Skip Navigation LinksHome > June 2013 - Volume 88 - Issue 6 > I’m Clear, You’re Clear, We’re All Clear: Improving Consult...
Academic Medicine:
doi: 10.1097/ACM.0b013e31828ff953
Perspectives

I’m Clear, You’re Clear, We’re All Clear: Improving Consultation Communication Skills in Undergraduate Medical Education

Kessler, Chad S. MD, MHPE; Chan, Teresa MD; Loeb, Jennifer M.; Malka, S. Terez MD

Collapse Box

Abstract

Requesting and providing consultations are daily occurrences in most teaching hospitals. With increased attention on transitions of care in light of the recent scrutiny of duty hours, consultations and other interphysician interactions, such as handoffs, are becoming increasingly important. As modern medicine increases in complexity, the skill of communicating with medical colleagues throughout the continuum of care becomes more challenging. Like many of the other skills acquired by medical students, consultation communication is often learned by casual observation and through trial and error. Without formal training, however, miscommunications will continue to occur, nearly ensuring that medical errors happen. Interphysician communication skills, therefore, need to be emphasized in undergraduate and graduate medical education instead of being left to happenstance or hit-or-miss practice. In this article, the authors review two models for understanding and teaching the consultation process—5Cs and PIQUED—both of which were developed for specific subsets of learners. They then combine the two to create a consultation model that may be more widely applied.

© 2013 Association of American Medical Colleges

Login

Article Tools

Share