The "Soft" Mistake: Reclaiming Essential Skills in Medicine.

Authors

DOI: https://doi.org/10.6018/edumed.708651
Keywords: Medical education, Profesional competence, Empathy, Communication, Patiente safety

Abstract

The term “soft skills” is inadequate in the context of medical education, as it minimizes essential competencies such as communication, empathy, and teamwork. It argues that this label has contributed to a false hierarchy where technical knowledge is considered superior, even though interpersonal skills are crucial for quality of care and patient safety. It maintains that medical practice cannot be divided into the technical and the human, as both dimensions are inseparable. Through examples, it shows how a lack of these competencies can lead to diagnostic errors, poor communication with the patient, and failures in teamwork. Finally, the text proposes replacing the term with others that better reflect its importance and complexity, and concludes that integrating these competencies into medical training is not optional, but rather an ethical and professional imperative.

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Author Biography

Joaquin García-Estañ, Centro de Estudios en Educación Médica

* Catedrático de Fisiología, Universidad de Murcia (2003)

* Decano de la Facultad de Medicina de Murcia (2006-2014).

* Presidente de la Conferencia Nacional de Decanos de Facultades de Medicina de España (2008-2012).

* Centro de Estudios en Educación Médica de la Universidad de Murcia: Director (2014-2018), Secretario (2018-).

* Sociedad Española de Educación Médica: Vocal de la Junta Directiva (2015-1019), Tesorero (2019-2022), Presidente electo (2023-2026).

Publicaciones:

CV en Pubmed.

CV en Scopus.

CV en Google Scholar.

ORCID Record.

Preprints.

References

1. Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004, 13 Suppl 1(Suppl 1), i85-90. https://doi.org/10.1136/qhc.13.suppl_1.i85

2. Laker DR. and Powell JL. The differences between hard and soft skills and their relative impact on training transfer. Human Resource Development Quarterly, 2011, 22, 111-122. https://doi.org/10.1002/hrdq.20063

3. Lugo-Machado JA, Ortega Villa RE, Espinoza Morales y cols. Habilidades blandas en la Educación en Ciencias de la Salud: Revisión de alcance sobre su integración curricular. Revista Española De Educación Médica, 2026, 7(1). https://doi.org/10.6018/edumed.690921

4. Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Med Care Res Rev. 2013 70(4), 351-79. https://doi.org/10.1177/1077558712465774

5. Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. Br J Gen Pract. 2013, 63(606), e76-84. https://doi.org/10.3399/bjgp13X660814

6. Garcia CL, Abreu LC, Ramos JLS, Castro CFD, Smiderle FRN, Santos JAD, Bezerra IMP. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina (Kaunas). 2019, 55(9), 553. https://doi.org/10.3390/medicina55090553

7. Wright, M. C., Phillips-bute, B. G., Petrusa, E. R., Griffin, K. L., Hobbs, G. W., & Taekman, J. M. Assessing teamwork in medical education and practice: Relating behavioural teamwork ratings and clinical performance. Medical Teacher, 2009, 31(1), 30–38. https://doi.org/10.1080/01421590802070853

Published
06-04-2026
How to Cite
García-Estañ, J. (2026). The "Soft" Mistake: Reclaiming Essential Skills in Medicine. Spanish Journal of Medical Education, 7(3). https://doi.org/10.6018/edumed.708651

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