Best practices in patient communication for Physician Assistants

Effective communication is one of the most important skills for Physician Assistants (PAs), directly influencing patient trust, treatment adherence, and overall health outcomes. Whether delivering a diagnosis, explaining a treatment plan, or simply listening to patient concerns, PAs must communicate clearly, compassionately, and confidently. Great communicators bridge the gap between medical complexity and patient understanding, fostering meaningful relationships and improving the quality of care across all healthcare settings.

1. Build Trust from the Start

The foundation of strong communication is establishing a trusting relationship during the initial interaction.

• Introduce yourself with your name and role as a Physician Assistant
• Maintain a calm, welcoming tone and professional body language
• Show empathy and acknowledge the patient’s feelings or concerns

Trust encourages openness and lays the groundwork for effective care.

2. Use Plain Language and Avoid Jargon

Medical terminology can be confusing or intimidating to patients, so clear and simple explanations are essential.

• Translate complex diagnoses and procedures into everyday terms
• Use visual aids or analogies to clarify technical concepts
• Check for understanding by asking patients to repeat key points

Clear language empowers patients to make informed decisions about their care.

3. Practice Active Listening

Listening attentively is just as important as speaking. It shows respect and helps you gather valuable information.

• Maintain eye contact and avoid interrupting
• Use open-ended questions to encourage detailed responses
• Reflect back what the patient says to confirm understanding

Active listening builds rapport and improves diagnostic accuracy.

4. Tailor Communication to the Individual

Each patient is unique, so communication should be adapted to meet their specific needs.

• Consider language barriers, literacy levels, and cultural differences
• Use interpreters or translated materials when needed
• Adjust tone and detail based on age, background, and emotional state

Personalized communication enhances comfort and comprehension.

5. Encourage Questions and Participation

Empowering patients to participate in their care leads to better engagement and outcomes.

• Invite patients to ask questions without fear of judgment
• Clarify next steps and ensure patients know what to expect
• Discuss risks, benefits, and alternatives when presenting treatment options

Shared decision-making supports better adherence and satisfaction.

6. Deliver Difficult News with Compassion

When conveying sensitive information, PAs must balance honesty with empathy.

• Choose a private, quiet space for serious discussions
• Use gentle, respectful language while staying direct
• Provide emotional support and allow time for questions or reactions

Compassionate communication helps patients process difficult news more effectively.

7. Reinforce Instructions and Follow-Up

Patients often retain only part of what they hear during appointments, so reinforcement is key.

• Provide written summaries, after-visit instructions, or printed materials
• Confirm understanding before discharge or care transitions
• Encourage patients to follow up with questions or concerns

Reinforcement ensures continuity and reduces misunderstandings.

8. Document Communication Clearly

Accurate documentation of patient interactions supports continuity and legal protection.

• Note questions, concerns, and education provided
• Record consent and patient decisions where applicable
• Update team members through EHRs for collaborative care

Clear records enhance transparency and multidisciplinary coordination.