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Curriculum for General Practice - The Royal New Zealand College ...

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Domain 1 – Communication<br />

Domain 1<br />

Communication<br />

Good communication skills enable general<br />

practitioners to develop effective patient and<br />

family/whānau-centred relationships. <strong>The</strong>y<br />

establish and maintain rapport with patients<br />

and, where appropriate, their families/whānau,<br />

<strong>for</strong>ming therapeutic partnerships in an<br />

environment characterised by trust, empathy,<br />

confidentiality and cultural competence. <strong>The</strong>y<br />

use skills, such as motivational interviewing<br />

and extended consultation or counselling,<br />

when appropriate.<br />

Effective communication skills enable the general practitioner<br />

to move freely between the patient’s experience and clinical<br />

problem-solving. This includes managing the consultation<br />

in a way that allows patients and their families/whānau<br />

time and space to express their ideas, needs, concerns,<br />

beliefs and expectations. <strong>The</strong> general practitioner elicits and<br />

understands the patient’s perspective of their illness.<br />

Skilled communication facilitates effective relationships with<br />

the patient, family/whānau, the general practice team, other<br />

health providers and community agencies. This implies<br />

an ability to concisely and accurately convey relevant<br />

in<strong>for</strong>mation in both written and oral <strong>for</strong>ms. Increasingly, this<br />

may include electronic communication.<br />

Engaging in ethical practice is a conscious component of<br />

the consultation, <strong>for</strong> example maintaining confidentiality and<br />

professional boundaries.<br />

14<br />

<strong>Curriculum</strong> <strong>for</strong> <strong>General</strong> <strong>Practice</strong>

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