Twelve tips for just in time teaching of communication skills for difficult conversations in the clinical setting

Hinkle, Laura; Fettig, Lyle; Carlos, W. Graham; Bosslet, Gabriel T.

doi:10.1080/0142159x.2017.1333587

Cited by 12 publications

(17 citation statements)

References 25 publications

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“…Simply lecturing about these difficult topics may not be enough to help learners or faculty, regardless of their background, develop the empathy and dynamic communication skills required to provide culturally competent education and care. 11 Trainees and faculty members need safe learning environments in which they can be challenged and supported to grow and can try out new behaviors and language. 10 In addition, faculty may witness insensitive or overtly biased remarks by students and/or colleagues.…”

Section: Introductionmentioning

confidence: 99%

Active Learning on Center Stage: Theater as a Tool for Medical Education

et al. 2019

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Introduction: Knowledge and skill development related to communication must incorporate both affective and behavioral components, which are often difficult to deliver in a learning activity. Using theater techniques and principles can provide medical educators with tools to teach communication concepts. Methods: This 75-minute faculty development workshop presents a variety of techniques from theater and adapts them for use in medical education. Using examples related to diversity and inclusion, this session addresses general educational and theater principles, role-play, sociodrama, applied improvisation, and practical aspects of involving theater partners. The session materials include a PowerPoint presentation with facilitator notes, interactive activities to demonstrate each modality, and an evaluation. The sessions can be extended to longer formats as needed. Results: Forty-five participants at Learn Serve Lead 2016: The AAMC Annual Meeting attended the 75-minute session. We emailed 32 participants 5 months after the conference, and eight responded. Participants reported that their confidence level in using theater techniques as a tool for medical education increased from low-to-medium confidence presession to high confidence postsession. All survey respondents who were actively teaching said they had made changes to their teaching based on the workshop. All commented that they appreciated the active learning in the session. Many indicated they would appreciate video or other follow-up resources. Discussion: Principles and techniques from theater are effective tools to convey difficult-to-teach concepts related to communication. This workshop presents tools to implement activities in teaching these difficult concepts.

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Section: Introductionmentioning

confidence: 99%

Active Learning on Center Stage: Theater as a Tool for Medical Education

et al. 2019

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“…The CL psychiatry coordinator assigned these consults to psychiatry-palliative care liaison team members based on individuals' caseloads, whether they were on site, and their language skills. The CL psychiatry coordinator oversaw the team throughout the day, fulfilling as-needed and just-in-time 13 teaching as well as supervisory roles that included discussing and troubleshooting cases, witnessing code status determinations, and cosigning notes. Supervision was provided indirectly, with direct supervision available throughout the day.…”

Section: Team Structurementioning

confidence: 99%

The Creation of a Psychiatry-Palliative Care Liaison Team: Using Psychiatrists to Extend Palliative Care Delivery and Access During the COVID-19 Crisis

Shalev

Nakagawa

Stroeh

et al. 2020

Journal of Pain and Symptom Management

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Context. During the course of March and April 2020, New York City experienced a surge of a 170,000 coronavirus disease 2019 (COVID-19) cases, overwhelming hospital systems and leading to an unprecedented need for palliative care services. Objectives. To present a model for rapid palliative care workforce expansion under crisis conditions, using supervised advanced psychiatry trainees to provide primary palliative services in the acute care and emergency setting. Methods. In response to the New York City COVID-19 surge, advanced psychiatry trainees at New York-Presbyterian Columbia University Irving Medical Center were rapidly trained and redeployed to a newly formed psychiatry-palliative care liaison team. Under the supervision of consultation-liaison psychiatrists (who also served as team coordinators), these trainees provided circumscribed palliative care services to patients and/or their families, including goals-of-care discussions and psychosocial support. Palliative care attendings remained available to all team members for more advanced and specialized supervision. Results. The psychiatry-palliative care liaison team effectively provided palliative care services during the early phase and peak of New York City's COVID-19 crisis, managing up to 16 new cases per day and provided longitudinal follow-up, thereby enabling palliative care specialists to focus on providing services requiring specialist-level palliative care expertise. Conclusion. By training and supervising psychiatrists and advanced psychiatry trainees in specific palliative care roles, palliative care teams could more effectively meet markedly increased service needs of varying complexity during the COVID-19 crisis. As new geographic regions experience possible COVID-19 surges in the coming months, this may serve as a model for rapidly increasing palliative care workforce.

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“…4 Team leaders should model just-in-time teaching surrounding communication strategies, including real-time simulation practice, before the conversation and, ideally, debrief with the health care team afterward. 6 In a 2-parent household, make every effort for both parents to be present, and in the case of a diagnosis made at birth, remember to congratulate them on the birth of their new child. We recommend taking the Carrolls' advice and use phraseology such as, "We have some news that may be unexpected, " and avoiding framing the news with, "I'm sorry."…”

Section: An Approach To Sharing Unexpected News (All Authors)mentioning

confidence: 99%