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Institute for Healthcare Communication

  • Contains 6 Component(s), Includes Credits

    The module content offers a close examination and use of the tools and techniques to build patient rapport starting with welcoming rituals, coaching your patient through the technology, time-saving agenda setting, and summarizing. Finally, a simulated clinician-patient virtual video visit is shown for learners to identify effective clinician communication skills specific to E1 (Engage your patient).

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
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    Michael R. Marks (Moderator)

    MD, MBA, FAAOS

    Dr. Marks is multi-faceted physician and business executive who brings more than 30 years of expertise drawing from his broad leadership experiences.

    Dr. Marks is a Board-Certified Orthopaedic Surgeon, having completed his orthopaedic residency atGeorge Washington University and spine fellowshipat the Cleveland Clinic Foundation. He was the Vice President of Business Development for Norwalk Hospital in Connecticut and is currently the Senior Medical Director of Relievant MedSystems. In 2001, he obtained his MBA from the University of Tennessee to acquire the skills necessary to meet the healthcare challenges of the 21st Century.

    For more than 15 years, he has been a communications mentor for the Institute for Healthcare Communications providing instruction in three communication skill courses (Clinician-Patient Communication, Strangers in Crisis, and Disclosing Unanticipated Medical Outcomes) including the development of virtual video visits (telemedicine) webinars that are necessary for today’s clinicians.

    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

    Accreditation: The Institute for Healthcare Communication (IHC) takes responsibility for the content, quality and scientific integrity of this CME/CE activity. IHC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Institute for Healthcare Communication designates the Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV): E1 Engage Patients for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    2020 CME Credit for Physicians: This activity has been approved for 1.0 AMA PRA Category 1 CreditsTM

    image

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

  • Contains 6 Component(s), Includes Credits

    This course is based on IHC’s evidence-based E4 Communication Model (Engage, Empathize, Educate, Enlist). This module is the second E of the E4 Model: E2 - Empathize with your patient. This module presents scientific evidence demonstrating that clinician’s empathic communication leads to increased patient satisfaction, adherence and health outcomes.

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image

    Michael R. Marks

    MD, MBA, FAAOS

    Dr. Marks is multi-faceted physician and business executive who brings more than 30 years of expertise drawing from his broad leadership experiences.

    Dr. Marks is a Board-Certified Orthopaedic Surgeon, having completed his orthopaedic residency atGeorge Washington University and spine fellowshipat the Cleveland Clinic Foundation. He was the Vice President of Business Development for Norwalk Hospital in Connecticut and is currently the Senior Medical Director of Relievant MedSystems. In 2001, he obtained his MBA from the University of Tennessee to acquire the skills necessary to meet the healthcare challenges of the 21st Century.

    For more than 15 years, he has been a communications mentor for the Institute for Healthcare Communications providing instruction in three communication skill courses (Clinician-Patient Communication, Strangers in Crisis, and Disclosing Unanticipated Medical Outcomes) including the development of virtual video visits (telemedicine) webinars that are necessary for today’s clinicians.

    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

    Accreditation: The Institute for Healthcare Communication (IHC) takes responsibility for the content, quality and scientific integrity of this CME/CE activity. IHC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Institute for Healthcare Communication designates the Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV): E2 Empathize With Your Patients for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    2020 CME Credit for Physicians: This activity has been approved for 1.0 AMA PRA Category 1 CreditsTM

    image

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

  • Contains 6 Component(s), Includes Credits

    Module 3 provides a deeper exploration into VVV skills and techniques for the third E of the E4 Model: E3 - Educate your patient. The module content highlights scientific evidence showing that patient misunderstanding contributes significantly to non-adherence, adverse outcomes, patient dissatisfaction and malpractice risk.

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image

    Michael R. Marks

    MD, MBA, FAAOS

    Dr. Marks is multi-faceted physician and business executive who brings more than 30 years of expertise drawing from his broad leadership experiences.

    Dr. Marks is a Board-Certified Orthopaedic Surgeon, having completed his orthopaedic residency atGeorge Washington University and spine fellowshipat the Cleveland Clinic Foundation. He was the Vice President of Business Development for Norwalk Hospital in Connecticut and is currently the Senior Medical Director of Relievant MedSystems. In 2001, he obtained his MBA from the University of Tennessee to acquire the skills necessary to meet the healthcare challenges of the 21st Century.

