Kalamazoo Communication skill.ppsx

Communication skill is essential part of clinical practice while dealing with patients.

1. AETCOM
Identify and discuss Physician Role
and responsibility to society and
community that he /she serves
Dr. AnuradhaV Davey
Professor. Community Medicine

2. Situation
•Role Play

3. IMG
CLINICIAN
LIFE LONG LEARNER
ACAMEDICIAN
LEADER
COMMUNICATOR

4. How do you Communicate…
Body
language
Style of
delivery
Through
Speech

5. Way of Communication
55%
38%
7%
Percentage
Body language
Tone
Verbal/spoken7%
Body Language
Tone
Verbal /Spoken

6. Why communication skill
Better
Health
Outcomes
Better
Patient
satisfaction
Greater
Symptom
improvement
Better
management
of chronic
illness

7. TWO WAY of EXPECTATION
Patient’s Expectation
•Listen to my suffering
•Inform me about
disease
•Treat me optimally
•Assure me about
Recovery
Doctor’s Expectation
Narrate your symptoms
Follow my advise
Trust me

8. Kalamazoo model-5 A
•Assess
•Advise
•Agree
•Assist
•Arrange

9. 5-A
•Assess-Belief, knowledge and Behavior
•Advise: Provide specific Information about health risk
and benefits of change
•Agree: Collaboratively set goals based on patients’s
interest and confidence in their
•Assist: Identify personal barrier, strategies, problem
solving techniques
•Arrange: Specify plan for follow up{e.g. Visits, Phone
call, mailed reminders

10. Kalamazoo Consensus statement
Communication Framework
•(1) build the doctor-patient relationship;
•(2) open the discussion;
•(3) gather information;
•(4) understand the patient's perspective;
•(5) share information;
•(6) reach agreement on problems and plans;
and
•(7) provide closure.

11. Build doctor patient relationship
•Create non threatening environment
•Welcoming Statement
•Friendly words and tone of Voice
•Address by name
•Make proper connect
•Question about themselves

12. Open the discussion
•Allow the patient to complete statement
without interruption
•Ask, “ Is there any thing else?” to elicit full set
of concern
•Establish and Maintain the personal
connection

13. Gather information
•Begin with patient’s story using the
phrase…(Tell me about…”)
•Clarifies details as necessary with more
specific question “Yes/NO” question
•Summarizes and gives patient opportunity to
add information

14. understand the patient's perspective
•Ask about life events, circumstances, other
people that might affect health
•Elicit patients' belief, concern, expectation
about illness and treatment

15. Doctor As Communicator: Empathy
•Acknowledge patient pain, suffering and
relationship problems
•Understands patients need and care
•Compassionate attitude
•Have positive body language, tone and eye
contact
•Very clear in message

16. Share information
•Use language that patient can understand
•Check for understanding
•Encourage the questions

17. Reach Agreement on Problem and
Plan
•Encourage patient to participate in decision to
the extent he/she desires
•Check the patient willingness and ability to
follow the plan
•Identify and enlist the resources and support