The American Society of Clinical Oncology has released an updated guideline on patient–clinician communication, emphasising structured communication approaches as a core component of oncology practice.
Published in the Journal of Clinical Oncology, the update builds on the Society’s 2017 guidance and reflects an expanded evidence base on communication in oncology care, particularly in relation to patient understanding, experience, and engagement.
Communication as a clinical competency
The guideline highlights that effective communication is a clinical skill that requires training and deliberate practice. Complex discussions in oncology—such as those involving prognosis or treatment options—benefit from structured approaches and preparation.
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Clinicians are advised to prepare for consultations by reviewing clinical information, identifying key messages, and anticipating patient concerns. Establishing a shared agenda at the outset of consultations is recommended to align priorities and support efficient use of time.
Core practices during consultations
During patient encounters, the guideline recommends using clear, jargon-free language, delivering information in manageable segments, and checking patient understanding.
Attention to emotional cues and active listening are also emphasised. When patients express distress, clinicians should acknowledge and respond to these emotions before continuing with clinical information.
Discussing prognosis and goals of care
The update guides navigating discussions around prognosis and goals of care. Clinicians are encouraged to assess patient preferences for information and tailor discussions accordingly.
Framing potential outcomes in a balanced way may support understanding while maintaining hope. Discussions may also include supportive and palliative care where appropriate.
Team-based communication and clinician wellbeing
Beyond individual consultations, the guideline highlights the importance of communication within multidisciplinary teams, including clear handovers and coordination of care.
The guideline also recognises the emotional demands of oncology practice and highlights strategies to support clinician wellbeing.
Implications for oncology practice
The authors conclude that effective communication is a fundamental component of high-quality cancer care and should be embedded within oncology training and ongoing professional development.
Recommendations are based on available evidence and expert consensus, and should be applied in the context of individual patient needs and clinical settings.
Paper: Gilligan, T., et al. Patient-Clinician Communication: ASCO Guideline Update. J Clin Oncol 0, JCO-26-00118. Access online here.
