Novices and experts alike must engage in the interactional complexities of clinical consultations as a form of institutional talk. This includes reconciling the demands of task completion with those of effective patient communication in order to achieve successful outcomes. This paper reports a study that identifies ‘giving reassurance’ as an area of relative communicative weakness for undergraduate student dentists (novices) and examines the mechanisms by which an experienced dentist (expert) interactionally accomplishes ‘reassurance’ during a single consultation in a multilingual Asian dental education clinic. Two stages of data gathering and analysis were adopted within a multivariate framework (Heritage and Maynard, 2006). First, 51 student dentists were rated using a 360° approach during a single clinical consultation. Interactants and observers rated each student’s communicative performance using an established scale in dentistry (Theaker, Kay, and Gill, 2000). Descriptive statistical analysis identified areas of relatively lower communication performance with ‘giving reassurance’ during the ‘examination’ stage consistently rated as the least accomplished skill. Second, an experienced dentists’ consultation was audio recorded and transcribed. Using conversational analysis (CA) as the method of analysis, strategies are identified in the process of an experienced dentist and a patient co-constructing ‘reassurance’ as a two-way process.
2022. Conversation, discourse and linguistic analysis in dental communication: valuable but under-used approaches. British Dental Journal 232:12 ► pp. 875 ff.
Xu, Xinyue & Susan M. Bridges
2022. Enhancing patient-centred communication across barriers: The case of intersubjectivity management in medical interpreting. Patient Education and Counseling 105:7 ► pp. 2012 ff.
Yip, Adrian & Veronika Schoeb
2020. Facilitating patient participation in physiotherapy: Symptom-talk during exercise therapy from an Asian context. Physiotherapy Theory and Practice 36:2 ► pp. 291 ff.
Wong, Hai Ming, Susan Margaret Bridges, Colman Patrick McGrath, Cynthia Kar Yung Yiu, Olga A. Zayts, Terry Kit Fong Au & Kimon Divaris
2017. Impact of Prominent Themes in Clinician-Patient Conversations on Caregiver’s Perceived Quality of Communication with Paediatric Dental Visits. PLOS ONE 12:1 ► pp. e0169059 ff.
Imafuku, Rintaro
2012. Japanese First-Year PBL Students’ Learning Processes: A Classroom Discourse Analysis. In Problem-Based Learning in Clinical Education, ► pp. 153 ff.
Jin, Jun
2012. Sounds of Silence: Examining Silence in Problem-Based Learning (PBL) in Asia. In Problem-Based Learning in Clinical Education, ► pp. 171 ff.
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