<P>This book takes readers through forty-five challenging scenarios to teach communication skills in medicine. It follows the revised format of the Practical Assessment of Clinical Examination Skills (PACES) exam conducted by the Royal College of Physicians in the UK, which tests communication skills twice in two separate stations. Most scenarios in this book have been created in an acute medical unit setting. Being fully dialogued will improve the clinical communication skills of young doctors, senior medical students, nursing staff, and trainees in internal medicine and general practice at all levels, preparing them for the new format of MRCP PACES. Readers will learn: </P><UL><LI>How to convey abnormal test results and break bad news. </LI><LI>How to discuss the diagnosis of a chronic disease and negotiate a management plan. </LI><LI>How to communicate with patients who pose an ethical dilemma. </LI><LI>How to communicate with challenging patients and relatives.