Enhancing communication in oncology outpatient consultations: critical reflections from doctors

dc.creator	Lynn Furber
dc.creator	Roger Murphy
dc.creator	Karen Cox
dc.creator	William Steward
dc.date	2011-12-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:07:25Z
dc.date.available	2015-07-20T22:07:25Z
dc.identifier	10.5116/ijme.4ee2.0dc3
dc.identifier	2042-6372
dc.identifier	https://doaj.org/article/f4d8f9ae537b4f8baaeb1bdbfee80bd2
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/11188
dc.identifier.uri	https://doaj.org/article/f4d8f9ae537b4f8baaeb1bdbfee80bd2
dc.description	The experiences of patients diagnosed with advanced incurable cancer and the doctors who conducted their medical consultations were studied in order to improve the understanding of what happens in consultations, when bad news is disclosed. The major objective of the study was to critically reflect upon doctor-patient communication, in such situations, with a view to considering future strategies for doctors' continuing professional development. Methods: Sixteen patients and sixteen Oncologists, from a cancer centre in the UK were recruited into this ethno-graphic study. One hundred and fifteen episodes of data were collected from audio recorded consultations; inter-views with doctors and patients and their relatives and observations of consultations. These data were analysed using a constant comparison method. Results: Interactions between doctors and patients are complex and consultations can be challenging for both of them. Some doctors spoke openly about their need for additional support to enhance their communication related competencies within Oncology consultations. These doctors wanted to observe their peers conducting consultations. They also wanted to receive feedback about their own clinical practices. These doctors stated that they wanted an open culture whereby they could talk freely about difficult and emotionally challenging consultations without fear of being considered incompetent by their Consultants, who act in a clinical supervisory role. Conclusions: To help practitioners consolidate their practice in such settings it is necessary to develop better collaborations among practitioners within clinical practice. Providing individual supervisory sessions or group workshops can facilitate reflective learning and provide an open and supportive learning culture.
dc.language	English
dc.publisher	IJME
dc.relation	http://www.ijme.net/archive/2/enhancing-communication-in-oncology-consultations.pdf
dc.relation	https://doaj.org/toc/2042-6372
dc.rights	CC BY
dc.source	International Journal of Medical Education, Vol 2, Pp 159-169 (2011)
dc.subject	communication
dc.subject	reflection
dc.subject	continued professional development
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.title	Enhancing communication in oncology outpatient consultations: critical reflections from doctors
dc.type	Article