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  • 14 - Cultivating Your Skills

  • Robert M. Arnold, The University of Pittsburgh School of Medicine, Pittsburgh, Anthony L. Back, University of Washington Medical Center, Elise C. Carey, Mayo Clinic, Minnesota, James A. Tulsky, Dana-Farber Cancer Institute, Boston, Gordon J. Wood, Northwestern Memorial Hospital, Chicago, Holly B. Yang, Scripps Health, San Diego, California
  • Book:
    Navigating Communication with Seriously Ill Patients
    Published online:
    05 April 2024
    Print publication:
    25 April 2024, pp 216-227

  • Summary

    To hone your skills, one needs to observe what “good” looks like, practice, and receive feedback. We recommend setting a communication skills goal before the encounter, and then debriefing how it went, celebrating what you did well, and considering what to do differently next time, as well as what you learned in the process. Practicing skills in conversation roadmaps is incomplete without building of our internal capacities, like curiosity and emotional awareness, which help us foster more authentic connection. Learning new skills is not linear. Be kind to yourself when you’re having a bad day or feeling burnt out. Better communication skills can help they leads to more engaged clinical encounters which provide positive feedback making patient care more rewarding. Also, the roadmaps in this book are a kind of scaffold for learning, intended to provide support until you get your foundation settled. After a while, you may no longer need them. True expertise requires building both skills and capacities, practicing regularly, and caring for oneself in the process.