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

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How Most People View Communication Workshops

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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Reason #2: Habit change, e.g. dieting is much less fun than learning something new, e.g. suturing

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Reason #3: Communication work is personal work

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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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Actors Receive Effective Communication Training

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Business Staff Receive Effective Communication Training

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The 3 Techniques We Can Use

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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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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Medical Improv

Acad Med. 2011: 86: 1260-1265

What is Improvisational Theater?

CourtesyProfessorKa#eWatson

Comedy Improvisation

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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

v.s. Selected Exercises

Targeted Discussions

Medical Improv

Theatre Improv

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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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Impactful Closing Technique #1: The Focus Point

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Keep your hands in front

Focus Point

“What is one thing you want to take from today?”

Impactful Closing Technique #2: Set Up A Practice

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Diffusion Self Directed

Tiny Habits

Set Up a Practice

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Richard’s 20,000 View Tiny Habits

tinyhabits.com

1.Tiny-fy

2.Trigger

3.Train

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Impactful Closing Technique #3: The Good Finish

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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Thank You For Viewing !

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