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Abstract
Communication between the patient and the doctor is fundamental to good medical practice.
Patients perceive that the communication skills of clinicians are as important as
technical skills for determining whether high quality medical care has been provided.
Failure of adequate communication is a significant factor determining patient dissatisfaction
with the quality of medical care and often leads to litigation. Communication skills
can be improved by specially-designed training programmes. To achieve optimal results
such programmes should be incorporated into both undergraduate and postgraduate medical
training.
For obstetricians and gynaecologists, clincial issues that are appropriate for courses
in communication skills include breaking bad news, encouraging adherence to medical
advice, preparation for potentially threatening clinical procedures, and encouraging
behaviour change.
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© 1999 Published by Elsevier Inc.