BOX 3-1
Complex Communication Skills

  1. Contextual/Developmental Factors

    Cultural issues in the interview

    Working with a translator

    Family interviewing

    The pediatric interview

    The adolescent interview

    The geriatric interview

  2. Assessment and Counseling

    Smoking cessation

    Diet/exercise

    Cognitive dysfunction

    Risky sexual behaviors

    Anxiety/panic disorder

    Depressive disorders

    Domestic violence

    Alcoholism

    Drug addiction

  3. Challenging Situations

    The angry patient/family

    Patients demanding inappropriate treatment

    Assessing and managing somatization and “problem patients”

    Discussing advanced directives

    Giving bad news

    Talking with patients about hospice care

    Talking with terminal patients about pain

    Being with a dying patient

    Talking with grieving patients/family members

    Talking to a patient/family about medical mistakes

    Terminating the doctor–patient relationship

  4. Communicating with Colleagues

    Communication with others on the health care team

    Talking to an impaired colleague

    Principles of teaching junior colleagues



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