Preview

Malignant tumours

Advanced search

Communication difficulties in oncology practice: a Q&A workshop

https://doi.org/10.18027/2224-5057-2026-074

Abstract

The fundamental parameters of professional communication between an oncologist and a patient are quality contact and the presence of trust. Their absence can cause the physician stress in the doctor and become a source of unpleasant experiences. Disruption of the communication process intensifies patients' psychological distress, reduce treatment satisfaction, and even affect the effectiveness of the conducted treatment due to the patient's understanding of the information. This can lead to conflicts and complaints.

For five years, as part of the Russian Oncology Congress, medical psychologists with experience in cancer clinics have been conducting master classes, during which various aspects of psychologically competent professional com munications between a doctor and a patient are considered. The article discusses the questions asked during the last master class (11–13 December, 2025) and the answers of psychologists, which offer some principles and specific ways to resolve difficult situations that arise at the recep tion of oncologists.

About the Authors

V. A. Chulkova
N. N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

Valentina Alekseevna Chulkova

68 Leningradskaya St., Pesochnyy, Saint Petersburg 197758


Competing Interests:

The authors declare that there are no possible conflicts of interest.



G. A. Tkachenko
Central Clinical Hospital with a Polyclinic Administrative Department of the President of the Russian Federation; Central State Medical Academy Administrative Department of the President of the Russian Federation
Russian Federation

Galina Andreevna Tkachenko

15, Marshala Timoshenko St., Moscow 121359

Build 1A, 19, Marshala Timoshenko St., Moscow 121359


Competing Interests:

The authors declare that there are no possible conflicts of interest.



N. G. Vasileva
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Nadezhda Gennadievna Vasileva

3 Behtereva St., Saint Petersburg 192019


Competing Interests:

The authors declare that there are no possible conflicts of interest.



E. V. Glazkova
LLC “Medicentr YuZ»
Russian Federation

Evgeniya Valerievna Glazkova

Build 2, 28 Marshala Zhukova Prospekt, Saint Petersburg 198303


Competing Interests:

The authors declare that there are no possible conflicts of interest.



References

1. Razavi D., Delvaux N., Marchal S., et al. Testing health care professionals’ communication skills: the usefulness of highly emotional standardized role-playing sessions with simulators. Psychooncology 2000;9(4):293–302. https://doi.org/10.1002/1099-1611(200007/08)9:4<293::aid-pon461>3.0.co;2-j

2. Ford S., Fallowfield L., Lewis S. Doctor-patient interactions in oncology. Soc Sci Med 1996;42(11):1511–1519. https://doi.org/10.1016/0277-9536(95)00265-0

3. Loge J.H., Kaasa S., Hytten K. Disclosing the cancer diagnosis: the patients’ experiences. Eur J Cancer 1997;33(6):878 882. https://doi.org/10.1016/s0959-8049(97)00001-4

4. Fallowfield L. Can we improve the professional and personal fulfilment of doctors in cancer medicine? Br J Cancer 1995;71(6):1132–1133. https://doi.org/10.1038/bjc.1995.220

5. Razavi D., Delvaux N., Marchal S., et al. Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study. Br J Cancer 2002;87(1):1–7. https://doi.org/10.1038/sj.bjc.6600412

6. Gysels M., Richardson A., Higginson I.J. Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer 2004;12(10):692–700. https://doi.org/10.1007/s00520-004-0666-6

7. Fallowfield L., Jenkins V., Farewell V., Solis-Trapala I. Enduring impact of communication skills training results of a 12-month follow-up. Br J Cancer 2003;89(8):1445–1449. https://doi.org/10.1038/sj.bjc.6601309

8. Ерофеева М.А. Мастер-класс как эффективная форма распространения личного опыта специалиста социальной сферы. Социальная педагогика 2018;4:73–79. Erofeeva M.A. Master klass kak effektivnaya forma rasprostraneniya lichnogo opita specialista socialnoi sferi. Social naya pedagogika 2018;4:73–79 (In Russ.)

9. Chulkova V.A., Pestereva E.V., Tkachenko G.A. Professional psychological training of oncologists: master class. Zlo kachestvennie opuholi. 2024;14(3s1):84–89 (In Russ.). https://doi.org/10.18027/2224-5057-2024-14-3s1-84-89

10. Chulkova V.A., Pestereva E.V., Karpova E.B., et al. Emotional burnout and issues of professional psychological training of oncologists. Voprosy onkologii 2020;66(2):127–134 (In Russ.). https://doi.org/10.37469/0507-3758-2020-66-2-127-134

11. Chulkova V.A., Pestereva E.V. Vrach i medicinskij psixolog: vzaimodopolnyayushhie podxody` pri okazanii psixolog icheskoj pomoshhi onkologicheskomu pacientu. Voprosy` onkologii 2014;60(2):94–98 (In Russ.)

12. Petrov N.N. Vorrosy khirurgicheskoi deontologii. L.,1945. – 48 s (In Russ.)

13. Tvaikross R. D., Frampton D.R. Vvedenie v palliativnoe lechenie. Sobell Pablikeishn. 1992. – 26 s (In Russ.)

14. Iovlev B.V., Karpova E.B. Psikhologiya otnoshenii. Kontseptsiya V.N. Myasishcheva i meditsynskaya psikholologiya. – SPb.: Sensor, 1999. –76 s (In Russ.)

15. Onkopsihologiya dlya vrachej-onkologov i medicinskih psihologov. Rukovodstvo / A.M. Belyaev, V.A. Chulkova, T.Yu. Semiglazova, M.V. Rogachev. Sankt-Peterburg, 2017. – 352 s (In Russ.)


Review

For citations:


Chulkova V.A., Tkachenko G.A., Vasileva N.G., Glazkova E.V. Communication difficulties in oncology practice: a Q&A workshop. Malignant tumours. 2026;16(1):13-20. (In Russ.) https://doi.org/10.18027/2224-5057-2026-074

Views: 239

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2224-5057 (Print)
ISSN 2587-6813 (Online)