Macy Initiative in Health Communication

An Overview of the Three Domains

This domain includes oral, written and team communication. 

• Types of oral communication about the patient include: case presentations, telephone requests and consultations. Specific content areas include: complications, critical event, emergency, transfer, discharge, death, and court testimony.
• Types of written communication include:medical record (H&P, SOAP), consult note, e-mail. Specific content areas include: discharge, transfer and death summaries, death certificate, court deposition.
• Types of team communication about the patient include: work rounds, attending rounds and treatment planning teams. Specific content areas include: referrals, consultations, negotiating differences in treatment options, negotiating turf issues, disagreeing with a superior.