|
This
page gives details about the importance of communication skills
and details of courses for health professionals to learn
more about this topic
Communication
skills are now routinely taught to medical students and
GP registrars but many of us who are principals were not given
any training in this vital part of our day to day work. Younger
GPs may have had some training but wish they could further
develop their skills now they are in established practice.
A recent
report by the BMA also recommends that all doctors undertake
communication skills training as without regular opportunities
for learning your skills do not progress. Most of the current
proposals for reaccredidation imply communication skills will
be an important component. It will also be one of the key
skills relevant to Clinical Governance and revalidation.
East
Anglian General Practitioners have pioneered a unique cascade
of communication skills training for GP principals during
the past 8years. The first part of this initiative in Peterborough
began in September 1997 with a presentation by Dr Jonathan
Silverman, Regional Communication Skills Teaching Facilitator
where the following questions were addressed:
Why
bother to learn communication skills ?
Is it important for us in our every day work as practising
doctors? Are there problems in doctor-patient communication
that we need to address? Are there solutions to these problems?
Can learning communication skills actually make a difference?
Surely it's all a matter of experience and personality - perhaps
communication skills can neither be taught nor learnt?
Jonathan
Silverman discussed the research evidence that answers these
questions and gave a coherent justification for studying this
subject. Communication is a core clinical skill: it is
not simply being nice to patients or being patient-centred
but an essential component that determines our clinical effectiveness.
There is little point in being factually excellent if communication
difficulties prevent us from understanding the patient's story
or from providing a plan that the patient can understand and
feel committed to put into action. Our communication skills,
our knowledge base and our problem solving ability together
represent the very essence of clinical practice - all three
are required to be an effective doctor. Back
to top
What
can studying communication skills offer us as practising GPs?
increased doctor job
satisfaction
decreased conflict
within the consultation
more accurate and
efficient interviews
better clinical hypothesis
generation
increased patient
satisfaction
increased patient
understanding and recall
improved compliance
and disease outcome
decreased medico legal
complaints
Actual savings in
time
More structure and
control of the difficult consultation
.Back to top
In Peterborough this
presentation has been followed followed up by a series
of successful courses for GPs , trainers, nurses and
other health professionals.
1997
Residential course , Stoke Rocheford Hall, Lincs
1998 Series of evening meetings at Peterborough Postgraduate
centre
1998-9 Communication in Cancer Care - 3 day courses
Jan 1999 The Risk Conversation - communicating risk in genetics
May 1999 Day
course, Haycock Hotel, Wansford, Cambs
Feb 2000 Residential course Wyboston Lakes , St Neots, Cambs
May 2000 Day course for Trainers , Madingley hall, Cambridge
June 13th Workshop for Peterborough South Primary Care Trust
November 11th
Workshop Haycock Hotel Wansford Peterborough 9-1
November 17th Day course for Trainers , Moller Centre, Cambridge
Advanced trainers courses annually for the London Deanery
1999-2006
Residential course
description
The
course aims to address some of the basic issues related
to communication skills.
Are the lessons from theory and
research applicable to our own practice of medicine and if
so, can we develop practical ways to help solve the difficulties
that we ourselves face? This course will provide space and
time for the group to start to look at the issues that they
themselves find difficult in communication in the consultation.
Together, we can then tease out how to solve our problems,
explore what it is that makes for a good consultation and,
in particular, identify those particular communication skills
that can really make a difference to both doctors and their
patients on a day to day basis. We shall have an opportunity
to experiment with suggestions and to practice and rehearse
new approaches that we might wish to incorporate into our
own consultation styles.
We shall
try hard to create a safe and supportive environment from
the outset so that we can enjoy working together in a relaxed
and pleasant atmosphere. There will be a range of different
teaching techniques employed including using videos of consultations
and we will have the resource of an actor to rehearse particular
consultation scenarios.
Back
to top
Reading
list-
clicking on any of the links below will take you to
the StudentBookWorld.com website to view Book Information
and order the books online if required
Skills
for Communicating with Patients Ideal reading
for all participants
Teaching
and Learning Communication Skills in Medicine This book
is particularly useful to those involved in teaching Communication
skills with useful course material. The evidence base for
Communication skills training is thoroughly covered.
These
two texts have helped form the basis for our courses, written
by Drs Silverman and Draper with Professor Kurtz from Calgary
.Back
to top
|