Clinical Communication skills

learning
Sylvia MS / MEU FK
Unjani

Learning objectives:

learning aspect of communication skills in

medicine
communication skills curriculum in FK Unjani
specific strategies of learning communication in
medicine

Communication skills in
medicine
Recognition of communication
skills in med:
1995 (LCME) Med School in US
1998 : North America Med School
2000 : Can Med
Indonesia 2006 SKDI : Area
Kompetensi (diperbarui 2012)

Communication skills in
medicine

Pondasi dan Pilar Kompetensi (SKDI, 2012)

Penyusunan kurikulum
Kurikulum Keterampilan Komunikasi
Pola Kurikulum Spiral

Tahun IV

C
S

Tahun III
Tahun II
Tahun I

d
o
e
s
shows
Knows how
Knows

Pengirim
(encoding)

Komunikasi

Pasien

Dokter
Komunikasi efektif
Pendidikan

Penerima
(decoding)

Kompetensi komunikasi
Kurikulum Keterampilan
Komunikasi

IV
III
V

Tahap
Tahap2B
3

Tahap
Tahap2B
3

Tahun

Sistem
Rotasi
Terintegrasi
Klinik
Semester
Ganjil

Sistem
Rotasi
Terintegrasi
Klinik
Semester
Genap

AreaI

Tahap
1
2
3 41
Generic Education

Area

II
Area

5 6
3

Tahap
7 1
2 32A
Landasan ilmu kedokteran

Tahap 2B

Tahap 2B

Sistem Terintegrasi

Sistem Terintegrasi

Kurikulum keterampilan
komunikasi
Penerapan
kurikulum
keterampilan komunikasi secara
bertahap
sesuai
fase
pendidikan. (Laidlaw, 2002; Kurtz et al., 2005)
Metode
pengajaran:
kuliah;
observasi; demostrasi; praktik;
latihan berulang; role play. (Kurtz
et al.,2005; Hulsman,1999)

Metode penilaian: ujian tulis,

evaluasi diri, OSCE, persepsi
pasien. OSCE lebih banyak

Learning Aspect of Communication

Skills
do
es

shows

Integration of knowlegde, skills and

attitude in real of clinical setting

Integration of knowlegde, skills and

attitude in simulation of clinical setting

Knows how, why and

when

Knows

Knowledge of specific communication

skills in medical setting, deal with patient,
families, and health profesionals.
Knowledge of basic communication:
communication models; non verbal
comm; direct and indirect msg; etc

Learning straegies of comm

skills
Knowledge of communication
skills
Need a conceptual framework : e.g.
SEAGUE framework of
communication skills
Didactic approach
Reading, discussion

Learning straegies of comm

skills
Demonstration of communication
skills
Observed interviews live or
videotaped
Discuss what went well, areas that
need to be improved

Practice specific skills

Role play with peers
Patient Simulation

Learning straegies of comm

skills
Observation, Feedback and Self
Assessment
Learner observed other, give
feedback
Learner observed other, performs
self assessment

Repeat practice with feedback

and self reflection
Need repeat practice to improve
communication ability

Learning strategies of comm

skills
Role-model of communication
skills
Need respected role models

Continuing development of
complex skills integrated with
curriculum
Not only at the beginning
Should involed with ongoing
curriculum

Assessment of Communication
Skills
do
es

shows

Integration of knowlegde, skills and

attitude in real of clinical setting :
workplace observation
Integration of knowlegde, skills and
attitude in simulation of clinical
setting: OSCE

Knows how, why and

when

Knows

Knowledge of specific communication

MCQ, essay, OSVE

Knowledge of basic communication:

MCQ, essay.

Contoh : OSCE

TERIMA KASIH