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.
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 (one’s own and the interviewee’s).
Gathering and giving information with good record keeping and correspondence skills.
Mediating, negotiating and dealing with complaints.
Making oral presentations and writing reports / papers.
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.
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
Communicating with media and press
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.
Communicating as a teacher
Recognising the importance of sticking to what you know, knowing your own limitations and admitting when you don’t 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:
Other less reliable or valid methods are:
Potential new methods of assessment include:
Linked OSCE and EMI questions in alternate stations
Linked OSCE stations