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  • “CLINICAL COMMUNICATION SKILLS FOR INTERNS”

    “CLINICAL COMMUNICATION SKILLS FOR INTERNS”
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     “Clinical communication skills for Interns” two days workshop as on 24-02-2020 and 25-02-2020

    Day 1:  24/02/2020

    The session started out with Dr.Prasanna Kamath, HoD, Department of Community medicine giving a brief talk on the importance of communication with patients and the role of doctors in addressing patient relatives regarding illness and the changing scenario and thereby introducing the guest speaker Dr.Indu.Arneja, Director, Indian Institute of Health Care Communication from Q group.

    Session 1

    The first session started with an activity highlighting the importance of knowing the objectives pertaining to the workshop and what to expect from the same. Furthermore Dr. Indu A  gave a brief outline of the 2 day program. A pretest questionnaire was administered to all interns. She asserted that “Communication is not a nicety” and impressed upon to debunk the myth that communication is a soft skill. Clinical communication is different from what we normally perceive it to be. It involves interaction with the patient, patient’s family and all the involved health personnel. She stressed with many examples on how Communication in healthcare, what was once straightforward has now become a unique entity of its own because of the changing trends in society and its implications.

    This was followed by a Group activity to impress upon the importance of not relying on memory during healthcare communication. At the end of the activity it was evident that assumptions are strictly prohibited in medical care and the implications of the same can lead to dire consequences.

    Next it was time for Videos which were to compare and contrast between ‘ Bad Consultation and Good Consultation’ to help appreciate the importance of body language, eye contact, empathy, patient listening, politeness, tone of voice, seeking consent, explaining effectively and others.  This session ended with Questionnaire with regards to approach to patient interview.

    Session 2

    Session 2 started with Dr.Indu having a talk on Developing communication competency. She said it involves 2 major concepts, the first one being ACTIVE LISTENING which is not just an integral part of the entire process of communication but is also therapeutic. The second concept is TAKE AND GIVE FEEDBACK which hence creates an environment for continuous evaluation and improvement. An activity was conducted outlining the importance of active listening. A special note on Communication comprising Verbal and Non Verbal entities were mentioned.  Verbal communication involves- Language, Voice Modulation, Intonation and Nonverbal communication involves- Facial expression, eye contact, gesture, posture, touch, space. She mentioned that Empathy is one of the most essential aspects in healthcare communication requires- Understanding the patient’s feelings, appreciating them as human beings, seeing their world (being nonjudgmental) and communicate understanding. This was followed by Questionnaire for interns to assess preferred communication style which were scored into- Assertive, Passive, Passive aggressive and aggressive types.  The importance of learning the art of assertion was impressed upon.

    Session 3

    The session began at 2:00 PM post lunch with the main focus on CONDUCTING PATIENT INTERVIEW. Dr. Indu.A talked on the various aspects and application of The Calgary Cambridge Guide to Medical Interview was outlined. Essentials of information gathering as outlined by the above mentioned guide first being  Building a rapport, Second being Gathering information, collecting background information, asking specific questions, Third  being Understanding ideas, concerns and expectations of patient and finally Organizing information and making a mental plan of action. This was immediately followed by Two group activities were conducted at this juncture to emphasize the same. One to help understand the importance of building an initial rapport and then a group role play to enhance understanding of the other aspects of information gathering. A self-evaluation questionnaire was administered and the day’s session was hence concluded.

    Day 2: 25/02/2020

    Session 1

    The day began with a brief recap of the previous day’s proceedings following which the next discussion revolving around physical examination took place. Dr.Indu.A mentioned that the basic etiquette of conducting a physical examination involves consent, appropriate communication between doctor and the patient, assurance of confidentiality, respecting privacy with ensuring patient comfort.

      The cardinal features of information sharing being Empathy, Explaining the diagnosis, Negotiating disease management and Ensuring patient and self-satisfaction was clearly envisioned with role play. The four role plays covered many topics like  first How should a doctor council patient relatives to convince them to put patient on ventilator,  second How to declare death of patient on ventilator , third How address  a case scenario of a girl who has drunk acid alleged suicide attempt both for examination and further management and finally role play on examination of a case of Hernia , prerequisites needed to maintain privacy , preparing the patient for  treatment and more important consent for surgery . This was followed by a posttest questionnaire to all interns evaluating the program.

    This was followed by a brief talk by Dr. Sreeramulu, Principal , SDUMC, Kolar who stated the importance of consent , verbal communication and need to council ling to  patient and patient relatives at many stages like admission of patient,  during pre-operative evaluation , before surgery, after surgery and during discharge.  The two day Programme was concluded by Dr.Prasanna Kamath, HoD Department of Community Medicine by thanking the Principal and management for conducting this two day programme for interns and how this could be a path changer in interns life.

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