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Effective Medical Communication The A, B,C, D, E of it Subhash Chandra Parija Balachandra V. Adkoli Editors 123 Effective Medical Communication Subhash Chandra Parija Balachandra V. Adkoli Editors Effective Medical Communication The A, B,C, D, E of it Editors Subhash Chandra Parija Balachandra V. Adkoli Sri Balaji Vidyapeeth (Deemed-to-be Sri Balaji Vidyapeeth (Deemed-to-be University) University) Pondicherry Pondicherry India India ISBN 978-981-15-3408-9 ISBN 978-981-15-3409-6 (eBook) https://doi.org/10.1007/978-981-15-3409-6 © Springer Nature Singapore Pte Ltd. 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore Almighty God To my wife Ms. Jyotirmayee Parija for self-less support and my mother Late Smt. Nishamani Parija and my father Late Shri Managovinda Parija for their blessings Also to my Professional colleagues and mentors for their guidance Subhash Chandra Parija My wife Smt. Shyamala Adkoli for standing behind me; and my Gurus who have inspired me… Balachandra V. Adkoli Foreword vii viii Foreword Preface Communication in general is all about telling and selling. However, in medicine, it has a special significance. It is about empathic listening, connecting, and establish- ing bonds of trust with the patients. It is also about leading or working in a team to accomplish individual or collective tasks. While the whole world of business, commerce, and industries is banking upon communication, the medical professionals have not fully explored the potentiality of communication in enhancing their effectiveness. They have emphasized the med- ical content rather than the psycho-social aspects of communication. Of late, the pendulum has been shifting. The popular slogan ‘Content is the King’ needs to be complemented with ‘Communication is the Queen’! The science of medicine when delivered through the art of communication leads to a win-win situation for doctors, patients, and the society. The hard core medical science should embrace soft skills like leadership, motivation, and team building which rely mainly upon effective communication. The felt need for strengthening communication skills among medical profes- sionals prompted us to take up this project seriously. No doubt, a number of books in this field have hit the market, but still, we could not lay finger on any particular book that deals with the whole gamut of communication skills. We therefore decided to address communication skills in a broader perspective, as a journey of a medical professional starting as undergraduate student, passing through the stages of post- graduation, faculty member, and ending up as a leader in the profession. This book has been designed to provide practical tips rather than extensive review of literature. The structure of the book, what we have termed as A, B, C, D, E approach is a novel attempt to harmonize the content and the style of chapters written by multiple authors. The scenarios depicted in each chapter through a ficti- tious character Ms Comini followed by one-minute exercise are an attempt to pro- voke thoughts in the mind of readers to ponder upon the issues. The cartoons are expected to convey the message loud and clear. In short, this book is not merely meant for reading, but to help the readers to think, apply, and create their own con- cept of communication. ix x Preface We wholeheartedly thank all our contributors who have chipped in this project. Our publisher Springer Nature has shown a track record of executing the projects undertaken by the chief editor every time with a different flavour. We hope this book will also be received by the international reading community belonging to all ages and stages. Pondicherry, India Subhash Chandra Parija Balachandra V. Adkoli About the Book The Genesis Perhaps no other aspect in medicine has made so much of impact on the quality of patient care as communication. In fact, the heart of medicine lies in good patient– doctor relationship which is based on the art of communication. Sadly, with grow- ing dependence on high end technology and diagnostics, the medical professionals have drifted away from the personal healing touch, resulting in strained doctor– patient relationship. The lack of communication skills has also hampered the inter- personal relationship among the health professionals which is a key factor for delivering quality care in a complex environment with various cadres of staff who are all interdependent. In order to bridge this communication gap, we decided to bring out a book which would serve as a guide for the teachers as well as students to develop communication skills. We were ably supported by 30 eminent faculty who willingly contributed chapters for this mammoth task. The Content Organization We have adopted a different approach in organizing the content of this book. The topics chosen for the book are organized under five parts corresponding to five stages of development of a medical professional. They originate from the commu- nication needs of a medico during various stages. Part I ‘Begin with a Bang’ sets the stage for everyone to get sensitized to the overall landscape of communication. Part II ‘Catch them Young’ addresses the communication needs of students and resident doctors to sensitize them about the modalities of verbal and non-verbal communication. Core topics such as patient–doctor communication, taking informed consent for research, skills related to prescribing medicine (using a novel 5-R framework), and how to make effective oral presentation in a seminar are discussed. Part III ‘Hold them Strong’ addresses the needs of junior and mid-level faculty. The topics written in this part are teaching, learning, and assessing communication skills, communication in large class rooms, how to publish effectively, how to handle general public, media, press, and VIPs, social media, and medical education besides lan- guage skills. xi

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