TY - CHAP M1 - Book, Section TI - How Communication Fails A1 - Kravitz, Richard L. A1 - Street, Richard L. PY - 2021 T2 - Understanding Clinical Negotiation AB - Clinical Take-AwaysThe remarkable thing about clinician-patient communication is not how often it fails but how often it succeeds.Creating shared understanding is often complicated by differences in clinicians’ and patients’ life experiences and perspectives on health.Three types of communication failures are not understanding (the result of making unfounded assumptions), misunderstanding (saying it or hearing it wrong), and disagreeing (having different opinions).Clinicians should:Cultivate curiosity, asking “what might it be like to be this patient?”Cultivate humility, recognizing that it is easy to miscommunicate one’s intentions or misunderstand patients’ concerns.Be alert to verbal, paraverbal, and nonverbal clues that the patient is confused about or skeptical of an explanation or suggestion.Be aware of the potential for implicit bias related to race, ethnicity, gender, age, sexual orientation, and other nonclinical patient characteristics. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/04 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181983009 ER -