020513 saif abed medical training

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#CPHC Twitter Chat – 02/05/13 - Medical Education for Better Patient Communications - Dr. Saif Abed

Saif_Abed My spotlight guest bio/profile for today's #CPHC Chat http://t.co/7tUzyHuy Check it out!

Saif_Abed Start sending me your questions and I'll try to answer as many as I can when #CPHC chat

begins!

GailZahtz Love the enthusiasm!!! RT @Saif_Abed: Start sending me your questions and Ill try to

answer as many as I can when #CPHC chat begins! #CPHC

GailZahtz 25 minutes- background info http://t.co/AGOzCsls @sandyhubbard #CPHC

GailZahtz @LungCancerFaces thanks for finding me. If u can, plz join us at #cphc today in 15 mins we

discuss physician communication @terriswain

GailZahtz @StorkBrian @mandibpro @hjluks You should check out #ecosys sometime- discusses

education and #cphc works with group on overlap issues

Saif_Abed I look forward to hearing from you all and sharing my experiences! #cphc

GailZahtz #cphc please start introducing yourself

2ndActHealth RT @giasison: Taking Twitter to the Next Level in Healthcare [slideshare]

https://t.co/zllaox3Y Thanks @EinsteinMed @rohal @tmlfox #CPHC ...

GailZahtz Welcome all lurkers and lookers- feel free so say hi. Today is all about medical education for

better communications! #CPHC

Saif_Abed So hi all I'm a Dr, healthcare startup consultant & VC/M&A advisor based in Cambridge,

England. #cphc

GailZahtz @Saif_Abed Thank you so much for jumping in to guest when we had big questions the other

night about medical training for comm #CPHC

Nursefriendly Hello, Andrew Lopez, RN from New Jersey :) #cphc

alexgraham186 alex graham same as @Saif_abed based at imperial, london #CPHC

GailZahtz @alexgraham186 And dr Alex, you work side by side with our guest too! Look forward

to watching you tag team :-) #CPHC

ChronicPainGPS Hey everyone! Hope this week is treating you well so far! ;o) #cphc

GailZahtz @ChronicPainGPS So great to see you! Looking forward to your input on how to have

better communications between docs and pts. #CPHC

ChronicPainGPS Patti here in Phoenix! Patient Advocate/Educator and Pain Ambassador for@ArizonaPain. Trying to multi-task today - wish me luck! #cphc

lttlewys Hi! A little late today again #cphc

LungCancerFaces Deana Hendrickson, lung cancer patient advocate, Los Angeles. First time here, so be

gentle. #cphc

alexgraham186 @LungCancerFaces first time for many I think! #CPHC

Teaminspire Hello to Gail and the #CPHC chat, John Novack here from Inspire, the online support

community for patients and caregivers.



GailZahtz @teaminspire Hi John! So glad you could join us. @saif_abed is hosting on MedEd for

communications. #CPHC

Docnieder Lurking in Louisville, in between patients. #cphc

GailZahtz @docnieder Thanks so much for stopping by- and I hope dropping pearls of wisdom

from your practice in patient communications. #CPHC

ChrisCarrollMD Hello to @GailZahtz & #CPHC! Chris Carroll, MD from @ctchildrensGailZahtz @ChrisCarrollMD I knew I saw you in the stream! This is right up your alley-

communications training- please share your thoughts! #CPHC

FMDChat Good afternoon to all the carpool riders! #CPHC

GailZahtz @FMDChat Great to see you! welcome to the ride! #CPHC

giasison Hi all Gia, physician from Manila Philippines. Hard core patient advocate,healthcare social

media too! #cphc

StorkBrian @GailZahtz Trying 2 follow as the clinic starts to pick up steam #cphc

GailZahtz @StorkBrian Thanks for dropping in before clinic- feel free to jump in with ideas on

patient communications! #CPHC

Nickdawson @GailZahtz @pfanderson @drsteventucker @Steven_Paul @enspektosllc @LAlupusLady

@FMDGirl @MtnMD @DrFibro @docnieder trying to lurk #CPHC

GailZahtz @nickdawson Terrific to see you lurking!! We are covering medical training for patient

comunications! Any 140 insight would be great. #CPHC

drseisenberg Hi all! Sorry so late! Patient care! #CPHC

GailZahtz @Saif_Abed I learned from meeting you about how different health communications is in the

UK- couuld you explain more #CPHC

Saif_Abed Sure, well comm skills training is central to med ed here. It's taught every year in a

structured way and is regularly assessed. #cphc

Saif_Abed We go through many of scenarios e.g. breaking bad news, talking to distraughtpatients and family members etc #cphc

