Communication skill | Specialty | ||||
---|---|---|---|---|---|
Internal Medicine | Family Medicine | Surgery | Oncology | Others (including Radiology, Obstetrics & Gynaecology, Paediatrics, Anaesthesia, Accident & Emergency, Trauma) | |
1. Create and sustain a therapeutic relationship with patients and families | |||||
a. Structuring the consultation | |||||
Opening the discussion by setting the agenda and expectations | [126] | [22] | |||
Utilising simple, clear language and effective questioning skills to gather information | [119] | [114] | |||
Sharing information effectively | [165] | ||||
Checking patient understanding | |||||
Shared decision making | |||||
Providing closure to consult | [126] | ||||
Summarising | [22] | ||||
b. Building the physician-patient relationship | |||||
Making patient/patient’s family feel at ease | |||||
Showing empathy | [37] | ||||
Showing respect | [103] | ||||
Convey understanding of concerns | [153] | ||||
Understanding the patient’s perspective | |||||
Eliciting patient’s wishes, needs, concerns and expectations | [172] | [173] | |||
Identifying patient’s health literacy levels | [174] | ||||
Motivational interviewing and counselling | [37] | [116] | [176] | ||
Employing verbal and non-verbal skills | [173] | ||||
Listening skills | |||||
Non-judgmental communication | [147] | ||||
Managing patients’ emotions | [22] | ||||
Culturally and linguistically appropriate communication | [99] | [140] | [152] | ||
How to interact when patient’s relatives are present | [118] | ||||
How to communicate with patient indirectly through interpreters or over telephone consultations | [175] | [36] | [34] | ||
Communication with adolescents | [34] | ||||
Communicating with 'difficult' patients or family members or emotional patients | [175] | [114] | |||
Handling family conflict | [153] | ||||
Dealing with mismatched expectations | [16] | ||||
Conducting family discussions | [178] | [178] | [149] | ||
Communication clarity | [163] | ||||
c. Context-specific skills | |||||
i. End-of-life communication | |||||
Using the word ‘dying’ | [125] | ||||
Conducting goals of care and advance care planning conversations | [181] | ||||
Discussing pain management | [180] | ||||
Eliciting Do Not Resuscitate orders | [182] | [109] | |||
Responding to euthanasia requests | [16] | ||||
Sharing prognostic information with patients | [107] | ||||
Preparing for death | [129] | [16] | |||
Managing patient’s reactions | [177] | [139] | [183] | ||
Maintaining patient's welfare | [183] | ||||
Supporting patient’s decision | [179] | ||||
Offering organ donation | [92] | ||||
Pronouncing death | [5] | ||||
ii. Difficult conversations with seriously ill patients | |||||
Explaining a patient’s worsening condition | [153] | ||||
Explaining that treatments are not indicated | [36] | [153] | |||
Discussing whether to forego life-sustaining treatment | [124] | ||||
Transitioning to palliative care | [36] | ||||
iii. Other contexts | |||||
Breaking bad news | [6, 7, 108, 113, 124, 131, 133, 141, 146, 153, 162, 163, 170, 185, 188] | ||||
Disclosure of medical complications | [6] | ||||
Navigating situations with ethical issues | [131] | ||||
Disclosure of medical errors and apology | [92] | ||||
Discussing risks/benefits of procedures and obtaining informed consent | [165] | ||||
New medication and discharge counselling | [99] | ||||
2. Work effectively as a member or leader of a health care team | |||||
Managing disagreements between colleagues | [111] | ||||
Working with ‘difficult’ colleagues | [163] | ||||
Oral presentations and giving feedback | [191] | ||||
Leadership skills | [36] | [153] | |||
Interprofessional communication | [111] | [191] | |||
Writing skills, especially for documentation | [194] | ||||
Persuasive communication | [176] | ||||
Reporting findings in a letter to the general practitioner | [169] |