2.10.13. Communication skills and leadership qualities

Emergency medicine teaching is incomplete without the communication and leadership skills. The nature of the specialty demands high level of communication skills from the trainee. The difficulty of work environment, the pressure of work and the dynamics of clinical work expect from the physician to be an expert in averting any issues or problems which arise at shop floor. Looking at the diversity of problems and conditions which are expected to use emergency department as a gateway to the hospital, lack of good communication skills and leadership qualities will add on the disposition time of patient and would add to length of the stay in the department.

#### 2.10.14. Administration and management skills

These skills are important to be taught during the training program. We have seen that the emergency departments are getting bigger and busier all over the world. Emergency departments are used more and more as walk-in facility where patients come to get opinion about their problems and issues. Lack of rapidly expanding primary care setup, readily access to health information on internet and social media, improving public awareness about health are the reasons for more patients visiting emergency department. They need quick answer to their questions and they visit the emergency department with expectations and fixed ideas. This leads to overcrowding in the department. With the overcrowding, we face problems of space, delay and increased length of stay, diagnostic and therapeutic errors, improper disposition and unnecessary investigations. Thus, it is important that we teach administrative and management skills to our trainee to deal with all these issues.

Strong administrative and management qualities help the candidates to deal with issues of overcrowding, bed crisis, long waiting time, complaints and litigations and difficult and aggressive patients. This skill will help physicians to find out solutions for the problem.
