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Anne Kendall, PhD, RD, LDN Susan Brown, MS, RD, LDN

Powerpoint Handling Difficult Situations

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Handling Difficult Situations

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  • Anne Kendall, PhD, RD, LDN Susan Brown, MS, RD, LDN

  • Primary Prevention: prevent the problem before it occursOrient the intern wellSet clear expectations and goalsDetermine the interns expectations and goalsReassess mid-rotation

  • Secondary Prevention: early detectionPay attention to your hunches/cluesDont waitGive specific feedback early and monitor closely

  • Tertiary Prevention: manage the problem to minimize impactSeek helpDont be a martyrDo not pass an intern who has not performed satisfactorily

  • SOAP ApproachSubjective: what do you and others think?Objective: what are the specific behaviors observedAssessment: form a differential diagnosis of the problemPlan: what next?

  • SubjectiveChief complaint: what made you think there was a problem?Has the intern been labeled?What do you/others think?What does the intern think does s/he perceive a problem?

  • ObjectiveIdentify and list specific instances of the behavior to document the issuesNeed specific information to intervene effectively

  • AssessmentCognitive knowledge baseClinical skills less than expectedAffective issuesValuesEnvironmentalMedical

  • PlanGather more data?Get helpIntervene

  • Allen-Chabot, A. M. (2006, May 25). Teaching in the Clinical Setting: Strategies for Success.Anderson, J. A., Bueche, J., Felton, A., Fornari, A. B., Gates, G. E., La Potin, C. H., et al. (2009, September 11). Dietetics Preceptor Training Program. Chicago, Illinois, United States of America.Curry, KR. Multicultural competence in dietetics and nutrition. J Am Diet Assoc. 100:1142-1143, 2000.Harden RM and Crosby JR. An extended summary of Association for Medical Education in Europe Medical Education Guide No. 20, Medical Teacher 22(4): 334-347. (http:/www.amee.org)Oermann MH. A Study of Preceptor Roles in Clinical Teaching, Nursing Connections 1996 Winter; 9(4):57-64.Stenson, James B. Professionalism and Workplace Savvy www.parentleadership.com/worksavvy.html retrieved January 29, 2007