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 Peers

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4.2 Teamwork communication in paediatrics
4.2.2 Communication Barriers
"Between what I think, what I mean, what I think I am saying, what I say, what you want to hear, what you hear, what you think you have understood, what you understand, there are eight possibilities of not understanding".

Communication is an act so complex that in many of its various steps there is a possibility of failure. From confusing language to tones or gestures that may lead the recipient to misunderstand our message. Working in the health field involves working with many people with different trainings, personalities, cultures, moods and levels of care (which can be modified by stress or work overload). In the health environment, there is also a clear hierarchy that sometimes prevents the flow of communication because of the fear of disrespecting a superior, or vice versa, because those at the top of the pyramid show an intimidating behavior. Assertiveness is the ability to convince the person in front of us so that we do not impose our point of view aggressively. but still we do not get carried away by what the others think (which would be passive behavior). Finding the right balance is not easy, since you have to handle your feelings, frustrations, knowing well each other, and having enough patience to persuade others. Depending on which country we are, cultural nuances will influence the way we communicate with peers. For instance, in Japan, according to some generations, it is considered rude to look directly into others eyes, while in Western culture it is correct to do so. Likewise, physical contact is better accepted in mediterranean cultures than in anglo-saxon cultures. It is important to know the environment in which we move to avoid misunderstandings. Although we are living in the 21st century and women have managed to match their rights and privileges to those of men, there are still certain traditional sexist behaviors that can be a source of conflict. It is not justifiable under any circumstance to underestimate what a female partner says, and equally we should not underestimate ourselves in case of sexist discrimination. Today, medicine is a profession where women's involvement has been increased, as well as nursing, which has been historically a classically feminine profession. Finally, everyone has a different personality and can influence both positively and negatively in communication. It is not possible to change adults’ behaviour, but we can predict their values and reactions. That is the case where assertiveness plays a fundamental role.

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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.