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Exchanging ideas or knowledge. Communication Skills. Dr. Nivin Sharaf MD LMCC Dr. Karima Zaid. Factors influencing patient-doctor relationship. Patient. Physical Symptoms. Psychological. Medical Care. Doctor. Physical Symptoms. Psychological. Personality.
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Exchanging ideas or knowledge Communication Skills Dr. NivinSharaf MD LMCC Dr. KarimaZaid
Patient Physical Symptoms Psychological Medical Care
Doctor Physical Symptoms Psychological Personality Training in communication skills Self confidence
Why? Environment Comfortable Is this desk comfortable? Private Proper arrangement
Other factors Belief Wishes High expectations
Conducting an interview 1- Beginning an interview. 2- The main part of the interview. 3- Ending the interview.
Practice • Comfortable setting • Greet + Handshake • Show the patient where to sit • Introduce your self + explain • Ask easy questions.. One at a time SHOW INTEREST
Skills for effective communication Facilitation Questioning Listening
Asking questions • Open-ended questions. • Closed-ended questions • Probing questions
Leading questions Complex Questions
Ask too many questions and do not allow patients to tell their story in their own words. • Ask questions that are too long, too complicated and confusing. • Ask questions in a way that they may bias the answer given. • Ignore questions that patients may ask. Do not
Listening • Verbal cues. • Non-verbal cues. • Demonstrate active listening.
Facilitation • Nodding • Yes, I understand please go on, “or continue” • Other non verbal cues. Lean forward, ..
Interviewing Techniques • Reflection : Repeat part of the last said. Help him proceed. • Facilitation, silence, nodding.. • Clarification: check your info • Transition, sign posting by telling him what’s next • Summation :Summarize • Positive reinforcement • Explanation
Reflection • Repeat part of the last said. Help him proceed.
Facilitation • Ease it up for the patient to continue talking • Phrases?
Clarification Can you explain what happened in more details ? What do you mean by fainting?
Transition • Map your interview.. • Don’t jump from subject to another abruptly PLEASE!!
Summation • Summarize • Help you and the patient remember forgotten points • Accuracy • It is one method of facilitation • Good to close, and / end the interview • Keep patient on track
Reference • Churchill Living stone Communication skills for medicine by Margaret Lloyd-Robert Bor