Scottish Doctors 2
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Mapping view
Scottish Doctors 3
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Learning Outcomes for Communication
Level 1 - What the doctor is able to do
Level 2 - Outcomes for Communication
Good communication underpins all aspects of the practice of medicine. All new graduates must be able to demonstrate effective communication skills in all areas and in all media e.g. orally, in writing, electronically, by telephone etc.
Level 3
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This could include: Level 4
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General principles of good communication
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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
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Communicating with patients / relatives
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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
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Communicating with colleagues
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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.
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Communicating with Police and Procurator Fiscal/Coroner
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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
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Communicating with media and press
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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.
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Communicating as a teacher
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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
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Communicating as a patient advocate
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How to recognise when this is appropriate and how it may be accomplished effectively.
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Specific Issues
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
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