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Communication skill frameworks: applications in radiation oncology.

Emily J Martin1, Shayna E Rich2, Joshua A Jones3

  • 1Department of Medicine, University of California, Los Angeles, CA, USA.

Annals of Palliative Medicine
|April 5, 2019
PubMed
Summary

This review presents communication frameworks to enhance patient care. It details evidence-based mnemonics like NURSE, SPIKES, ADAPT, REMAP, and ACE for radiation oncologists to improve communication skills.

Keywords:
Communicationeducationpalliative radiationradiation oncologyskills

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Area of Science:

  • Medical Education
  • Oncology
  • Communication Studies

Background:

  • Effective communication is crucial for high-quality patient care in all medical settings.
  • Communication skills are learnable, improvable, and essential for healthcare professionals.

Purpose of the Study:

  • To outline frameworks for communication skills training in radiation oncology.
  • To demonstrate the utility of these frameworks using practical examples (vignettes).
  • To provide evidence-based roadmaps and mnemonics for common communication tasks.

Main Methods:

  • Review of existing communication skills training frameworks.
  • Description of components within each framework.
  • Application of frameworks to specific communication scenarios in radiation oncology.
  • Introduction of mnemonics for easy recall and application.

Main Results:

  • Frameworks for responding to emotion (NURSE), delivering serious news (SPIKES), discussing prognosis (ADAPT), and discussing goals of care (REMAP) are presented.
  • A generalizable approach, ACE (Assess, Communicate, Empathize), is offered for all communication tasks.
  • Mnemonics provide memorable tools for healthcare providers.

Conclusions:

  • Structured communication frameworks and mnemonics can significantly improve the skills of radiation oncologists.
  • These tools enhance the ability to navigate complex patient interactions, leading to better care.
  • Continuous learning and practice of communication skills are vital for medical professionals.