COMMUNICATION, DOCUMENTATION + PROFESSIONAL PRACTICE
YEAR 1 | PAGE 18B - PRESENTATION, NOTES, TEAMWORK, SAFETY + DIFFICULT
CONVERSATIONS — TURN DATA INTO A SHARED CLINICAL MODEL
After gathering information, the learner must SYNTHESIZE -> PRIORITIZE -> COMMUNICATE -> DOCUMENT -> HAND OFF SAFELY. Accuracy is necessary but not sufficient: the receiver should understand what matters now, what is uncertain, and what happens next.
B. COMMUNICATION + PROFESSIONAL-PRACTICE VIDEOS - CORE + ENRICHMENT
| # | Video | Time | Why | Link |
|---|---|---|---|---|
| 1. | The Medical H and P (Comparative Examples) - Strong Medicine | ~21 min | Side-by-side adequate vs excellent oral H&P presentation; emphasizes selection, organization, synthesis and clinical prioritization. | |
| 2. | Medical H&P Oral Presentation: Two Levels of Detail - Strong Medicine | 2024 update | Demonstrates a thorough student presentation versus a shorter resident-style presentation and how the audience changes the level of detail. | |
| 3. | TeamSTEPPS: SBAR in Inpatient Medical Teams - AHRQ | patient safety | Situation-Background-Assessment-Recommendation as a structured method for concise escalation and team communication. | |
| 4. | Breaking Bad News - SPIKES Overview - Geeky Medics | ~10 min | Setting, perception, invitation, knowledge, empathy and strategy/summary applied to an OSCE-style difficult conversation. | |
| 5. | Breaking Bad News Demonstration - Geeky Medics | ~12 min | Full patient-facing demonstration of SPIKES with pacing, empathy, silence, information chunking and shared planning. | |
| 6. | Chest Pain History Taking - Geeky Medics | ~7 min BONUS | A complete short encounter showing SOCRATES, ideas/concerns/expectations, summarization, closure and presentation of findings. |
B. COMMUNICATION + PROFESSIONAL-PRACTICE VIDEOS - CORE + ENRICHMENT — PROFESSIONAL-PRACTICE CHECK
- Oral presentation: one-liner -> prioritized HPI -> relevant background/exam/data -> assessment -> plan/questions; omit information that does not change the receiver's model.
- Documentation: distinguish patient-reported history from observed findings and your assessment; do not copy-forward uncertainty as fact.
- Use closed-loop communication for urgent tasks and structured handoff/escalation; explicitly state instability and what you need from the receiver.
- Consent, confidentiality, interpreter use, error disclosure and boundaries should be practiced as communication behaviors, not memorized definitions. VIDEO-FIRST | SCHOOL-EXAM + BOARD-EXAM MASTERY