Dialogue: The Core Clinical Skill
Authors: F. Daniel Duffy
Journal: Annals of Internal Medicine (1998)

Editorials15 January 1998Dialogue: The Core Clinical SkillF. Daniel Duffy, MDF. Daniel Duffy, MDAmerican Board of Internal Medicine; Philadelphia, PA 19106Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-2-199801150-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The field of communications has advanced tremendously over the past 30 years. I am not speaking of satellite-enabled, worldwide transmission of images and words but of person-to-person communications-the methods humans deliberately use to affect each other's thoughts, feelings, and motivations. Politicians, business leaders, and advertisers have adopted the wisdom of this science to influence elections, increase productivity, and motivate us to buy products. Psychiatry roots its expertise in the science of interpersonal communication. Much psychiatric diagnosis and treatment occurs during the talk between psychiatrist and patient. The field of family practice has recognized the centrality of human communications by requiring ...References1. Levinson W, Roter D. The effects of two continuing medical education programs on communication skills of practicing primary care physicians. J Gen Intern Med. 1993; 8:318-24. Google Scholar2. Suchman AL, Markakis K, Beckman HB, Frankel R. A model of empathic communication in the medical interview. JAMA. 1997; 277:678-82. Google Scholar3. Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997; 277:553-9. Google Scholar4. Lipkin M, Putman S, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York: Springer-Verlag; 1996. Google Scholar5. Smith RC, Lyles JS, Mettler J, Stoffelmayr BE, Van Egeren LF, Marshall AA, et al. The effectiveness of intensive training for residents in interviewing. A randomized, controlled study. Ann Intern Med. 1998; 128:118-26. Google Scholar6. Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan C. Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA. 1997; 278:502-9. Google Scholar Author, Article, and Disclosure InformationAffiliations: American Board of Internal Medicine; Philadelphia, PA 19106Corresponding Author: F. Daniel Duffy, MD, American Board of Internal Medicine, 510 Walnut Street, Philadelphia, PA 19106. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFamciclovir for the Suppression of Symptomatic and Asymptomatic Herpes Simplex Virus Reactivation in HIV-Infected Persons: A Double-Blind, Placebo-Controlled Trial Timothy Schacker , Hui-lin Hu , David M. Koelle , Judith Zeh , Robin Saltzman , Ron Boon , Mary Shaughnessy , Gail Barnum , and Lawrence Corey Metrics Cited ByAttitudes of Nursing Students Towards Learning Communication SkillsEstablishing a Good Dentist-Patient Relationship: Skills Defined from the Dental Faculty PerspectiveLearner-Centered Interactive Methods for Improving Communication SkillsEmotional Intelligence and Clinical Interview Performance of Dental StudentsPerceptions of Health Care Provider Communication Activity Among American Cancer Survivors and Adults Without Cancer Histories: An Analysis of the 2003 Health Information Trends Survey (HINTS) DataCommunication Skills Training in OrthopaedicsCommunication Skills Instruction Utilizing Interdisciplinary Peer Teachers: Program Development and Student PerceptionsFaculty and the Observation of Trainees' Clinical Skills: Problems and OpportunitiesCollecting client data: a phenomenological study of midwives' experiencesMedical Practices' Sensitivity to Patients' NeedsTwo Words to Improve Physician-Patient Communication: What Else?End-of-life CareMetaphorical Medicine: Using Metaphors To Enhance Communication with Patients Who Have Pulmonary DiseaseAlejandro C. Arroliga, MD, Sara Newman, PhD, David L. Longworth, MD, and James K. Stoller, MD, MSEvaluation of Controlled Vocabulary Resources for Development of a Consumer Entry Vocabulary for DiabetesA council of elders: creating a multi-voiced dialogue in a community of careHands On/Hands Off: Why Health Care Professionals Depend on Families but Keep Them at Arm's LengthSociodemographic and psychological variables influencing adherence to antiretroviral therapyPalliative Care in the Intensive Care Unit: Part II 15 January 1998Volume 128, Issue 2Page: 139-141KeywordsEmotionsMedical educationMotivationPatientsPersonality traitsPsychologyResidencyScientistsSurgeonsSurgery Issue Published: 15 January 1998 CopyrightCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...