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Communication
Skills
Communication Skills
Communication skills are essential qualities of every
physician.
In pediatrics, these abilities present even a higher
impact.
It is very important to communicate effectively with
the family, the care-givers, and the patient despite the
pediatric age, in order to obtain a full compliance
regarding the treatment, and therefore the patient's
outcome.
Communication Skills
 In Iraq, the low socioeconomic and educational level of the population is an
important issue when it comes to health problems.
Unfortunately, these cases are not rare in Kurdistan, where still many people live in
poor conditions, and many of them do not go to school.
Every physician must learn to overpass this socioeconomic border and to make sure
that he explains the diagnosis and all its implications in such manner that every patient
and family member understands its appropriately the diagnosis, the treatment, the
complications that can appear in the lack of treatment, and the burden of the disease
itself for the patient independently by their educational level in order to obtain the
expected clinical outcome.
If the communication of the diagnosis is adequate and the physician emphasizes with
the patients and his family, this will be the first major step toward the medical success.
Communication Vs.
History
Common
Error
• Inquiry & Ask
• Data Gathering
Communication Vs.
History
History
• Explanation
• Persuasion
Communication Vs.
History
Communication
Communication
Show what you Know
20 %
Communication Skills
1. Listen
2. Speak
3. Dialogue
4. Knowledge
5. System
6. Practice
7. Experience
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
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
Communication Verities
1. Breaking bad news
2. Critical incidence
3. Taking Consent
4. Teaching session
5. Ethical Dilemma
Information
Bad News
Difficult
Role -
Steps of Communication
Intro
Body
Fin
Steps of Communication
Intro
• Greeting
• Identities
• Agenda
• Attending
• Seat
• Context
• Time
Names & numbers
Serious
Steps of Communication
Body
• Prior knowledge
• Information mass
• Name the problem
• Jargons
• Understanding
• Consultant
• Help & hope
• Anticipation
Dialogue
Keep Talking
Steps of Communication
Fin
• Shortcut
• Summarize
• Any inquiry
• Next action
• Educational Aids
• Contact & access
Give
Hope
Give
Time
Empathy & Sympathy
Empathy: Appropriate Response
Sympathy: Appropriate Feeling
Information
for family
Breaking
Bad News
• Prepare for shock
• Name the problem
• Say sorry
• Small Chunk
• Silence
• React & Respond
• Hope & Support
Crittical
incidenc
e
• Apologize
• Current status
• Action taken
• Expected Sequences
• Documentation
• Not happen again
• Formal complaint
Taking a
Consentt
• Indication
• Pain & sedation
• Benefit & Risk
• Expect worry
• Alternative
• Sign the Form
Teachin
g
Session
• Goal & Objectives
• Audience level
• Steps
• Understanding
• Drawing (Tools)
• Re- Demo
• Summary
Teleph
one
Call
• Check sounds
• Identities
• Task
• Patient identity
• Patient status
• Summarize
• Next action
• Referral & Report
• Contact details
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
Message
TIME
Be
honest
2020
The
End

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