Adult Gastroenterology Training Program

Communicator

Royal College of Physicians & Surgeons: Goals & Objectives for Training

Definition:

As Communicators, Gastroenterologists effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

Key and Enabling Competencies: Gastroenterologists are able to…

1. Develop rapport, trust, and ethical therapeutic relationships with patients and families
1.1. Recognize that being a good communicator is a core clinical skill for Gastroenterologists, and that effective physician-patient communication can foster patient satisfaction, physician satisfaction, adherence and improved clinical outcomes
1.2. Establish positive therapeutic relationships with patients and their families that are characterized by understanding, trust, respect, honesty and empathy
1.3. Respect patient confidentiality, privacy and autonomy
1.4. Listen effectively
1.5. Communicate effectively in order to obtain a thorough and relevant patient history
1.6. Be aware of and responsive to nonverbal cues
1.7. Demonstrate sensitivity to patient concerns when presenting in the presence of a patient and/or family
1.8. Facilitate a structured clinical encounter effectively

2. Accurately elicit and synthesize relevant information and perspectives of patients and families, colleagues, and other professionals
2.1. Gather information about a disease and about a patient’s beliefs, concerns, expectations and illness experience
2.2. Seek out and synthesize relevant information from other sources, such as a patient’s family, caregivers and other professionals

3. Convey relevant information and explanations accurately to patients and families, colleagues and other professionals
3.1. Deliver information to a patient and family, colleagues and other professionals in a humane manner and in such a way that it is understandable, encourages discussion and participation in decision-making

4. Develop a common understanding on issues, problems and plans with patients, families, and other professionals to develop a shared plan of care
4.1. Identify and explore problems to be addressed from a patient encounter effectively, including the patient’s context, responses, concerns, and preferences
4.2. Respect diversity and difference, including but not limited to the impact of gender, religion and cultural beliefs on decision-making
4.3. Encourage discussion, questions, and interaction in the encounter
4.4. Engage patients, families, and relevant health professionals in shared decision-making to develop a plan of care
4.5. Address challenging communication issues effectively such as delivering bad news, and addressing anger, confusion, misunderstanding and language barriers

5. Convey effective oral and written information about a medical encounter
5.1. Maintain clear, concise, accurate and appropriate records of clinical encounters and plans
5.2. Demonstrate effective consultation skills in presenting well documented assessments and recommendations in written and/or verbal form including:
5.2.1. Procedural and specialty test reports
5.2.2. Responses to requests by other health professionals and third parties
5.3. Present medical information effectively to the public or media about a medical issue