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Domain
2-Communicating about the Patient
Oral and Written
Communication
Identifying the
Problem
- Incorporate relevant
medical/scientific knowledge
- Summarize the
essential elements of the medical history
- Synthesize the
information obtained from physical exam and lab studies
-
Incorporate any
relevant patient preferences
Developing and Maintaining
Relationships
- Select and adapt
information to the audience/reader
- Adjust presentation
as necessary to meet the needs of the audience/reader
- Demonstrate professionalism
- Assure continuity
of care
Education and Counseling
- Facilitate effective
group problem-solving
- Ensure that care-givers
are able to recognize expected outcomes of treatment
- Ensure that care-givers
are able to manage potential problems
Special Applications
Types-Phone (consult
request), case presentation Medical record (H&P, SOAP), consult note,
E-mail response to physician request
Situations-Complication,
critical event, emergency transfer to other facility, discharge, death,
court testimony
Discharge summary, transfer summary, death summary, death certificate,
court deposition.
Team Communication
Identifying the Problem
- Ensure that individuals
understand their role (as leader or team member)
- Ensure that all
team members contribute to the understanding of the problem
- Assess when the
team needs other expertise (e.g., other disciplines, ethics consult,
legal counsel)
- Incorporate new
information as it becomes available
Developing and Maintaining
Relationships
- Assess individual
capacity to contribute to the team
- Acknowledge contributions
of individuals
- Focus disagreements
on positions, not persons
- Provide appropriate
support for team members
Education and Counseling
- Ensure that all
team members collaborate in developing and implementing a plan
- Ensure that efforts
of the team are directed at the same goals
- Negotiate alteration
in plan effectively
Special Applications
Types-Work rounds,
attending rounds, treatment planning teams
Situations-Negotiating
differences in treatment options, negotiating "turf" issues,
referrals and consultations, disagreeing with a superior.
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