| Creativity in clinical communication: from communication skills to skilled communication. | |
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MedLine Citation:
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PMID: 21299597 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medical Education 2011: 45: 217-226 Objectives The view that training in communication skills produces skilled communication is sometimes criticised by those who argue that communication is individual and intuitive. We therefore examine the validity of the concept of communication as a skill and identify alternative principles to underpin future development of this field. Methods We critically examine research evidence about the nature of clinical communication, and draw from theory and evidence concerning education and evaluation, particularly in creative disciplines. Results Skilled communication cannot be fully described using the concept of communication skills. Attempts to do so risk constraining and distorting pedagogical development in communication. Current education practice often masks the difficulties with the concept by introducing subjectivity into the definition and assessment of skills. As all clinical situations differ to some extent, clinical communication is inherently creative. Because it is rarely possible to attribute specific effects to specific elements of communication, communication needs to be taught and evaluated holistically. Conclusions For communication teaching to be pedagogically and clinically valid in supporting the inherent creativity of clinical communication, it will need to draw from education theory and practice that have been developed in explicitly creative disciplines. |
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Authors:
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Peter Salmon; Bridget Young |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Medical education Volume: 45 ISSN: 1365-2923 ISO Abbreviation: Med Educ Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-08 Completed Date: 2011-05-09 Revised Date: 2011-09-28 |
Medline Journal Info:
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Nlm Unique ID: 7605655 Medline TA: Med Educ Country: England |
Other Details:
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Languages: eng Pagination: 217-26 Citation Subset: IM |
Copyright Information:
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© Blackwell Publishing Ltd 2011. |
Affiliation:
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Division of Clinical Psychology, University of Liverpool, Liverpool, UK. psalmon@liv.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Communication* Creativeness* Education, Medical / methods* Health Knowledge, Attitudes, Practice Humans Physician-Patient Relations* Professional Competence* |
| Comments/Corrections | |
Comment In:
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Med Educ. 2011 Sep;45(9):958; author reply 961-2
[PMID:
21848724
]
Med Educ. 2011 Sep;45(9):959-60; author reply 961-2 [PMID: 21848725 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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