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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Developing communication skills for the general practice consultation process.

Jørgen Nystrup¹, Jan-Helge Larsen, Ole Risør

¹World Federation for Medical Education, Faculty of Health Sciences, The Panum Institute, University of Copenhagen, Copenhagen, Denmark.

Sultan Qaboos University Medical Journal

|April 22, 2011

Summary

This summary is machine-generated.

This communication skills training program for general practice physicians uses video feedback and a 9-step model (PRACTICAL) to improve doctor-patient collaboration. It aims to shorten consultations by focusing on shared agendas and patient needs.

Keywords:

Communication General practice Skills

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Area of Science:

Medical Education
General Practice
Communication Skills Training

Background:

Medical curricula globally have increased communication skills teaching hours.
Physician communication is crucial for effective patient care and consultation efficiency.

Purpose of the Study:

To describe a communication skills teaching program for general practitioners.
To present the Window Supervision Method and the PRACTICAL model for effective consultations.

Main Methods:

Video feedback using the Window Supervision Method.
Group training for 8 doctors and 1 supervisor.
Defined 9 steps for effective consultations (PRACTICAL).

Main Results:

Over 2,000 physicians trained since 1992 in Denmark, Sweden, and Finland.
Identified common doctor communication pitfalls.
The PRACTICAL model facilitates discrimination between patient, doctor, and shared communication elements.

Conclusions:

This communication skills training program effectively addresses doctor communication pitfalls.
The PRACTICAL model can shorten consultations to approximately 15 minutes through enhanced doctor-patient collaboration and agenda setting.