Communication in doctor’s professional work

2. If a patient hasn’t got
better after talking to the
doctor,
it means that was not a
doctor.
V.M.Bekhterev
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK

3. BASIC ELEMENTS OF THE MEDICAL
INTERVIEW/INTERACTION WITH THE PATIENT
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
INITIAL ENCOUNTER CONDUCTING
THE INTERVIEW
Be prepared — know who the
patient is before you walk
through the door
Establish eye contact with the
patient, shake hands,
and introduce yourself
Set the patient at ease and build
rapport
Have a seat
Let the patient tell their story
Use open-ended questions
Direct/closed-ended
questions
Avoid leading questions
Ask one question at a time
Keep the interview organized and
use transition statements
Learn about the patient and
his/her family
Encourage the patient to ask
questions
Listen accurately to the patient

4. Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
RESPONDING
TO THE PATIENT
Pay attention to the clues, both
verbal and non-verbal, from the
patient that they may not be
relating to the whole problem.
Avoid judgmental language or
behaviors
Provide encouragement
Build partnership
Be aware of your non-verbal cues
Avoid the use of medical jargon or
abbreviations
Ascertain that the patient
understands the information you
have provided
Elicit the patient's feeling or
concerns about the information
Collaborate with the patient
Discover potential barriers
EDUCATING, NEGOTIATING
AND COLLABORATING
WITH THE PATIENT

5. Sponsored
Medical Lecture Notes – All Subjects
USMLE Exam (America) – Practice

6. Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
Summarize the encounter
Confirm partnership
Answer the patient's questions
Provide your initial thoughts
Discuss next steps
CLOSING THE INTERVIEW

7. DOCTOR’S COMMUNICATION
WITH PATIENT IN THE
HOSPITAL
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
Assess what the patient already knows
Assess what the patient wants to know
Be empathic
Slow down
Keep it simple
Tell the truth
Be hopeful
Watch the patient's body and face
Be prepared for a reaction

8. GIVING THE BAD NEWS
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
BEFORE GIVING THE NEWS
Think about the agenda. Keep in mind:
specific diagnosis, treatment plans, prognosis, and support strategies
GIVING THE NEWS
Think over the physical setting
Use communication strategies
Assess current level of knowledge
Ask the patient how much they would like to know
AFTER GIVING THE NEWS
Be very attentive to the patient’s feelings
Emphasize your role as a partner
Follow up plan

9. 10 top tips
for communicating with patients
1. During the interview, periodically use the patient's name.
2. Give them an opportunity to talk.
3. Give direct attention with both your eyes and body.
4. Observe a patient's nonverbal behaviors.
5. Use empathy and reflective communication.
6. Convert closed questions to open ones.
7. Bond with people on a personal level.
8. Partner with a patient instead of giving orders.
9. Avoid using medical jargon.
10. Always have a pad of paper.
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK

10. Iatrogenic disorder –
symptom or complication induced in a
patient as the result of a physician's
careless words or actions…
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK
Medical error is
a preventable adverse effect of care,
whether or not it is evident or harmful
to the patient.

11. N E V E R !
…cheat or lie
…pretend to be more than you are
…lose control
…enter the sexual relations with the
patient
Topic 10 COMMUNICATION IN DOCTOR’S PROFESSIONAL WORK