Domain: Communication - PowerPoint Presentation

Domain: Communication

GMC guidance Child-centred & family-centred careCommunicating with adolescentsTips for managing emotions during difficult consultationsCommunicating with colleaguesWhere does your personality type fit in?Top tips for “Written Communication”Safe Handover & helpful communication toolsUseful training and resources Highlights

  Learning outcome Key capabilities Level 1 Develops effective relationships with children, families and colleagues, demonstrating effective listening skills, cultural awareness and sensitivity.Communicates effectively in the written form by means of clear, legible, and accurate written and digital records.Demonstrates excellent communication and interpersonal skills to enable effective collaboration with patients and their families, and colleagues in multi-professional and MDTs. This includes demonstrating courtesy and respect for different cultures and those with protected characteristics (e.g. age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, gender, sexual orientation).Demonstrates both spoken and written communications (including electronic notes) with patients, families and colleagues that are presented in clear, straightforward English, avoiding jargon where appropriate.Level 2Participates effectively in multidisciplinary teams (MDTs) and engages with patients and families, facilitating shared decision making; recognises complex discussions and when to seek assistance.Demonstrates effective communication (verbal, nonverbal, and written) with children, young people and their families, colleagues and other professionals.Responds appropriately and empathises with children, young people and their families/carers experiencing difficulty and distress (e.g. in the case of an angry or dissatisfied relative).Effectively communicates where there is a range of differential diagnoses and where management is uncertain.Level 3Leads multidisciplinary teams (MDTs) and demonstrates effective communication skills in a range of environments and situations with children, young people and families, including in challenging circumstances; communicates effectively with external agencies, such as through the authoring of legal documents and child protection reports.Models and teaches effective active listening skills in consultation with children and young people (CYP).Demonstrates to others how to manage an effective consultation, including communicating a diagnosis and prognosis effectively to children, young people and families.Leads MDTs and applies communication skills in a range of environments and situations with children, young people and families, including in challenging circumstances. Curriculum domain overview

Underpinning knowledge

Getting the basics right

Guidance on communicating with CYP (GMC 2007) Treat CYP as individuals Listen to and respond to concerns Give them information in a way that they understand Work in partnership with CYP & their families/carers

Approaches which influence communication with CYP and family Child-centred care www.bliss.org.uk

Communicating with adolescents

Getting into adolescent HEADSS

Effective Communication Should result in shared mental modelRequires flattening of hierarchies Is essential for effective teamwork & patient safety Helped by use of “critical language” and standardised communication tools

Techniques for m anaging emotions during difficult conversations Self-care Preparatory and relational skills Empathic presenceTeam approachProfessional identity

Poor interprofessional communication in paediatrics contributes to 44% of adverse outcomes (Hain et al., 2007)

www.myersbriggs.org/my-mbti-personality-type/my-mbti-results/

Written communication

A structured handover, written and verbal, focussed on key patient safety messages, helps the paediatric team to improve patient care & safety Safe Handover & Debriefing

Don’t be afraid to use “Critical Language”

How can the Communication Domain be assessed? CBDMini-CEXDOCLEADERACATSafeguarding CBDHATePortfolio MSFCCF START DOPSTrainer reportMRCPCH Clinical

Useful training and resources Situation Awareness for Everyone (SAFE) toolkit www.rcpch.ac.uk/resources/situation-awareness-everyone-safe-toolkit-introduction RCPCH course: Statement and report writingRCPCH e-learning: Information sharing matters Me first communication with Children & YP Centred Communication Masterclass, 17th May 2019, www.mefirst.org.uk

This slide pack was created by: Dr Gail Davison, Research Fellow at Royal Belfast Hospital for Sick Children and Queen’s University Belfast, www.researchgate.net/profile/Gail_Davison gdavison05@qub.ac.uk Dr Julie-Ann Collins, ST6 Paediatric Emergency Medicine at Royal Belfast Hospital for Sick Children & RCPCH NI Rep with support from:Dr Dougal Hargreaves , Honorary Consultant Paediatrician at UCL Hospital, www.nuffieldtrust.org.uk/person/dougal-Hargreaves d.hargreaves@imperial.ac.ukJessie McCulloch, Lead Practice Educator at Me first and Commercial Education, GOSH for Children NHS Foundation Trust Jessie.McCulloch@gosh.nhs.uk www.mefirst.org.uk Acknowledgements