ABSTRACT

Finding adequate time for communication training is a major issue. Communication skills programmes must have the direct support of those in positions of authority. Bringing in external experts from established centres of excellence can help influence those in positions of power to extend the communication curriculum. Organise a symposium to which gatekeepers, opinion leaders and external experts are invited to discuss the rationale for communication training, the research supporting it and the actions of similar groups who have already put such programmes into action. Traditionally, communication has been taught primarily by general practitioners and psychiatrists without the input of other specialist groups. This can give an inappropriate message to learners about the bona fide nature of communication as a clinical skill central to all fields of medicine. Improving communication in medicine clearly involves more than just the skills of one-to-one doctor-patient communication. The development of skills to ensure shared decision making should become a mandatory part of the communication curriculum.