    For more than 15 years, he has been a communications mentor for the Institute for Healthcare Communications providing instruction in three communication skill courses (Clinician-Patient Communication, Strangers in Crisis, and Disclosing Unanticipated Medical Outcomes) including the development of virtual video visits (telemedicine) webinars that are necessary for today’s clinicians.

    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

    Accreditation: The Institute for Healthcare Communication (IHC) takes responsibility for the content, quality and scientific integrity of this CME/CE activity. IHC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Institute for Healthcare Communication designates the Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV): E3 Education Your Patient for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    2020 CME Credit for Physicians: This activity has been approved for 1.0 AMA PRA Category 1 CreditsTM

    image

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

  • Contains 6 Component(s), Includes Credits

    This course is based on IHC’s evidence-based E4 Communication Model. It provides an exploration into VVV skills and techniques for the fourth E of the E4 Model: Enlist your patient as a partner. The module content underscores the research showing that discussing patient-identified goals as a starting point for healthcare decision-making leads to improved patient adherence.

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image

    Michael R. Marks

    MD, MBA, FAAOS

    Dr. Marks is multi-faceted physician and business executive who brings more than 30 years of expertise drawing from his broad leadership experiences.

    Dr. Marks is a Board-Certified Orthopaedic Surgeon, having completed his orthopaedic residency atGeorge Washington University and spine fellowshipat the Cleveland Clinic Foundation. He was the Vice President of Business Development for Norwalk Hospital in Connecticut and is currently the Senior Medical Director of Relievant MedSystems. In 2001, he obtained his MBA from the University of Tennessee to acquire the skills necessary to meet the healthcare challenges of the 21st Century.

    For more than 15 years, he has been a communications mentor for the Institute for Healthcare Communications providing instruction in three communication skill courses (Clinician-Patient Communication, Strangers in Crisis, and Disclosing Unanticipated Medical Outcomes) including the development of virtual video visits (telemedicine) webinars that are necessary for today’s clinicians.

    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

    Accreditation: The Institute for Healthcare Communication (IHC) takes responsibility for the content, quality and scientific integrity of this CME/CE activity. IHC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Institute for Healthcare Communication designates the Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV): E4 Enlist Your Patient as a Partner for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    2020 CME Credit for Physicians: This activity has been approved for 1.0 AMA PRA Category 1 CreditsTM

    image

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

  • Contains 1 Component(s)

    This introductory module provides the premises for why effective communication skills are even more critical for successful patient encounters during Virtual Video Visits. For the full module, please select the Institute for Healthcare Communication Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV).

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    Premises 

    This introductory module provides the premises for why effective communication skills are even more critical for successful patient encounters during Virtual Video Visits. For the full module, please select the Institute for Healthcare Communication Clinician-Patient Communication to Enhance Health Outcomes for Virtual Video Visits (CPC for VVV).

    Reasons why you should enroll in this IHC series:
    • Virtual video visits are here to stay! In addition to ensuring continuity of care and safety for all, they are convenient, flexible and time-efficient for patients and providers.
    • Improve patient satisfaction: Learn about the foundational skills in the E4 communication model that help patients to feel seen, heard and understood, and to participate in decision-making.
    • Expand your clinical communication toolkit: Strengthen your communication skills and acquire new tools and techniques to make virtual video visits optimally effective and efficient.
    • Gain telemedicine confidence: Learn technical and communication skills to address common telemedicine challenges and apply nonverbal techniques to enhance your patient interactions. 

    Michael R. Marks, MD, MBA

    Consultant and Speaker

    KZA

    Dr. Marks is an innovative problem solver who brings more than 30 years of practical experience to each engagement. He draws on his broad leadership experiences as a clinician, administrator, and physician executive when working with clients. He fully understands the need for collaborative relationships to achieve success and create win-win solutions.

    Read more about Dr. Marks HERE


    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

  • Contains 18 Component(s), Includes Credits

    This course is based on IHC’s evidence-based E4 Communication Model. Through brief presentations, demonstration videos, and engaging learning techniques, each module will delve into the E4 model (Engage, Empathize, Educate, Enlist) to increase clinicians’ comfort and confidence in VVV interactions.

