Knowledge and science are not enough

2019 ◽  
pp. 69-82
Author(s):  
Wolfgang Grisold
Keyword(s):  
Clinical Practice ◽  
Communication Skills ◽  
Ability To Work ◽  
Community Physician

Knowledge and science are the basis of neurology, while competence, skills, and possession of a virtue synthetically referred to as ‘phronesis’ are also expected in clinical practice. There is an increasing awareness of the importance of ‘soft facts’, which are well-formulated in the CanMEDs and belong to the neurologist’s spectrum of abilities. This spectrum embraces several aspects of the ability to work and communicate within a team and a community. Physician advocacy for patients is implicit in many of the agendas of a practising neurologist, but is often related to individual- and patient-based (micro) aspects. Meso and macro aspects are often neglected. This disregard can be due to a lack of awareness but also to a lack of attention. Management and communication skills, compassion, sympathy, empathy, and ‘passion’ are often mentioned, and are implicitly part of successful advocacy.

El debriefing, aprendizaje reflexivo en la simulación interprofesional

2019 ◽  
Vol 62 (0) ◽  
pp. 45-53
Author(s):  
Hugo E. Olvera ◽  
Argimira Vianey Barona Nuñez ◽  
Laura S. Hernández Gutiérrez ◽  
Erick López León
Keyword(s):  
Clinical Practice ◽  
Communication Skills ◽  
Learning Objectives ◽  
Complex Activity ◽  
Learning Space ◽  
Daily Lives ◽  
Reaction Phase ◽  
Analysis Phase ◽  
Simulation Scenario ◽  
Basic Standards

In the field of interprofessional simulation, an important element for achieving the stated objectives of the simulation scenario is the debriefing. The debriefing is a complex activity that requires certain skills, experience and knowledge from the facilitator or facilitators, who are known as debriefer/s. Their function is to make the participants reflect on the reasons for their actions, their decisions, and how they acted as a team or individually. Its purpose is the acquisition of a significant learning (achieving the learning objectives) that can subsequently be applied in their daily lives. The interprofessional debriefing styles are varied, but basically its structure integrates: a reaction phase, an analysis phase and an application phase; keeping in mind that the basic standards must be maintained when carrying out a debriefing: time, the construction of a safe learning space, identification, and the closure of knowledge gaps. The advantages of performing an interprofessional debriefing goes beyond the objectives of the simulation, since it favors the acquisition of effective communication skills, teamwork, leadership, the notion of error, etc., which can later be applied in the daily clinical practice.

An introduction to advance care planning: practice at the frontline

2018 ◽  
Author(s):  
Anjali Mullick ◽  
Jonathan Martin
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Communication Skills ◽  
Advance Care Planning ◽  
Use Case ◽  
Care Planning ◽  
Practical Advice ◽  
Future Care ◽  
Case Vignettes ◽  
Advance Care

Advance care planning (ACP) is a process of formal decision-making that aims to help patients establish decisions about future care that take effect when they lose capacity. In our experience, guidance for clinicians rarely provides detailed practical advice on how it can be successfully carried out in a clinical setting. This may create a barrier to ACP discussions which might otherwise benefit patients, families and professionals. The focus of this paper is on sharing our experience of ACP as clinicians and offering practical tips on elements of ACP, such as triggers for conversations, communication skills, and highlighting the formal aspects that are potentially involved. We use case vignettes to better illustrate the application of ACP in clinical practice.

PECULIARITIES OF DEVELOPING “SOFT” SKILLS AT FOREIGN LANGUAGE CLASSES FOR CADETS AND MASTERS OF STATE FIRE ACADEMY OF EMERCOM OF RUSSIA

2021 ◽  
Vol 3 ◽  
pp. 34-40
Author(s):  
M. Korosteleva ◽  
◽  
A. Muzychenko ◽  
E. Skurko ◽  
◽  
...  
Keyword(s):  
Foreign Language ◽  
Communication Skills ◽  
Soft Skills ◽  
Team Leadership ◽  
Leadership Qualities ◽  
Ability To Work ◽  
Language Classes

Universal competencies (“soft” skills), which must be developed in a modern specialist along with the professional ones are analyzed in the article. The importance and relevance of developing such skills as communication skills, the ability to work in a team, leadership qualities and others are justified. Practical examples of developing such skills in foreign language classes are presented.

scholarly journals The place of communication skills in the clinical practice of an anesthesiologist

2020 ◽  
Vol 16 (6) ◽  
pp. 33-39
Author(s):  
L.V. Usenko ◽  
L.A. Maltseva ◽  
T.V. Kanchura ◽  
G.V. Panchenko ◽  
O.V. Belotserkovets ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Communication Skills

UK palliative medicine trainees and multisource communication skills feedback: an educational tool?

