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Power Up Your Teaching of ACGME Communication Techniques from Business and Performing arts Richard Snyder MD
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Pa#entCare
MedicalKnowledge
Prac#ce-BasedLearning
InterpersonalCommunica#on
Professionalism
SystemBasedPrac#ce
Communication Skills Are Critical to Achieving ACGME Milestones
THE FOUR HABITS MODELHABIT SKILLS TECHNIQUES AND EXAMPLES BENEFITS
INVEST IN THE
BEGINNING
Create rapport quickly
accuracy
ELICIT THE PATIENT’S
PERSPECTIVE
DEMONSTRATE EMPATHY
INVEST IN THE END
Copyright © 2011 (Revised) by The Permanente Medical Group, Physician Education and Development. All rights reserved.
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THE FOUR HABITS MODELHABIT SKILLS TECHNIQUES AND EXAMPLES BENEFITS
INVEST IN THE
BEGINNING
Create rapport quickly
accuracy
ELICIT THE PATIENT’S
PERSPECTIVE
DEMONSTRATE EMPATHY
INVEST IN THE END
Copyright © 2011 (Revised) by The Permanente Medical Group, Physician Education and Development. All rights reserved.
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Why do people Resist Communication training? Reason #1 : Cognitive Overload
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“Training for communication skills has not produced uniformly positive results.” Van Nuland M, et al., Educational interventions for improving the communication skills of general practice trainees in the clinical consultation. Cochrane Database of Systematic Reviews 2005(4)
Habit Change
Defense of Self
Cognitive overload
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All Communication Curricula Are A
Combination of These Four Teaching Methods Performance
Role Play/Simulation
Scripting
Didactic
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Something of Self
Something in Small Talk
Something They Know
Something They Want
REVEALS
Engaging Openings Part I: Establish Psychological Safety
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Engaging Openings Part I: Establish Psychological Safety
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Something in Small Talk Safest: How you got here today Bit Riskier: Something weird and quirky about yourself Something in Small Talk Safest: Your Favorite Flavor if Ice-cream Bit Riskier: Type of air you most love to breath Something they know Talk about what they already know about subject Something they want What is one thing I want to get out of this class today?
Engaging Openings Part II: Expand What is Possible
Cognitively Physically Emotionally Vocally
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Level 1: “Big and Small” Physical Stretches Level 2: “You’re the King!” Walk Around Room to Game of Thrones Theme Music
Using Engaging Openings
1. Reveal Families • Something of Self • Something in Small Talk
• Something they Know • Something they Want
2. Expanders • Reference texts • Apps • Collaborate
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Make Your Partner Look Good
Fail good naturedly.
Accept. Everything you get is a gift.
Listen. Let Your Partner Change you.
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Improv Principles
Partner A: Remember Mexico? Round 1: Partner B “No” Round 2: Partner B “Yes” Round 3: Partner B “Yes And...” then A: “Yes And...” etc.
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Improv Yes And Exercise
Medical Improv = Cross Training for Communication
Listening
Talking
Reading Emotions
Positive Attitude
Team Work
Leadership
Resiliency 21
Medical Improv Assessment No. (%) students
who agree or strongly agree
Students rated agreement 1 strongly disagree
5 strongly agree
This class helped me become a better team member/collaborator 80(92) 4.47
Studying Improv could make me a better doctor 83(95.4) 4.49
I would recommend this class to other medical students 87(100) 4.97
Watson, K., Perspective: Serious Play: Teaching Medical Skills With Improvisational Theater Techniques, Acad Med. 2011;86:1260–1265. 23
Professor Watson’s Train-the-Trainer Course
Katie Watson JD Belinda Fu, MD
Rich Cox William Hall Dan Klein Rebecca Stockley
Local Improv Professionals
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Good Finish #1: Appreciations “Tell Your Partner One Thing You Appreciated About The Work You Did
Together”
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Good Finish #2: Final Activity “On The Count of Three, Let’s All Do A Single Simultaneous Hand Clap”
Repeat Up To Three Times
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