Lifelong Learning Programme

This project has been funded with support from the European Commission.
This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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Training of Lecturers

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This training package is addressed to lecturers and trainers in the field of paediatrics on how to assist paediatric undergraduate and resident students in developing and consolidating their soft skills for improving the quality of paediatric services.

Communicating with Parents

Table of Content

2.3. Soft Skills
2.3.1 Patience and listening. Shared attention (multitasking)
Listening well is an essential part of communication. This requires the provision of adequate time and patience, and the willingness to listen to parents’ concern. A quiet room, lack of interruptions, provision of chairs for the parents, sitting at an appropriate distance, good eye contact, etc., are helpful to enhance listening and learning from the parents.

The Softis-ped questionnaire found that pediatricians’ listening skills are good. However, according to Pilling (2008) a lot of physicians tend to interrupt patients after listening to the symptoms for only 18 seconds because they have only a very limited time to spend with patients. Later, they may lead the entire conversation in a way that the patients will never be able to finish their sentences. Consequently, this often leads to an incomplete description of the child’s problems with more than half (54%) of the total symptoms remaining hidden or untold. In case of primary paediatric care this time might be even shorter and more information might be missed as doctors must communicate with two persons instead of only one. Although in case of younger children it is the parent who is more trusted by physicians in terms of providing the correct information about symptoms, the child cannot be ignored during the visit either. Listening to patients doesn’t require that much time doctors suppose: most patients finish their first sentences without interruption in 60 seconds and none of them required more than 150 seconds not even when encouraged to do so.

Doctors also tend to overestimate the importance of the symptom mentioned first and interrupt the patient right after the first symptom was told. Patients are often unable to decide which symptom is the most significant and often the order in which they are presenting them has nothing to do with the clinical importance of the given symptom. During control check-ups and appointments most physicians resume the conversation where the previous one ended, continuing the last topic of the previous visit and skipping all the introductory questions.

Most of the times patients have no possibility to ask questions related to the doctor’s explanation as 75% of physicians don’t give the opportunity to patients to ask more questions. Besides the limited time a doctor can spend with one patient there are also some practicing physicians who don’t like being questioned. 76% of patients still have concrete questions after the visit is finished or they left the PCP’s office. Without giving enough information, patients might even fail to recognize the good intentions of a doctor. If trust is broken, drug compliance will be worse and patients won’t follow doctor’s instructions. Patients who are more satisfied with their physicians are more likely to adhere to treatment recommendations and that physicians who are more skilled in the emotional domain of patient interaction are likely to have more satisfied patients. (Pilling 2008)
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This project has been funded with support from the European Commission. This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.