What is communication skills?
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Communication skills are verbal and non-verbal words, phrases,
voice tones, facial expressions, gestures, and body language that you use
in the interaction between you and another person.
Verbal communication is the ability to explain and present
your ideas in clear English, to diverse audiences. This includes the
ability to tailor your delivery to a given audience, using appropriate
styles and approaches, and an understanding of the importance of
non-verbal cues in oral communication. Oral communication requires the
background skills of presenting, audience awareness, critical listening
and body language.
Non-verbal communication is the ability to enhance the
expression of ideas and concepts without the use of coherent labels,
through the use of body language, gestures, facial expressions and tone of
voice, and also the use of pictures, icons, and symbols. Non-verbal
communication requires background skills such as audience awareness,
personal presentation and body language.
Effective communication is an essential part of building and
maintaining good physician-patient and physician-colleague relationships.
These skills help people to understand and learn from each other, develop
alternate perspectives, and meet each others' needs.
Hidden agendas, emotions, stress, prejudices, and defensiveness are
just a few common barriers that need to be overcome in order to achieve
the real goal of communication, namely mutual understanding. High
Performers master and continually practice the basics, as well as prepare
for these communication pitfalls. Just as successful physicians routinely
practice basic medical skills, High-Performers understand that they too
must pay attention to communication skills or they risk getting out of
shape pretty quickly.
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Communication skills in
healthcare
Communication skills in a healthcare setting include the way
you use to:
- Explaining diagnosis, investigation and treatment.
-
Involving the patient in the decision-making.
-
Communicating with relatives.
-
Communicating with other health care professionals.
-
Breaking bad news.
-
Seeking informed consent/clarification for an invasive procedure or
obtaining consent for a post-mortem.
-
Dealing with anxious patients or relatives.
-
Giving instructions on discharge.
-
Giving advice on lifestyle, health promotion or risk factors.
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In real medical practice, dealing with difficult patients are seen almost daily.
Difficult
patients are ordinary people who come to your health institute, whatever is that, because they have to, not because they want to. Sometimes, they have even been brought in unwillingly by a family member or a friend. They come in with their vast range of different personalities, cultural background, and current emotional state.
Being in a health care facility adds more worries and stresses due to lost time, expenses, and more importantly losing control. People are usually in control of what they have to do now, well at least they think so. But on the moment they put their feet in front of your registration desk, they lose this control. We, the strangers, take control!... We give instructions and orders to follow starting right from that registration desk... Give me your ID, .. insurance,.. wait there,.. sit there,.. you have to wait,.. take off your cloths,.. touching them, .. etc.
So, by the time of their medical encounter with us, the physicians, they are already up on the edge in their stress and comfort levels. And guess what, we as the highest ranking authority
here and thus have to receive all the blame and deal with them in these difficult
patient situations. Although, some of these people will look like trouble makers by personality, most of the exaggeration is due to the building up stress and worry, or simply part of their illness!
Dealing with difficult
patients in medical encounters needs a lot of communication skills to sooth them and calm them down or to let them at ease and open for
effective communication. However, although this is part of our duty in addition to establishing rapport and friendly environment, it is not our goal in medical encounters! We are not social workers. Our goal is to figure out what is going wrong with them physically and psychologically in order to help them. These good communication skills are not the goal, they are wonderful magical means to achieve our goal, the patient well being. Communication skills are our vehicle to take a thorough medical history, perform accurate safe physical examination, and assure patient compliance, and yet efficiently in respect to our time and resources limits.
As you may realize now, it is important to learn the specific communication skills to deal with these
difficult
patients in real life. This will make us friendly caring clever doctors and build a good reputation while staying thorough, focused, organized, and efficient.
This is what successful considerate physician know very well!
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
Difficult Patients Situations in
Medical Encounters
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- The Silent or Reticent patient.
- The Rambling or Talkative patient.
- The Vague patient.
- The Angry patient.
- The Depressed or Sad patient.
- The Denial patient.
- The Anxious patient.
- Patient with Somatization.
- The Dependent and Demanding patient.
- The Dramatic or Manipulative patient.
- The Long Suffering, Masochistic patient.
- The Orderly and Controlled patient.
- The Manic, Restless patient.
- The Guarded Paranoid patient.
- The Superior patient.
- Breaking bad news.
- Caring for the dying patient.
- Conflicted Roles.
- Solving Conflicts.
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How
to improve my communication skills?
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
We,
doctors, nurses, medical students, and other healthcare professionals, all grew up with a set of communication skills we obtained and learned
from our environments. We consider that as part of our personality! We
think it is part of our genetics! That is what I am, this were I come
from!, this is me!, thus, that what I can accomplish! .
Unfortunately, not all of our communication skills are right and can serve
us to achieve our goals. In fact, unconsciously, most are working against
us! More worse, some give others the wrong impression about who we are!!
