- 作者：Richard L. Street Jr. ; Hanneke C.J.M. De Haes
- 关键词：Communication skills ; Medical education ; Functional models
- 刊名：Patient Education and Counseling
- 出版年：2013
- 出版时间：October, 2013
- 年：2013
- 卷：93
- 期：1
- 页码：27-33
- 全文大小：387 K
lass=""h4"">Objective
Because quality health care delivery requires effective clinician-patient communication, successful training of health professionals requires communication skill curricula of the highest quality. Two approaches for developing medical communication curricula are a consensus approach and a theory driven approach. We propose a theory-driven, communication function framework for identifying important communication skills, one that is focused on the key goals and outcomes that need to be accomplished in clinical encounters. We discuss 7 communication functions important to medical encounters and the types of skills needed to accomplish each.lass=""h4"">Discussion
The functional approach has important pedagogical implications including the importance of distinguishing the performance of a behavior (capacity) from the outcome of that behavior in context (effectiveness) and the recognition that what counts as effective communication depends on perspective (e.g., observer, patient).
lass=""h4"">Conclusion
Consensus and theory-driven approaches to medical communication curricula are not necessarily contradictory and can be integrated to further enhance ongoing development and improvements in medical communication education.
lass=""h4"">Practice implications
A functional approach should resonate with practicing clinicians and continuing education initiatives in that it is embraces the notion that competent communication is situation-specific as clinicians creatively use communicative skills to accomplish the key goals of the encounter.