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 Learning Outcomes for CommunicationLevel 1 - What the doctor is able to doLevel 2 - Outcomes for Communication | |||||||||||||||||||
| Level 3 | This could include: Level 4 | 
| General principles of good communication | Being able to listen and use other appropriate communication techniques including an appreciation of non-verbal communication / body language (ones own and the interviewees). Gathering and giving information with good record keeping and correspondence skills. Mediating, negotiating and dealing with complaints. Making oral presentations and writing reports / papers. Telephone usage Taking into account the age and mental ability of the patient / relative. Taking into account religious / spiritual beliefs that may affect a consultation. Recognising when communication is unsuccessful and another strategy e.g. use of an interpreter, is required | 
| Communicating with patients / relatives | Answering questions and giving explanations and/or instructions. Strategies for dealing with the "difficult" consultation including defusing aggression, breaking bad news and admitting lack of knowledge or mistakes. Making requests e.g. post-mortem, organ donation. Obtaining informed consent. Confidentiality. Educating patients and facilitating self-management of illness | 
| Communicating with colleagues | Transfer of information orally, in writing and electronically. The "art" of the good discharge summary and patient referrals. Providing all necessary clinical information on request forms to laboratory-based colleagues. | 
| Communicating with Police and Procurator Fiscal/Coroner | Under what circumstances there is a legal obligation to contact such authorities. Proper procedure when such communication is necessary and how to relay appropriate information without breaking rules of confidentiality. Providing evidence in court | 
| A clear understanding of who should give information to the media and press and what form it should take including the need to maintain confidentiality where individual patients are concerned. | |
| Recognising the importance of sticking to what you know, knowing your own limitations and admitting when you dont know. Some basic teaching techniques e.g. demonstrating practical procedures, using various teaching aids, etc. Preparation of content for electronic presentation | |
| Communicating as a patient advocate | How to recognise when this is appropriate and how it may be accomplished effectively. | 
Recommended methods of assessment include:
        OSCE
        OSSE
        OSPE
        Short cases
Other less reliable or valid methods are:
        OSLER
        Case histories
        Video
        Viva
Potential new methods of assessment include:
        Structured viva
        Linked OSCE and EMI questions in alternate stations
        Linked OSCE stations