Difficult conversations in medicine good communication is the solution or part of the solution in nearly every difficult interpersonal situation whether between husband and wife supervisor and employee student and teacher or patient and physician. Difficult conversations in medicine edited by elisabeth macdonald practical book on the importance of communication skills and how to handle difficult conversations in all branches of medicine patient centered approach to communication skills which promotes trust and confidence between participants. Difficult conversations in medicine richard marshall chief medical officer harvard vanguard medical associates boston ma usa search for more papers by this author richard marshall chief medical officer harvard vanguard medical associates boston ma usa. To a greater or lesser extent nearly all medical conversations can become difficult there is always an element of unpredictability and the more one listens to the patient the more one can become led off the comfortable well trodden path
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