Effective Physician-to-Physician Communication: Observable Behaviors and Skills
Effective physician-to-physician communication requires adaptive, responsive behaviors rather than scripted interactions, with emphasis on both verbal and nonverbal elements that demonstrate respect for colleagues while prioritizing patient outcomes.
Key Communication Behaviors
Verbal Communication Techniques
- Practice active listening without interruption - research shows physicians typically interrupt patients after only 18 seconds, but allowing complete expression of concerns takes only 32 seconds on average 1
- Use open-ended questions like "what else?" to gather complete information from colleagues, which enhances information exchange and prevents missed opportunities 1
- Employ clear, jargon-free language when discussing complex medical information with colleagues to ensure mutual understanding 2
- Break information into manageable pieces rather than overwhelming colleagues with too much information at once 2
Nonverbal Communication Elements
- Maintain appropriate eye contact to demonstrate engagement and respect 3
- Use forward body lean and direct body orientation to show interest in the conversation 4
- Keep arms and legs uncrossed to display openness and receptivity to colleagues' input 4
- Employ head nodding to acknowledge understanding and encourage continued dialogue 4
Adaptive Communication Approaches
- Recognize that effective interactions are nonlinear and unscripted, requiring flexibility rather than rigid protocols 1
- Develop skills to adapt behavior appropriately in response to fluctuating informational needs during all stages of interaction 1
- Apply a "universal precaution" approach to communication, recognizing that any interaction may involve complex information exchange 1
- Adjust communication style based on context and urgency of the clinical situation 5
Structured Information Exchange
Standardized Communication Frameworks
- Implement standardized information checklists to ensure all essential information is accurately provided between physicians 5
- Develop formal processes for communication during key transition points in patient care 5
- Use structured frameworks while maintaining flexibility to address individual case complexities 5
Technology-Enhanced Communication
- Utilize secure electronic health record messaging systems for asynchronous communication between providers 5
- Avoid using personal email accounts for professional communications; instead use encrypted messages over secure network connections 5
- Recognize that electronic communication supplements but should not replace direct professional interaction 5
Building Professional Relationships
Establishing Trust and Respect
- Demonstrate professionalism through courteous interactions that acknowledge colleagues' expertise 3
- Show empathy and support when discussing challenging cases or receiving feedback 6
- Use appropriate humor when suitable to build rapport with colleagues 4
Managing Disagreements
- Address differences in clinical opinion respectfully by focusing on patient outcomes rather than personal viewpoints 1
- Acknowledge and explore different perspectives when conflicts arise regarding treatment approaches 1
- Practice cultural humility and awareness when working with colleagues from diverse backgrounds 1
Common Pitfalls to Avoid
Communication Barriers
- Avoid interrupting colleagues before they've fully expressed their thoughts or concerns 1
- Be cautious about making assumptions regarding colleagues' knowledge or intentions 2
- Recognize and address implicit biases that may affect professional interactions 1
Time Management Challenges
- Implement efficient communication protocols that respect the limited time of all physicians 5
- Establish clear protocols for urgent communication when immediate input is needed 5
- Balance thoroughness with efficiency in information exchange 5