This document provides guidance on effective communication skills for doctors. It discusses the differences between communication and history taking, with communication focusing on inquiry, data gathering, and recapping for the examiner or oneself, while history takes focuses on showing knowledge. The document outlines best practices for communication, including listening, speaking, having conversations, demonstrating knowledge, practicing, and gaining experience. It also discusses steps for communication like introducing oneself, having a body with information and understanding checks, and summarizing at the end. Specific contexts like breaking bad news, consent, teaching, calls, and difficult scenarios are addressed. The overarching messages are to be empathetic, take time, and be honest in all medical communications.

1. Communication
Skills
Dr.Azad A Haleem AL.Mezori
MBChB.DCH, FIBMS , MRCPCH
Lecturer
University Of Duhok
College of Medicine
Pediatrics Department
2018
azad82d@gmail.com

2. Communication Vs.
History
Common
Error

3. • Explanation
• Persuasion
• Convince: Role player
• Recap to: Role Player
Communication Vs.
History
Communication

4. • Inquiry & Ask
• Data Gathering
• Convince: Examiner
• Recap to: yourself
Communication Vs.
History
History

5. Communication

9. Show what you Know
20 %

10. Communication Skills
1. Listen
2. Speak
3. Dialogue
4. Knowledge
5. System
6. Practice
7. Experience

11. Conversati
onLanguage
Agenda
Prior Knowledge
Open question
Chunk information
Pause / Silence
Check understanding
Repeat
Speaking skills Listening skills
Attention
Setting
Non-verbal cues
Short interjections
Clarification
Empathy

13. Communication Verities
1. Information given
2. Breaking bad news
3. Critical incidence
4. Taking Consent
5. Teaching session
6. Ethical dilemma
7. Telephone call
8. Professionalism
9. Difficult situation
10. History
Child
Family
Colleague

14. Communication Verities
1. Breaking bad news
2. Critical incidence
3. Taking Consent
4. Teaching session
5. Ethical Dilemma
Information
Bad News
Difficult
Role -

15. Steps of Communication
Intro
Body
Fin

16. Steps of Communication
Intro
• Greeting
• Identities
• Agenda
• Attending
• Seat
• Context
• Time
Names & numbers

17. Serious

18. Steps of Communication
Body
• Prior knowledge
• Information mass
• Name the problem
• Jargons
• Understanding
• Consultant
• Help & hope
• Anticipation

19. Dialogue
Keep Talking

20. Steps of Communication
Fin
• Shortcut
• Summarize
• Any inquiry
• Next action
• Educational Aids
• Contact & access

21. Give
Hope
Give
Time

22. Empathy & Sympathy
Empathy: Appropriate Response
Sympathy: Appropriate Feeling

23. Information
for family

26. Breaking
Bad News
• Prepare for shock
• Name the problem
• Say sorry
• Small Chunk
• Silence
• React & Respond
• Hope & Support

27. Crittical
incidenc
e
• Apologize
• Current status
• Action taken
• Expected Sequences
• Documentation
• Not happen again
• Formal complaint

28. Taking a
Consentt
• Indication
• Pain & sedation
• Benefit & Risk
• Expect worry
• Alternative
• Sign the Form

29. Teachin
g
Session
• Goal & Objectives
• Audience level
• Steps
• Understanding
• Drawing (Tools)
• Re- Demo
• Summary

30. Teleph
one
Call
• Check sounds
• Identities
• Task
• Patient identity
• Patient status
• Summarize
• Next action
• Referral & Report
• Contact details

31. 1. Colleague misbehavior
2. Conflict decision
3. Confidentiality breach
4. Aggressive behavior
5. Suspected abuse
6. Wrong information
7. Dying or dead child
8. Withdraw support
9. Angry person
10. Aggressive Person
Difficult
Scenarios

32. Message

33. TIME

34. Be
honest

35. 2018
The
End