    Presented by:

    image
    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image

    Learn about the more than three decades of research evidence that demonstrates a clinician’s ability to explain, listen and empathize can have a profound effect on patient health outcomes including diagnostic accuracy, adherence, satisfaction and malpractice risk. While telemedicine using virtual video visits (VVV) has historically been used to enhance healthcare access for patients living in rural and remote areas, we are now seeing exponential growth of VVV.

    Virtual visits have multiple advantages including ensuring patients’ and providers’ safety from viral infection and offer advantages with respect to time- and cost-saving. Clinicians and patients may be concerned that virtual visits impose obstacles to personal connections. Using VVV can still remain a personal experience by using essential communication skills that include listening to patients, providing adequate time for patient questioning, investing time in building patient rapport and emphasizing patient input into decision-making.

    Reasons why you should enroll in this IHC series:

    • Virtual video visits are here to stay! In addition to ensuring continuity of care and safety for all, they are convenient, flexible and time-efficient for patients and providers.
    • Improve patient satisfaction: Learn about the foundational skills in the E4 communication model that help patients to feel seen, heard and understood, and to participate in decision-making.
    • Expand your clinical communication toolkit: Strengthen your communication skills and acquire new tools and techniques to make virtual video visits optimally effective and efficient.
    • Gain telemedicine confidence: Learn technical and communication skills to address common telemedicine challenges and apply nonverbal techniques to enhance your patient interactions. 

    Michael R. Marks, MD, MBA

    Consultant and Speaker

    KZA

    Dr. Marks is an innovative problem solver who brings more than 30 years of practical experience to each engagement. He draws on his broad leadership experiences as a clinician, administrator, and physician executive when working with clients. He fully understands the need for collaborative relationships to achieve success and create win-win solutions.

    Read more about Dr. Marks HERE


    Dwight W. Burney III, MD, FAAOS

    Speaker

    Dr. Burney retired after 34 years of orthopedicpractice in New Mexico. For more the past 14 yearshe has been a communication skills trainer for theInstitute for Healthcare Communication.

    He has served the American Academy of OrthopaedicSurgeons in multiple roles - as Chair of the Board ofCouncilors, Chair of the Membership Committee,and Chair of the Communication Skills MentoringProgram. He also served served for three years on theAAOS Board of Directors as well as the Patient SafetyCommittee.

    Dr. Burney graduated with a BA degree in BiologicSciences from Stanford University. He returned to hishome state to attend medical school at the Universityof Nebraska Medical Center. His surgical internshipat the University of Missouri was followed by anorthopaedic surgery residency at the University ofNew Mexico and an orthopaedic trauma fellowship atthe University of Washington. He was certified by theAmerican Board of Orthopaedic Surgery in 1983.

    He was a founding partner in New MexicoOrthopaedic Associates, the largest orthopaedicsubspecialty practice in New Mexico. He also servedas President and Treasurer for the New MexicoOrthopaedic Association.

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

    If you have any questions about the contents of this product or the Institute for Healthcare Communications (IHC) please email us at info@healthcarecomm.org.

  • Contains 4 Component(s), Includes Credits

    This module will provide an overview of advance care planning specific to strategies for initiating the conversation with patients about advance directives. Advance care planning is the process of communication between an individual, his or her family, and clinicians or other caregivers, to clarify treatment preferences, identify a surrogate and develop goals for care in serious illness and near the end of life. Advance care planning aims to protect the wishes and goals of the individual so that when serious illness occurs, wishes are honored in concert with patient and family values and circumstances, as discussed or documented during the advance care planning process.

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image
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    Overview

    This module will provide an overview of advance care planning specific to strategies for initiating the conversation with patients about advance directives. Advance care planning is the process of communication between an individual, his or her family, and clinicians or other caregivers, to clarify treatment preferences, identify a surrogate and develop goals for care in serious illness and near the end of life. 

    Advance care planning aims to protect the wishes and goals of the individual so that when serious illness occurs, wishes are honored in concert with patient and family values and circumstances, as discussed or documented during the advance care planning process.                   

    Rationale  

    Healthcare has advanced a great deal in the past 75 years. In just a few generations, we have seen the advent of antibiotics, antiseptic techniques for birth and surgery, the development of cardiopulmonary resuscitation and successful organ transplantation. An unforeseen consequence of more effective medical care and a resultant longer lifespan is the impact on how we die. 

