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COMPETENCY            5        INTERPERSONAL AND COMMUNICATION SKILLS
          DOMAIN
                                         IN THE PRACTICE OF OSTEOPATHIC MEDICINE




        REQUIRED ELEMENT 5.1                               MEASURED OUTCOMES                                 informed consent process and recommending mutually
        ELICITING INFORMATION                              The osteopathic physician must:                   agreed-upon diagnostic and/or therapeutic steps, or health
                                                                                                             promotion and disease prevention strategies. additionally, it
                                                           • communicate interest in, respect for, support of, and
        DEFINITION                                                                                           includes enhancing patient coping mechanisms and
                                                            empathy for the patient.
        The osteopathic physician must communicate effectively                                               encouraging appropriate lifestyle changes to avoid illness
        with the patient, the patient’s family, and other caregivers in  • understand the patient, family, and caregiver’s  and to promote and maintain health.
        order to establish a diagnostic impression and to help  perspectives, concerns, complaints, and issues.
        ascertain the nature of the concern or complaint. The                                                MEASURED OUTCOMES
                                                           • provide closure to interviews by summarizing and affirming
        osteopathic physician must open patient interviews by                                                The osteopathic physician must:
                                                            agreements, asking whether the patient has other issues
        encouraging the patient to fully express concerns and must
                                                            or concerns, and planning follow-up (eg, next visit and  • share information using appropriate terminology and
        further gather information in a manner that results in
                                                            plan for unexpected outcomes).                    concepts that the patient, patient’s family, and/or legal
        effective exchange of information and collaboration with
                                                                                                              decision maker can understand and, as indicated, use
        patients, their families, and other health care professionals.  • communicate effectively with patients who are exhibiting
                                                                                                              language-interpreting services, hearing-impaired services,
                                                            anger or who present other challenges in order to resolve  or other services to minimize potential barriers to effective
        MEASURED OUTCOMES                                   relational barriers between the physician, other health care  information exchange.
        The osteopathic physician must:                     professionals, and the patient.
                                                                                                             • summarize discussions, check for understanding, and
        • allow patients (or other persons being interviewed) to  • communicate effectively and encourage open  conclude conversations by ensuring all questions and
         complete their opening statements without interruption in  communication with the patient, as appropriate, during  concerns have been thoroughly addressed.
         order to elicit the full set of patient concerns.  clinical procedures, including OMT.
                                                                                                             • encourage active patient participation in decision making
        • use open-ended and closed-ended questions effectively.  • clarify his/her role in the patient’s care and/or on the health
                                                                                                              while verifying the patient’s willingness and ability to follow
                                                            care team with the patient.
        • listen actively, using appropriate verbal and nonverbal                                             the care plan as part of informed consent.
         techniques, including appropriate eye contact and touch.  • understand and appreciate the role of other health care
                                                                                                             • communicate to the patient the philosophy of osteopathic
                                                            professionals in the care of patients and work in
        • use interpretation services effectively as necessary to  cooperation with them when applicable to provide high-  principles and practice and of OMT.
         communicate with patients and to minimize potential
                                                            quality patient-centered care.                   • communicate with compassion any news that may evoke
         barriers to effective information exchange with patients
                                                                                                              in the patient and the patient’s family or caregiver distress,
         and family members; these services include language-
                                                                                                              sorrow, anger, or other emotion, such as any applicable
         interpreting services and hearing-impaired services.
                                                                                                              information relative to terminal illness, disability, death,
                                                           REQUIRED ELEMENT 5.3                               and dying.
                                                           INFORMATION GIVING
                                                                                                             • enhance the patient’s coping ability by actively exploring
        REQUIRED ELEMENT 5.2                                                                                  and utilizing biopsychosocial concepts and addressing the
                                                           DEFINITION
        RAPPORT BUILDING                                                                                      social and psychological consequences of the condition
                                                           The osteopathic physician must effectively provide patient
                                                                                                              and the treatment.
                                                           education and information, ensuring that the patient (or
        DEFINITION
                                                           caregiver) understands his/her condition and the diagnostic  • recommend and explain appropriate disease prevention
        The osteopathic physician must develop, maintain, and
                                                           and/or treatment options and recommendations. This  and health promotion strategies, including lifestyle
        conclude the therapeutic relationship and demonstrate
                                                           includes achieving consensus between the patient (or  changes and available community support services.
        competence in the rapport-building functions of the medical
                                                           caregiver) and the physician. It also includes facilitating the                            
        interview.
        COMLEX-USA MASTER BLUEPRINT                                                                 DIMENSION 1     COMPETENCY DOMAIN 5       page 22
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