1. Family doctors Specialists in communication? Discussion group 3 New routes for Family Medicine 2014

2. Think globally 3. Partners Patient General practitioner Family doctor Family/friends/neighbours Other specialists Pharmacist Other healthcare professionals Media University Insurance companies Government WHO Pharmaceutical companies 4. Ways of communicating non- verbal verbal letter telephone fax e-mail social media apps photo de-escalating respecting borders time management internet listening giving feedback reflect mediation empathy being clear professional distance 5. Act locally new routes 6. Issues: Negative legislation relative to family medicine Apparent negative media campaign New routes: Improve communication between medical organisations and government Reporting success stories in media Portugal 7. Issues: Lack of communication between young and older GPs (age gap, lots of older GPs) Low trust from patients in GPs GPs do not have competencies to prescribe certain drugs New routes: Age limit definiton of retirement age Training and exchange experience/new methods between older and younger GPs Start a lobby for Govermental changes Slovakia 8. Issues: Difficult to reach specialist in hospital for GPs Little attention for non-verbal communication between doctor and patient Little interaction between GPs New Routes: Possibility for consultation (telephone) another specialist in hospital More eye-contact with patients and attention for body language Decrease competition between GPs Turkey 9. Issues: Inequal position and influence of GPs in media and politics and interaction with other specialists New routes More social events between GPs and other specialists to known each other and improve communication and respect More attention to mediatraining and societal influence in GP traineeship The Netherlands 10. Issues: Insufficient communication between GPs and other specialists Stop criticizing other colleagues in front of patients Little use of new ways of communications with patients or collegues New routes: Specialist calling GP if patient is in hospital for more background information and follow-up Visit patient/colleague in hospital? Put yourself in the other doctors shoes (workshops with different specialists) Electronic communication possibilities via protected channels Spain 11. Issues: Insufficient skills in doctor-patient communication Inequal value GP compared to other specialists New routes: More training (by universities, coaches, psychologists) Workshops by GPs for other specialists and health professionals Czech Republic 12. Emmanuela Fernadov Mariana Leite Daniela Geljenov Seda Coskun Igncio Borque Carolien Teirlinck Facilitatior: Ilse Hellemann Thank you for your attention!