Medical Communication Skills and Law Made Easy, The Patient-Centred Approach

Medical Communication Skills and Law Made Easy

The Patient-Centred Approach

By Tsong Kwong; Ann O'Brien, MBBS, FRCGP, MSc, DRCOG, Institute of Health Sciences Education, Quenn Mary's School of Medicine and Dentistry, London, UK; Qiang Kwong; Kate Hill and Joanne Haswell

Section 1: The basics

Introduction. The basics of medical interaction.Informed consent and adults with capacity.Informed consent and adults who lack capacity.Breaking bad news.

Section 2: Special communication situations

Patient confidentiality. Explaining results. Communicating with children. Communicating with other special patient groups. Explaining patient discharge (foundation year level). Dealing with potential self-discharging patients (foundation year level). Dealing with angry patients and relatives (foundation year level). Dealing with introspective patients (foundation year level). Dealing with poor adherence.

Section 3: Achieving the patient-centred history

General history taking. Cardiovascular history. Respiratory history. Gastrointestinal history.
Genito-urinary history. Gynaecological and obstetric histories. Legal guidance on termination of pregnancy. Neurological history. Psychiatric history and mental health. Paediatric history. Pre-operation clinic.

Section 4: HIV counselling

HIV The basics. Social impact. Pre-HIV test counselling. Giving test results. Legal guidance ? HIV and AIDS.

Section 5: Explaining disease X

Explaining disease. Explaining asthma. Explaining depression. Explaining angina. Explaining osteoarthritis. Explaining appendicitis (surgical case). Explaining cystic Fibrosis (genetic origin). Explaining type 1 diabetes. Explaining type 2 diabetes. Explaining hepatitis B. Explaining eczema. Explaining epilepsy. Explaining cancer.

Section 6: Explaining drug Y

Explaining drugs and medication.Explaining atenolol. Explaining statin therapy. Explaining SSRI drugs. Explaining asthma medication. Explaining aspirin. Explaining oral hypoglycaemics (metformin). Explaining combined oral contraceptive pill (OCP). Explaining warfarin. Explaining steroid use.

Section 7: Explaining device Z

Explaining devices. Explaining GTN spray. Explaining insulin injector pens. Explaining peak flow meters. Explaining inhalers. Explaining adrenalin pens.

Section 8: Explaining procedures

Explaining procedures. Explaining central line placement. Explaining angiograms. Explaining exercise stress test. Explaining OGD for epigastric pain. Explaining colonoscopy/flexisigmoidoscopy (C/FS) for PR bleeding. Explaining bronchoscopy for haemopytsis. Explaining ERCP for gallstones.Explaining lumbar puncture.

Section 9: Explaining surgical operations
Explaining surgical operations. Explaining appendicectomy. Explaining laparoscopic cholecystectomy. Explaining inguinal hernia repair.

Section 10: OSCE scenarios
Situation 1 New diagnosis of asthma. Situation 2 Explaining asthma medication. Situation 3 Oral combined contraceptive pill. Scenario 4 HIV test counselling. Scenario 5 HIV test results counselling. Scenario 6 Laparoscopic cholecystectomy. Scenario 7 Angina patient. Scenario 8 Depression, anxiety and suicide.

Appendix 1: Clinical negligence

Appendix 2: A summary of the British legal structure

Appendix 3: Notifiable diseases