor. Importance of a medical interview in clinical practice from the point of view of a)The doctor b)The patient
- 6. A-WHAT MAKES A GOOD DOCTOR? Think of a previous 4)Why does a good doctor- medical encounter you patient relationship had with a doctor matter? 5)What did the doctor do to 1)How did the consultation make the interview go go? well? 2)How was the Doctor- 6)What could the doctor do patient relationship and to make the interview go what do you perceive better? should be a good doctor- 7)What message about patient relationship? being a good doctor did 3)What do you really value you take away from the and need in a good experience? doctor?
- 7. GOOD DOCTOR-PATIENT RELATIONSHIP Achieved by: 1)Establishing a good rapport with the patient: Greet the patient Obtain patients name Intrd yourself, clarify your role and the nature of the interview Obtain consent 2)At all times demonstrating interest,empathy,respect and attending to the patients physical comfort. 3)Good communication with patient: Gives the patient the chance to tell you what is wrong with them in their words. They will tend to open up as they have the impression that you are honest with them and hence they trust you and feel more confident to tell you what is exactly going on in their mind
- 8. GOOD COMMUNICATION Skills: Non-verbal skills-gives the pt a 1)Encouraging the patient to tell clue of your level of interest his/her story of the problem from E.g. body posture,eye contact, when it started to the present in gesture,facial expression,touch their words using a more open Picking up pts verbal and non- questioning technique. verbal cues and responding to 2)Listening attentively without them-often pts ideas,concern interrupting by: and expectations are provided in Wait time-give pt adequate time these cues. to respond 3)Use of appropriate language. Facilitative response-encourage 4)Clarifying statements that appear pt to say more using phrases vague. "uh-huh", "go-on","I see","yes" 5)Summarizing periodically to verify your understanding and also gives pt the feeling that you are listening to them attentively.
- 9. B-IMPORTANCE OF A MEDICAL INTERVIEW AIM: TO OBTAIN FACTUAL ACCOUNT OF PATIENTS ILLNESS AS WELL AS THE PATIENTS PERSPECTIVE OF THE ILLNESS B4 SUGGESTING AND AGREEING TO A PLAN OF MANAGEMENT Doctors agenda: Patients agenda: a)Develop a good To discuss relationship with the pt. a)Ideas and thoughts of the b)Make a diagnosis- illness. by obtaining the b)Concerns about the sequence of events and illness. analyzing the symptoms c)Expectations from the etc(History taking) consultation. Examination of pt. d)Feelings about the Investigating pt. illness. c)Manage the pt.- e)Effects the illness is Pharmacological having on their life. Non-pharmacological
- 10. ANALYZING A CONSULTATION Watch a DVD clipping of a medical consultation to help explore the a) Purpose b) Difficulties c) Strengths and d) Weaknesses From both the doctor's and patient's view point
- 11. THANK YOU