    In the past, at the time of death, the family was present and death practices reflected the beliefs and culture of the community. Now, in present-day western societies, most deaths occur in a healthcare setting. Only 24 percent of Americans older than sixty-five die at home; 63 percent die in hospitals or nursing homes, sometimes tethered to machines, and often in pain (Volandes, 2016). The environment is often sterile, unfamiliar and family may or may not be present. In the most dramatic variation, the person dying is receiving intensive care and life support and often has been unresponsive or non-communicative for days or weeks in advance of their death. These settings offer little comfort to the families, as there is often no time for activities of closure such as last acts, blessings or goodbyes. 

    Research shows, not surprisingly, that families who experience the death of a loved one under such circumstances are more likely to experience complications or prolonged grief and regret.

    Why are we now more than ever at risk for a death we would not choose: alone, institutionalized and perhaps in pain? The answer includes these interrelated things:

     

    ·       Our medical care has advanced to such an extent that it is “easy” to prolong someone’s life

    ·       The evolution of medical care has increased the complexity of end-of-life care decisions

    ·       Many people never discuss their end-of-life care wishes, leaving others to guess what they would want

     

    Like all of IHC CME live and virtual workshops, Advance Care Planning: Starting the Conversation provides an evidence-based and engaging educational experience for learners to learn and practice specific communication skills for immediate practice application. 


    Content

    Conversations surrounding advance care planning often take on a special significance and it is through compassionate communication that clinicians form a connection with their patients, elicit information about their values and goals, and establish plans and interventions with them for moving forward. 

     Yet, even when caring for long-time patients, it can be challenging to get the conversation started if it has not been raised before. Patients will often wonder why this topic is coming up now. Your ability to connect and share how advance care planning will be beneficial for your patient promotes honest dialogue about specific healthcare needs, values and goals.  Providing this information and eliciting the patient's concerns and priorities improves their understanding and insight about the importance of taking steps to participate in advance care planning. This collaboration and mutual respect heightens your ability to partner with your patient and increases patient satisfaction, as well as your intrinsic reward as a clinician.   

    Similar to starting conversations about other sensitive topics, a guiding point is to learn to ask more than tell, so begin with an attitude of discovery and curiosity. This module provides openers for clinicians to start the discussion by asking some questions that invite the patient or family member to provide important information. This also requires the ability to be an active or empathic listener. Not only do we gain more information with active listening, but we also demonstrate respect for the patient's concerns and feelings being expressed.  


    If you have not had formal training, and have relied upon clinical experience, you are not alone. For those of you who have had formal training or have had years of experience, it is our hope that this module will reinforce and add to your learning. Learners will be introduced to a practice-friendly model with sample scripts that can be customized to each clinician’s style. 

    As with all IHC communication workshops, an annotated bibliography is available. We encourage you to use the bibliography after the module as a resource for further professional development on patient-centred communication.

    Learning Objectives

    1.     Identify at least two barriers to engaging in Advance Directive (AD) conversations with patients. 

    2.    Practice statements and/or questions for opening up the AD conversation with a patient. 

    3.     Apply at least one communication technique from the N-E-E-D model such as empathy to respond to patient/family emotions

    4.     Identify resources to meet the Advance Directive needs of your patients 

     

    Methodology                                                                                               

    Advance Directives: Starting the Conversation module is available in this one-hour CME and self-paced virtual format and can also be available in a 2 hour live virtual or in-person format, upon request. The latter version is fast-paced and interactive, with a strong focus on opportunities to practice skills and techniques in a safe and structured environment. 


    CME/CE

    The Institute for Healthcare Communication is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. IHC takes responsibility for the content, quality, and scientific integrity of this CE/CME activity. Advance Directives: Starting the Conversation is designated by the Institute for Healthcare Communication as a continuing medical education activity meeting the criteria for up to three hours in Category 1 of the Physician’s Recognition Award of the American Medical Association. 

