Standar Kompentensi- Eff Com 1-1

English translation of Chapter 4 (Bab 4) of Standar Kompetensi Dokter, published by the Indonesian Medical Council (Konsil Kedokteran Indonesia), October 2006, titled Standards of Medical Competency

C. Description of competencies

C.1 Effective communication

C.1.1 Core competencyAble to explore and exchange information verbally and non-verbally with patients of any age, family members, communities, colleagues and other professionals.

C.1.2 The graduate is able to:1. Communicate with the patient and

members of his/her family.

1.1 Establish rapport with the patient and his/her family.a. Greet the patientb. Make the patient feel comfortablec. Show empathy and trustworthinessd. Listen actively (be attentive, and give

enough time to the patient to express his/her complaint and to explore his / her problem)

e. Summarize the patient’s problem, worries and hopes

f. Always establish and maintain the patient’s dignity, confidentiality and privacy




g. Treat the patient as an equal and ask for his/her agreement in deciding on therapy and medical procedures

1.2 Collect informationa. Able to use open-ended and closed

questions in acquiring information (move from open to closed questions)

b. Ask for clarification from the patient about any of his/her statements which cannot be clearly understood

c. Use clinical reasoning in exploring the history of the present illness, family history, and history of past illness

d. Conduct data exploration logically and efficiently

e. Not give education and explanation prematurely while collecting information

1.3 Understand the patient’s perspectivea. Respect the patient’s belief in everything

related to his/her illnessb. Explore the patient’s needs, worries, and

hopes




c. React professionally to the patient’s expression of emotion (anger, fright, shame, sadness, confusion, euphoria) and to the patient with communication problems e.g. deaf, mute, psychological disorder

d. Respond professionally to the patient’s verbal and non-verbal language

e. Be sensitive to local biological, psychological, social, cultural factors and norms in order to implement and maintain holistic therapy, and to maintain a professional doctor-patient relationship

f. Use polite and understandable language (including local language) which is appropriate to the patient’s age and level of education, in asking questions, summarizing information, and explaining the diagnosis, the chosen management and the prognosis

1.4 Give explanations and information




a. Anticipate and reduce the patient’s feeling of fright and stress before physical examination

b. Warn the patient when physical examination and clinical procedures may cause pain or discomfort

c. Give correct, clear, complete and honest explanations regarding the aims, goals, benefits, and risks of diagnostic procedures and medical procedures (therapy, surgery, prognosis, referral) before they are undertaken

d. Answer questions honestly, and provide consultation or referral for difficult problems

e. Provide education or health promotion for the patient and his/her family

f. Reconfirm that the patient has understood all of the information and choices about potential procedures

g. Give enough time for the patient to reconsider and consult before agreeing to a procedure




h. Deliver bad news professionally in accordance with medical ethics

i. Confirm the availability of the health services that have been chosen and agreed

2. Communicate with medical colleaguesa. Give timely and accurate information to

colleagues about the patient’s condition, verbally, in writing or electronically to meet the needs of the patient, health care and medical science

b. Write a referral letter and / or report on the patient’s management accurately to meet the needs of the patient, health care and medical science

c. Present a case report effectively and clearly to meet the needs of the patient, health care and medical science

3. Communicate with the communitya. Use language which the community can

understandb. Explore the health problems perceived by

the community




c. Use effective verbal communication techniques so that the community understands health as a desirable state

d. Use media and community activities effectively when promoting health

e. Involve public figures in health promotion professionally

4. Communicate with other professionalsa. Listen attentively and give sufficient time

to other professionals to give their opinionb. Give timely and accurate information to

insurance companies in processing claimsc. Give relevant information (whenever

needed) to the legal system or when acting as an expert witness in court

d. Negotiate with other interested parties in order to solve health problems in the community




Documents

Standar Kompentensi- Eff Com 1-1