2020 ◽  
pp. bmjspcare-2019-002133
Author(s):  
Katherine Webber ◽  
Rebecca Selman
Keyword(s):  
Clinical Practice ◽  
Focus Group ◽  
Communication Skills ◽  
Palliative Medicine ◽  
Multisource Feedback ◽  
Educational Tool ◽  
Limited Data ◽  
360 Degree Feedback ◽  
Team Working ◽  
The Uk

BackgroundMultisource feedback provides ratings of a trainee doctor’s performance from a range of assessors and enables 360 degree feedback on communication skills and team working behaviours. It is a tool used throughout palliative medicine training in the UK. There are limited data on the value of multisource feedback from a palliative medicine trainee perspective.AimTo study the views of palliative medicine trainees regarding multisource feedback as an educational tool to develop communication skills.DesignA multimodal study encompassing a focus group and questionnaire mailed to all deanery palliative doctors.Setting/participantsAll palliative medicine trainees within a UK training deanery.ResultsOver half of responding trainees thought multisource feedback had little or no impact on their clinical practice. Improvements in delivery of multisource feedback to maximise learning were identified, including skilled feedback and facilitation by educational supervisors.ConclusionsDespite multisource feedback currently having limited benefits, a number of recommendations are suggested to improve this.

scholarly journals Communication skills in the training of psychiatrists: A systematic review of current approaches

2017 ◽  
Vol 51 (7) ◽  
pp. 675-692 ◽  
Author(s):  
Philippa Ditton-Phare ◽  
Carmel Loughland ◽  
Robbert Duvivier ◽  
Brian Kelly
Keyword(s):  
Clinical Practice ◽  
Patient Outcomes ◽  
Behaviour Change ◽  
Communication Skills ◽  
Randomised Controlled Trials ◽  
Skills Training ◽  
Controlled Trials ◽  
Communication Skills Training ◽  
Randomised Controlled ◽  
Training Programmes

Objectives: A range of communication skills training programmes have been developed targeting trainees in various medical specialties, predominantly in oncology but to a lesser extent in psychiatry. Effective communication is fundamental to the assessment and treatment of psychiatric conditions, but there has been less attention to this in clinical practice for psychiatrists in training. This review examines the outcomes of communication skills training interventions in psychiatric specialty training. Methods: The published English-language literature was examined using multiple online databases, grey literature and hand searches. The review was conducted and reported using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies examining the efficacy of communication skills training were included. Randomised controlled trials, pseudo-randomised studies and quasi-experimental studies, as well as observational analytical studies and qualitative studies that met criteria, were selected and critically appraised. No limits were applied for date of publication up until 16 July 2016. Results: Total search results yielded 2574 records. Of these, 12 studies were identified and reviewed. Two were randomised controlled trials and the remaining 10 were one-group pretest/posttest designs or posttest-only designs, including self-report evaluations of communication skills training and objective evaluations of trainee skills. There were no studies with outcomes related to behaviour change or patient outcomes. Two randomised controlled trials reported an improvement in clinician empathy and psychotherapeutic interviewing skills due to specific training protocols focused on those areas. Non-randomised studies showed varying levels of skills gains and self-reported trainee satisfaction ratings with programmes, with the intervention being some form of communication skills training. Conclusion: The heterogeneity of communication skills training is a barrier to evaluating the efficacy of different communication skills training programmes. Further validation studies examining specific models and frameworks would support a stronger evidence base for communication skills training in psychiatry. It remains a challenge to develop research to investigate behaviour change over time in clinical practice or to measure patient outcomes due to the effects of communication skills training.

Personality of a Lawyer: Qualities that Contribute to Successful Professional Activities in the Context of Advocacy Digitalization

2020 ◽  
Vol 15 (6) ◽  
pp. 194-200
Author(s):  
P. E. Korotkova
Keyword(s):  
Work Environment ◽  
Communication Skills ◽  
Legal Profession ◽  
Professional Activity ◽  
Legal Assistance ◽  
Ability To Work ◽  
Digital Space ◽  
Professional Activities ◽  
Information Interaction

The paper analyzes the situation in the field of informatization of the Russian advocacy, substantiates the need to create and develop a corporate advocacy work environment as part of the overall digital space of Russia. The need for unification of disparate processes of informatization and information interaction is substantiated. The paper also considers three groups of criteria, namely professional, procedural and consumer, which are required to qualified legal assistance provided by lawyers. The personality qualities of a modern lawyer are revealed, which contribute to his successful professional activity in the conditions of informatization of the Russian legal profession. These are qualities such as interest (In the chosen field of activity), morality, communication skills, punctuality, and ability to work under pressure. At the end of the paper, the author formulates the conclusion that the list of personality qualities of a lawyer considered is not exhaustive, but during the period of the COVID-19 coronavirus pandemic, in conditions of self-isolation, these qualities are the most important ones.

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