Professional Practice
n How
can doctors communicate with patients for the best outcome? does a professional recognise their own limitations
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Doctor-Patient Communication n n
Important! Communication and interpersonal skills allow doctors to gather accurate and sufficient information to give an accurate diagnosis, give therapeutic instructions, and establish a good rapport with patients Appropriate communication integrates both patient- and doctor-centered approaches Good doctor-patient communication has the potential to help regulate patients' emotions, facilitate comprehension of medical information, and allow for better identification of patients' needs, perceptions, and expectations
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Communication skills n n n n
Physical Environment Doctor/patient confidentiality Basic framework of medical interview Establish rapport (prepare, greet, present complaint, history, other issues, conclude and close) Respect, caring, openness and genuineness Verbal and non-verbal cues Active listening (appropriate, empathetic responses) Open and Closed Questions Clarify responses and paraphrase Maintain appropriate direction to gather information Mixture of patient and doctor-centered consultation skills
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HOW DOES A PROFESSIONAL RECOGNISE THEIR OWN LIMITATIONS? n n n n n
No one knows everything about everything! There’s always room to learn more But… Know and understand your boundaries
Avoid making incorrect choices which can lead to serious consequences- if it feels too unknown or out of your depth of knowledge: ask! Understand your qualifications Duty of care: patients health needs v duty to give correct treatment
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+ Example situation n GP
has a patient with a urinary infection. After prescribing antibiotics that would usually fix a problem with these symptoms, they continue to persist. The GP’s next step should be:
a) Prescribe a