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Models of communication skills training and their practical implications 

Models of communication skills training and their practical implications
Chapter:
Models of communication skills training and their practical implications
Author(s):

Richard F. Brown

, Alexander Wuensch

, and Carma L. Bylund

DOI:
10.1093/med/9780198736134.003.0003
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date: 24 November 2017

Several models of physician–patient communication that have served as conceptual frameworks for communication skills training have been described over recent years. In this chapter, we review the following models: the E4 Model; Three-function model; Calgary–Cambridge Observation Guide; Patient-Centred Clinical Method; SEGUE Framework; Four Habits Model; and SPIKES. We then discuss the strengths and limitations of these models and describe a model we developed, the Comskil Conceptual Model. Communication skills training for healthcare professionals (CST) is an effective means to ensure high-quality communication. Physician–patient consultation communication is a dynamic, individual process, and the personality, attitudes, values, and beliefs of individuals influence the communication process. Furthermore, culture plays an important role in determining how communication proceeds, and it is important to take this into account while gaining an understanding of the various models that exist for teaching communication skills training.

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