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Clinical Communication in Medicine


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Table of Contents

Contributors viii Foreword xi 1 Introduction 1 Jane Kidd Part 1: The doctor ]patient relationship Section lead editor: Lorraine M. Noble 2 Introduction to the Doctor-Patient Relationship 5 Lorraine M. Noble 3 History of the Doctor-Patient Relationship 6 Annie Cushing 4 Models of the Doctor-Patient Consultation 21 Alexia Papageorgiou 5 What Is Effective Doctor-Patient Communication? Review of the Evidence 30 Gregory Makoul and Sandra van Dulmen 6 Patient ]Centredness 40 Rosie Illingworth 7 The Impact of Training 49 John Skelton 8 The Future of the Doctor-Patient Relationship 57 Lorraine M. Noble Part 2: Components of Communication Section lead editor: Alexia Papageorgiou Part 2A: Core Tasks in Clinical Communication 9 Overview of Core Tasks in Clinical Communication 69 Jonathan Silverman 10 Relationship Building 72 Jonathan Silverman 11 Information Gathering and Clinical Reasoning 76 Jonathan Silverman 12 Information Sharing and Shared Decision Making 81 Jonathan Silverman 13 Communicating about Risk and Uncertainty 87 Katherine Joekes 14 Responding to Emotions 91 Theano V. Kalavana 15 Breaking Bad News 98 Rob Lane 16 Facilitating Behaviour Change through Motivational Interviewing 104 Eva Doherty 17 Responding to Medical Error and Complaints 108 Lucy Ambrose and Lindsey Pope Part 2B: Diversity Issues in Clinical Communication and Cultural Diversity 18 Overview of Diversity Issues in Clinical Communication 117 Costas S. Constantinou 19 Diversity Issues in Clinical Communication 119 Margot Turner and Nisha Dogra 20 The Family Consultation 127 Xavier Coll 21 Consulting with Children and Young People 131 Xavier Coll 22 The Older Patient 138 Andrew Tarbuck 23 End of Life Issues 147 Vinnie Nambisan and Jennifer Balls 24 Mental Health Matters 151 Jonathan Wilson Part 2C: Interprofessional Communication 25 Interprofessional Communication and Its Challenges 159 Susanne Lindqvist Part 3: Learning Teaching and Assessment Section lead editor: Jo Brown 26 Introduction to Learning Teaching and Assessment 171 Jo Brown 27 The History of Clinical Communication Teaching 172 Victoria Bates Jonathan Reinarz and Connie Wiskin Part 3A: Models of Learning 28 Behaviourism as a Way of Learning 181 Jo Brown 29 Situated and Work ]Based Learning 186 Jo Brown 30 Experiential Learning 193 Jan van Dalen 31 Transformative Learning and High ]Fidelity Simulation 200 Wesley Scott ]Smith 32 Reflective Practice 206 Sally Quilligan 33 Models of Feedback 211 Catherine J. Williamson Jill Dales and John Spencer Part 3B: The Assessment of Communication 34 Introduction to Assessment in Communication 221 Jane Kidd 35 Assessing Performance 233 Connie Wiskin and Janet Lefroy 36 Workplace ]Based Assessment 241 Jane Kidd and Janet Lefroy Part 4: Afterword 37 Afterword 251 Jo Brown Lorraine M. Noble Alexia Papageorgiou and Jane Kidd Index 252

About the Author

Dr Jo Brown, Reader in Medical Education, Academic Director of the Student Experience, Head of Clinical Communication, National Teaching Fellow, St George's, University of London. Dr Lorraine M Noble, Senior Lecturer in Clinical Communication, UCL Medical School, UCL, London, UK. Dr Alexia Papageorgiou, Associate Professor in Clinical Communication, St George's, University of London medical programme, delivered in Cyprus by the University of Nicosia Medical School. Dr Jane Kidd, Undergraduate Quality Manager, Education Training and Research, University Hospitals Coventry and Warwickshire NHS Trust; External tutor, Institute of Medical and Biomedical Education, St George's University of London.


"From being proactive to skills that come into play when handling emergencies, Clinical Communication in Medicine discusses all kinds of scenarios and options, contrasting different coping strategies and approaches, and should be required reading for any medical student." (California Bookwatch, 2016) "The result is a scholarly yet accessible blend of history, social science, and medical and psychological insights recommended for anyone working in a clinical medical setting." (Donovan's Literary Services 2016) "As Chief Medical Officer I am very aware of the importance of effective communication with patients and their families. This book comprehensively charts the evidence base that underpins current teaching in clinical communication in medicine and draws together the interdisciplinary strands from which it has evolved providing an historical perspective. I expect this to become an essential reference text for all those involved in teaching clinical communication to medical students and doctors, and for health professionals who are interested in developing their knowledge of the subject. I am happy to endorse this book." Professor Dame Sally Davies, Chief Medical Officer

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