🗣️ Effective Communication in AMC Clinical Scenarios

In the AMC Clinical Exam, strong communication is just as important as medical knowledge. Examiners assess whether you can explain clearly, build rapport, and practise safe, patient-centred care. Candidates who know the content but fail to communicate effectively often lose marks.

🔹 Why Communication Matters

• Demonstrates professionalism and empathy.

• Builds trust between doctor, patient, and carers.

• Ensures patient safety through clear explanations and shared decision-making.

• Directly linked to examiner scoring in history taking, counselling, and OSCE stations.

🔹 Core Communication Skills for AMC

1. Establish Rapport Quickly

• Greet the patient, introduce yourself, and confirm their name.

• Use open body language and maintain appropriate eye contact.

2. Active Listening

• Allow the patient to speak without interruption.

• Use phrases like “I understand” or “Tell me more about…”.

3. Clarity and Simplicity

• Avoid jargon—use everyday language.

• Example: say “heart attack” instead of “myocardial infarction”.

4. Structure Your Consultation

• History → Examination → Explanation → Management.

• Signpost your approach: “First I’d like to ask about your symptoms, then explain what may be happening.”

5. Empathy and Reassurance

• Acknowledge concerns: “I can see this is worrying for you.”

• Provide reassurance while being honest about risks.

6. Check Understanding

• Ask: “Does that make sense?” or “Would you like me to explain that again?”.

• Involve the patient in decision-making.

🔹 Common Scenarios Where Communication Is Tested

• Breaking bad news (e.g., cancer diagnosis).

• Explaining investigations or procedures (e.g., colonoscopy, MRI).

• Counselling on lifestyle change (smoking cessation, weight loss).

• Addressing sensitive topics (mental health, sexual health, child safety).

• Dealing with an angry or anxious patient.

✅ Key Takeaway

In the AMC Clinical Exam, how you say something matters as much as what you say. Effective communication means being clear, structured, empathetic, and patient-centred. Practice with mock scenarios, get feedback, and aim to make your communication natural and professional.