Communication

Question 1

What are the three important aspects of communication?

Answer 1

Effect on diagnosis formulation

Link with patient satisfaction

Relationship to clinical outcomes

Question 2

What is the effect of communication of diagnosis formulation

Answer 2

impacts the ability for doctor to listen to the complaints and concerns

interrupt the patient within 18sec of being there = not full story

higher risk that won’t adhere to treatment

Question 3

Describe some of the clinical outcomes as a result of good communication?

Answer 3

Diagnosis accuracy

Patient satisfaction

Less psychological stress when have adequate information

Improved outcomes

Question 4

What are some verbal techniques?

Answer 4

Establish rapport (greet, comfort, ICE)

Open questions (could you tell me more about that)

Closed questions

Paraphrasing (so you have pain in your right hand)

Summarising (so you have pain… and are worried because….)

Reflected feelings and meaning (echo, you didn’t get in which seems like failure to you)

Transitional statements (you’ve told me about your past, now can you tell me about)

Question 5

What are some non verbal techniques?

Answer 5

Attending behaviour (eye contact, body language, attentive language)

Respect and warmth ( body langague, facial expressions)