Seven years' experience in teaching communication skills to first year
clinical students at St Mary's Hospital School of Medicine is describ
ed. The first component consists of a day during the introductory clin
ical course; this is divided into a lecture and small seminar groups a
nd involves behavioural scientists and clinicians from many department
s. The second component uses simulated patients and video feedback and
takes place in small groups later in the year. Participation of the s
tudents through active critical discussion, role play, and interactive
video feedback are important aspects in the success of the course. Th
e methods have been refined through evaluation by students and tutors.
This article aims to allow others, already running or considering suc
h a course, to develop effective courses within the practical constrai
nts of their own institutions.