CLINICAL COMMUNICATION IN MEDICINE

Clinical Communication in Medicine brings together the theories, models and evidence that underpin effective healthcare communication in one accessible volume. Endorsed and developed by members of the UK Council of Clinical Communication in Undergraduate Medical Education, it traces the subject to its primary disciplinary origins, looking at how it is practised, taught and learned today, as well as considering future directions.

Focusing on three key areas – the doctor-patient relationship, core components of clinical communication, and effective teaching and assessment – Clinical Communication in Medicine enhances the understanding of effective communication. It links theory to teaching, so principles and practice are clearly understood.

Clinical Communication in Medicine is a new and definitive guide for professionals involved in the education of medical undergraduate students and postgraduate trainees, as well as experienced and junior clinicians, researchers, teachers, students, and policy makers.

Table of Contents
1 Introduction 1
Part 1: The doctor ]patient relationship
Section lead editor: Lorraine M. Noble
2 Introduction to the Doctor–Patient Relationship 5
3 History of the Doctor–Patient Relationship 6
4 Models of the Doctor–Patient Consultation 21
5 What Is Effective Doctor–Patient Communication? Review of the Evidence 30
6 Patient ]Centredness 40
7 The Impact of Training 49
8 The Future of the Doctor–Patient Relationship 57
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
10 Relationship Building 72
11 Information Gathering and Clinical Reasoning 76
12 Information Sharing and Shared Decision Making 81
13 Communicating about Risk and Uncertainty 87
14 Responding to Emotions 91
15 Breaking Bad News 98
16 Facilitating Behaviour Change through Motivational Interviewing 104
17 Responding to Medical Error and Complaints 108
Part 2B: Diversity Issues in Clinical Communication and Cultural Diversity
18 Overview of Diversity Issues in Clinical Communication 117
19 Diversity Issues in Clinical Communication 119
20 The Family Consultation 127
21 Consulting with Children and Young People 131
22 The Older Patient 138
23 End of Life Issues 147
24 Mental Health Matters 151
Part 2C: Interprofessional Communication
25 Interprofessional Communication and Its Challenges 159
Part 3: Learning Teaching and Assessment
26 Introduction to Learning Teaching and Assessment 171
27 The History of Clinical Communication Teaching 172
Part 3A: Models of Learning
28 Behaviourism as a Way of Learning 181
29 Situated and Work ]Based Learning 186
30 Experiential Learning 193
31 Transformative Learning and High ]Fidelity Simulation 200
32 Reflective Practice 206
33 Models of Feedback 211
Part 3B: The Assessment of Communication
34 Introduction to Assessment in Communication 221
35 Assessing Performance 233
36 Workplace ]Based Assessment 241
Part 4: Afterword
37 Afterword 251