"That is what I am!, this were I come from!, this is me!"
are wrong phrases. You have now achieved a position, whether it is a
medical student or graduate, because of your efforts to continuously aim
for the best, teaching yourself new sciences and training yourself new
techniques. So, why you stop at communication skills?!!.
Communication skills are learnable, trainable, adaptable just
like any other skill!. Yes, it is not easy to change yourself. But it
wasn't easy to be in your current academic achievement either. You can
teach yourself these skills, learn them, adopt them, and make them part of
the new you! The new medical student or graduate, or even a new start
towards being a successful physician!.
There are hundreds of books and courses to help you improve your
communication skills. Also, there are hundreds of professional that are
willing to sit with you, observe the way you communicate
and pinpoint what is wrong and needs to be changed, what needs
improvements, and what is pretty good! We highly recommend to look for one
of these resources and ideally make it a life long continuous fine tuning
of your communication skills.
Observe
yourself as you go through your day and assess if you are achieving what
you aimed for?!... It is difficult to identify our weakness and
strength!.. Ask your friends to observe you and criticize your communication
skills!..
Be open minded for critics!.. Do that favor for them too!... Observe them
and on the same time watch what skills that they have and worked for them
that you are missing?!..
Don't leave thinks in the dark
hoping for thinks just to go fine. Act now. It may take some time but it
is so so rewarding!!
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
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But I need it now!
However, you need a practical
quick guide specific for your OSCEs for now and for your future/current
real patient medical encounters.
You need to master the very needed
communication skills to make an impact on your patients to be considered a
friendly physician.
You want to effectively
communicate with your patients to achieve better data gathering to be
considered a clever thorough physician.
You want to effectively
communicate with your patients to achieve better compliance and health
outcomes to be considered a caring respectful physician.
You want to effectively
communicate with your patients to achieve better physician-patient
relationship and rapport in order to receive free trusted ongoing
publicity in stead of complaints and law suits.
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"How To Unlock Difficult Medical Encounters" is an ebook that helps you recognize and deal with difficult
patient medical interviews and issues. It provides proven steps to follow to unlock 'Sick encounters'!. Short, condensed, well organized and easy to read and memorize.
Almost every day, you, medical students, residents, and physician face 'Difficult
Patients' in your clinical practice.
All OSCE organizers, like USMLE, MCC, GMC, and medical schools, include difficult
to deal with patient scenarios in their exams to test your communication skills
and reactions.
Limited resources are available out there to help you deal with these
specific healthcare situations. Most of these resources deal with the etiology behind
these situations hoping that the understanding of the etiologies will help you to
figure out the right ways to deal with them!
Learning to take medical history or perform a physical exam is easy. You will
be amazed how well your colleagues is doing with these clinical tasks. There are
tons of resources to train yourself these skills. But what about communication
skills with difficult patients? You will be amazed how bad your colleagues is
doing with these clinical tasks that need special communication skills!..
Imaging yourself mastering these skills!.. Definitely, you will be distinguished
form the crowd!... Your colleagues will ask your help to teach them your secrets
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This is the first ebook that is written focusing on techniques, strategies, and practical proven steps to
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Note: You need Adobe Acrobat Reader to open this ebook in PDF format.
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
Click
here to Buy the full version and save
your time!
Download a sample version
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skill, doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
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doctor, medical students, healthcare professionals, health care, physician
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What are the communication skills that
will be assessed in OSCEs?
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
assistant, physicians assistant
The OSCE exam is an assessment of clinical knowledge,
skills, and attitude. The communication skills you demonstrate and the
process you go through in obtaining a history or performing a physical
examination are more important than determining a diagnosis.
Communication skills are verbal and non-verbal words, phrases,
voice tones, facial expressions, gestures, and body language that you use
in the interaction between you and another person, in OSCEs, it is usually a simulated patient or
other healthcare professionals such us a nurse. Your approach to the patient will be assessed all through the
examination, but in some stations communication will be the main skill for
which you will be awarded marks. In OSCEs, as well as in life, two aspects
of the communication skills are important. The way you choose for your approach
to reach the other person, and the effects and outcome of your
efforts.
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doctors, physician, physicians, nurses, medical malpractice, medical
doctor, medical students, healthcare professionals, health care, physician
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The OSCEs examiners will be considering
your:
Approach to the patient
You should:
- Introduce and orientate the patient and yourself
- Establish an attentive, respectful and non-judgmental relationship
- Acknowledge the patient's emotions and concerns
Listening, questioning and diagnosing
You should:
- Ensure you have understood the patient's symptoms/problem and
concerns
- Summarize and clarify understanding
Explaining and advising
You should:
- Enable the patient to understand the problem/situation
- Reassure appropriately
- Summarize and clarify understanding
Involving patient in management
You should:
- Explore the patient's expectations/concerns
- Propose/explain management plan clearly
- Explore the patient's response
- Respect the patient's autonomy, and help him or her to make a
decision based on available information and advice
- Summarize and clarify understanding
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A Step By Step Guide To Mastering The OSCE
Clinical
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