    For further information, please contact:

    Institute for Healthcare Communication www.healthcarecomm.org

    info@healthcarecomm.org

    Kathleen Bonvicini

    MPH, EdD

    Kathleen Bonvicini serves as the CEO/Executive Director of IHC since 2009. Dr. Bonvicini began her work in clinician-patient communication in 1999 and has developed and delivered many of IHC’s communication workshops and provides train-the-trainer programs to clinicians and healthcare professionals in human and veterinary medicine throughout the United States, Canada, Europe, Japan, Australia, South America and Oman. She has conducted and published her research in the area of empathic connection specific to physician empathy with patients and many other important topics which encourage relationship-centered care. In addition, she has written and presented extensively to an international audience including practitioners, opinion leaders, students, academicians, healthcare professionals and consumers on the importance of communication training in healthcare. She is also a trained Mediator and End-of-Life Doula and volunteers her time with home hospice care. Prior to her 20+ years of work with IHC, Kathleen had an impressive record of professional achievement, including fifteen years of experience in research and psychiatry at the Yale University - Veterans Administration Laboratory of Psychiatric Genetics and has worked as a social worker in the areas of adolescent pregnancy, law enforcement, and women's health, and university teaching in psychology and public health. 

     

    If you are having trouble with certain features or if videos are not loading properly please check what web browser you are using. If you are using Internet Explorer as your web browser you may encounter additional issues as it is no longer supported by Microsoft.  We suggest using Microsoft Edge, Chrome, or Safari.

  • Contains 4 Component(s), Includes Credits

    Some of the most challenging conversations that clinicians must have with patients and families involve sharing serious news. While sharing such news is oftentimes quite distressful for the patient and family, it can also be distressful for the clinician. Many clinicians do not feel competent or comfortable about delivering bad news. While it will never be easy to be the bearer of distressing news, clinicians can gain confidence and competence by mastering specific communication techniques for navigating these emotionally-charged interactions. Strong communication skills bolster the clinician-patient relationship and foster clinician-patient collaboration.

    Presented by:

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    About the IHC

    The Institute for Healthcare Communication (IHC) has been a leader in healthcare communication skills training since 1987. IHC’s accredited programs advance the quality of healthcare, with measurable benefits for patient satisfaction, clinician career satisfaction, patient health outcomes and durable relationships of trust. 

    These modules are conducted in partnership with KarenZupko & Associates, Inc.
    image
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    Overview

    Some of the most challenging conversations that clinicians must have with patients and families involve sharing serious news.  While sharing such news is oftentimes quite distressful for the patient and family, it can also be distressful for the clinician. Many clinicians do not feel competent or comfortable about delivering bad news. While it will never be easy to be the bearer of distressing news, clinicians can gain confidence and competence by mastering specific communication techniques for navigating these emotionally-charged interactions. Strong communication skills bolster the clinician-patient relationship and foster clinician-patient collaboration.  

    INTRODUCTION

    Sharing serious news is a challenging and essential part of healthcare delivery. The way that clinicians share such news has potentially lasting effects for patients and families. Done well, it can preserve and strengthen the clinician-patient relationship, foster collaboration, and promote healing and coping with illness, injury or death. Done poorly, it can cause unnecessary suffering. So, while you cannot change the actual news itself, you have control over the manner in which it is shared.  

    Abundant scientific evidence and anecdotal experience supports the idea that people retain strong memories of emotionally-charged events. Americans of a certain generation can remember exactly where they were when President Kennedy was assassinated or on Sept. 11, 2001.  Similarly, patients and families remember when and where and how they received bad news. Skilled, empathic clinicians can help patients and families focus their energies on the healthcare challenges at hand.

    Clinicians who are effectively trained to share serious news which includes attending to the emotional aspects of informing patients are likely to feel a higher level of gratification in their work, and decreased feelings of stress and burnout. This module is based on the premise that the delivery of serious news such as sudden death is best conducted in person by a multidisciplinary team. Using a team-based model provides role clarity for the patient and/or family and taps the strengths of each team member in meeting the varied needs of the patient and/or family. This team would ideally include a physician or clinician, a nursing professional and/or a social worker, or hospital chaplain. 

    Clinicians at every stage of their careers find value in brief modules and workshops focused on specific communication skills that can enhance their effectiveness and job satisfaction.  Like all of IHC CME live and virtual workshops, Sharing Serious News provides an evidence-based and engaging educational experience for learners to learn and practice specific communication skills for immediate practice application. 

    Content

    Why a separate communication module on sharing serious news?  We recognize that you or your colleagues may have been sharing bad news with patients for a long time. You may not like doing it, yet you understand it is part of your responsibilities in caring for patients. You may or may not have had formal training and often trust your instincts and experience on how to do it. Some of you have just begun your clinical work and want guidance. 

