The REDE Model skills checklist The REDE Model skills checklist was created by The Cleveland Clinic and serves as a guide to effective and empathic communication between physicians and patients. Relationship Establishment Phase I Development II Engagement Phase III ‒ ‒ ‒ Convey value & respect with the Engage in reflective listening Share diagnosis & information welcome Nonverbally, e.g., direct eye Orient patient to the education Review chart in advance & contact, forward lean, nodding & planning portion of the visit comment on their history Verbally, using continuers Present a clear, concise Knock & inquire before entering such as: diagnosis the room see” or Pause if necessary “mm-hmm,” “I Greet patient & companions on,” reflecting the “go Provide additional education, if formally with smile & underlying meaning desired & helpful to the patient handshake or emotion of what is Frame information in the being said Introduce self & team; clarify context of the patient’s role(s) I hear you “What perspective saying is…” or Position self at patient’s eye like…” level “Sounds Avoid expressing judgment, Recognize & respond to signs getting distracted or redirecting of physical or emotional the speaker distress Express appreciation for Attend to patient’s privacy sharing Make a brief patient-focused social comment, if appropriate Collaboratively set the agenda Elicit the patient narrative Collaboratively develop the plan Orient patient to elicit a list of Use transition statement to Describe the treatment goals & their concerns orient patient to the history of options including risks, present illness benefits & alternatives Use an question to Use question(s) to Elicit patient’s preferences & initiate survey initiate patient narrative integrate into a mutually Ask else?” until all “What agreeable plan concerns are identified Maintain the narrative with verbal & nonverbal continuers: Check for mutual Summarize list of concerns to understanding check accuracy; ask patient to me more…” or “Tell prioritize Confirm patient’s commitment next?” “What to plan Propose agenda incorporating Summarize patient narrative to patient & clinician priorities; Identify potential treatment accuracy obtain agreement barriers & need for additional resources Introduce the computer, if Provide closure applicable Alert patient that the visit is Orient patient to computer ending Explain benefit to the patient Affirm patient’s contributions & collaboration during visit Include patient whenever possible (e.g., share labs or Arrange follow-up with patient scans) & consultation with other team members Maintain eye contact when possible Provide handshake & a
The REDE Model skills checklist The REDE Model skills checklist was created by The Cleveland Clinic and serves as a guide to effective and empathic communication between physicians and patients. Relationship Establishment ‒ Phase I Development ‒ II Engagement ‒ Phase III Convey value & respect with the welcome Review chart in advance & comment on their history Knock & inquire before entering the room Greet patient & companions formally with smile & handshake Introduce self & team; clarify role(s) Position self at patient’s eye level Recognize & respond to signs of physical or emotional distress Attend to patient’s privacy Make a brief patient-focused social comment, if appropriate Engage in reflective listening Nonverbally, e.g., direct eye contact, forward lean, nodding Verbally, using continuers such as: “mm-hmm,” “I see” or “go on,” reflecting the underlying meaning or emotion of what is being said “What I hear you saying is…” or “Sounds like…” Avoid expressing judgment, getting distracted or redirecting the speaker Express appreciation for sharing Share diagnosis & information Orient patient to the education & planning portion of the visit Present a clear, concise diagnosis Pause if necessary Provide additional education, if desired & helpful to the patient Frame information in the context of the patient’s perspective Collaboratively set the agenda Orient patient to elicit a list of their concerns Use an question to initiate survey Ask “What else?” until all concerns are identified Summarize list of concerns to check accuracy; ask patient to prioritize Propose agenda incorporating patient & clinician priorities; obtain agreement Elicit the patient narrative Use transition statement to orient patient to the history of present illness Use question(s) to initiate patient narrative Maintain the narrative with verbal & nonverbal continuers: “Tell me more…” or “What next?” Summarize patient narrative to accuracy Collaboratively develop the plan Describe the treatment goals & options including risks, benefits & alternatives Elicit patient’s preferences & integrate into a mutually agreeable plan Check for mutual understanding Confirm patient’s commitment to plan Identify potential treatment barriers & need for additional resources Introduce the computer, if applicable Orient patient to computer Explain benefit to the patient Include patient whenever possible (e.g., share labs or scans) Maintain eye contact when possible Provide closure Alert patient that the visit is ending Affirm patient’s contributions & collaboration during visit Arrange follow-up with patient & consultation with other team members Provide handshake & a
10.1001stepsforward.2017.0041supp7.docx