     

    If you have not had formal training, and have relied upon clinical experience, you are not alone. For those of you who have had formal training or have had years of experience, it is our hope that this workshop will reinforce and add to your learning. Although doctors are often the primary deliverer of bad news with patients, other healthcare professionals such as nurses and social workers can contribute to how the discussion is perceived by the recipients of the news (patient and/or family). 

    Here’s what we know about training on this important topic: 

    •       Medical students and house officers perceive themselves to be inadequately trained in delivery of bad news (Orlander, et al, 2002). Yet many residency and fellowship programs lack formal instruction on the delivery of bad news (Reed, 2015).  

    •       Warnock et al., (2010) reported that other healthcare professional such as nurses are inadequately trained and prepared for responding effectively to patient and family varied needs during and following bad news discussions. 

    •       Education programs that focus on techniques in sharing bad news have been shown to increase clinician knowledge, competence and confidence in applying these communication skills (Porensky 2016; Reed, 2015). 

    There are estimates that these “serious news” discussions can occur more than 20,000 times during the course of an oncologist’s career.  This underscores the importance of this communication competency and use of a model for understanding the process involved and approaching it as a stepwise procedure, applying well-established principles of communication and counseling. Learners will be introduced to a 6-step evidence based communication protocol from the work of Robert Buckman, MD.  He used the acronym SPIKES to remember the 6 steps. 

    As with all IHC communication workshops, a SSN annotated bibliography is accessible on our website. We encourage you to use the bibliography after the module as a resource for further professional development on patient-centered communication.

    Expectations

    Sharing Serious News is appropriate for clinicians and members of the health care team at all stages of their careers. To obtain the full value of the experience, we encourage further participation in a longer version of this module (3 hours) with several opportunities for practice that can be scheduled upon request virtually or in person.  

    Learning Objectives

    1.      Identify the 6 step SPIKES model for sharing serious news 

    2.     Describe at least 2 elements for preparing the Setting for sharing serious news 

    3.     Identify and respond to at least two 2 empathic opportunities 

    Methodology                                                                  

    Sharing Serious News module is available in this one-hour CME and self-paced virtual format and also available in a 3 hour live virtual or in person format. The latter version is fast-paced and interactive, with a strong focus on opportunities to practice skills and techniques in a safe and structured environment. More than two-thirds of the 3 hour module is interactive, combining individual and small group exercises to analyze video enactments of actual cases and role play to apply newly leaned skills to contextually relevant cases. 

    Faculty

    Faculty members who teach IHC’s SSN modules have completed a comprehensive faculty development program. The faculty program includes individualized coaching conducted by IHC Senior Trainers to prepare faculty to teach and facilitate the workshop, deepen their own communication skills, and to explore strategies to support relationship-building and communication skills at their home institutions.

    CME/CE

    The Institute for Healthcare Communication is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. IHC takes responsibility for the content, quality, and scientific integrity of this CE/CME activity. Sharing Serious News is designated by the Institute for Healthcare Communication as a continuing medical education activity meeting the criteria for up to three hours in Category 1 of the Physician’s Recognition Award of the American Medical Association. 

    For further information, please contact:

    Institute for Healthcare Communication www.healthcarecomm.org

    info@healthcarecomm.org

    Kathleen Bonvicini (Moderator)

    MPH, EdD

    Kathleen Bonvicini serves as the CEO/Executive Director of IHC since 2009. Dr. Bonvicini began her work in clinician-patient communication in 1999 and has developed and delivered many of IHC’s communication workshops and provides train-the-trainer programs to clinicians and healthcare professionals in human and veterinary medicine throughout the United States, Canada, Europe, Japan, Australia, South America and Oman. She has conducted and published her research in the area of empathic connection specific to physician empathy with patients and many other important topics which encourage relationship-centered care. In addition, she has written and presented extensively to an international audience including practitioners, opinion leaders, students, academicians, healthcare professionals and consumers on the importance of communication training in healthcare. She is also a trained Mediator and End-of-Life Doula and volunteers her time with home hospice care. Prior to her 20+ years of work with IHC, Kathleen had an impressive record of professional achievement, including fifteen years of experience in research and psychiatry at the Yale University - Veterans Administration Laboratory of Psychiatric Genetics and has worked as a social worker in the areas of adolescent pregnancy, law enforcement, and women's health, and university teaching in psychology and public health. 

     

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