GailZahtz @Saif_Abed I was reading about the community practice #UKCCC that

oversees health comm curiculum in every medical school! #CPHC

GailZahtz @Saif_Abed How do you go through the different scenarios? I know this is discussed a

lot in #HPM and #EOLChat Hard conversations #CPHC

Saif_Abed @GailZahtz Well, each med school tends to conform to national guidelines

set by many groups eg regulators & royal colleges #cphc

Saif_Abed @GailZahtz Lots of role play actually and we are viewed and observed. We then

rewatch tapes and discussed how it all went. #cphc

Saif_Abed I have several DVDs of me in role-play scenarios. It's odd watching yourself!

#cphc

charter4values @Saif_Abed @GailZahtz #CPHC Excellent! Do you use standardized patients,

professional actors, other for role play?

Saif_Abed @charter4values We use professional actors. #cphc

alexgraham186 @Saif_Abed @charter4values also in exams we have real patients

(stable ones!) #CPHC



charter4values @alexgraham186 @Saif_Abed @GailZahtz #cphc We use professional

actors in many of our post grad courses - very powerful

GailZahtz @charter4values Where do you use professional actors to help in

post grad courses? #CPHC

alexgraham186 @charter4values certainly can be, theyre very good! but will never

replace an ill patient plus family etc #CPHCChrisCarrollMD @GailZahtz @charter4values We had Alcoholics

Anonymous group that sent us simulated pts in med school. Fabulous

learning experience! #CPHC

GailZahtz @ChrisCarrollMD I love this idea of having Alcoholics

Anonymous members- couldn't other patient advocate groups

HELP teaching? #CPHC

ChrisCarrollMD @GailZahtz Family advocates as simulated patients

would be a great idea for teaching! #CPHC

GailZahtz @ChrisCarrollMD I would bet that many advocates

would be willing to help with communications- if nothing else

everyone has a bad story #CPHC

giasison Love this! RT @ChrisCarrollMD: @GailZahtz Family advocates

as simulated patients would be a great idea for teaching! #CPHC

charter4values @GailZahtz @Saif_Abed #CPHC Yes! We use

patient faculty in many programs. Need patients' voices and

wisdom.

charter4values @GailZahtz @Saif_Abed #CPHC What strategies work best for teaching these?

giasison Great Q! RT @charter4values: @GailZahtz @Saif_Abed #CPHC What strategies work

best for teaching these?

Saif_Abed @charter4values I think the beauty of being recorded is that it lets you reflect onyour experience and to accept feedback. #cphc

charter4values @Saif_Abed @GailZahtz #cphc Yes. We use recorded videos for

teaching med students as well. Reflect on experience. They keep own recordings.

Saif_Abed I also find being examined is very effective since it incentivises you to go into hospital

and be open to embracing tough situations. #cphc

GailZahtz @nursefriendly Welcome as always Andrew! Are there specific communications training for

nurses in the US? #CPHC

Nursefriendly Effective communications is a constantly recurring theme in nursing continuing

education #cphc

Nursefriendly @GailZahtz #Nursing has the most #Facetime with #patients, we hear the most

complaints, are complained about most. #cphc

alexgraham186 @nursefriendly too much nursing time in UK spent doing unnecessary

menial tasks, less patient contact, more complaints #CPHC

charter4values @Saif_Abed #cphc Welcome! Specific questions for discussion today, or do we ask ours?



Saif_Abed @charter4values Ask away! #cphc

GailZahtz For anyone that is new- we encourage the audience to ask directly- so please do! #CPHC

giasison Sharing the top challenges in healthcare comms I observed-social media,reporting health

analytics.Innovation in getting msg thru #cphc

GailZahtz @giasison Hi Gia! Do you find the Phillipines training different than the US model for

communications with patients? #CPHC

giasison @GailZahtz Thanks for asking that Gail.Effective communication was taught way back

in med school in actual training in my case #cphc

Nursefriendly Complaints, Concerns of both patients, employees are often result of poor

communnication :( #cphc

charter4values @nursefriendly @Saif_Abed @GailZahtz #cphc So true! In one US study, 70% of

malpractice depositions was due to poor pt/dr communication.

MDWebPro @nursefriendly Absolutely agree! We just wrapped up an eBook about onlinereviews, and most of the neg was because of communication. #CPHC

GailZahtz @MDWebPro Please forward the ebook information along (later-ha!) would love to

see it! #CPHC

MDWebPro @GailZahtz Will do! It's in the edit and design stage now. #CPHC

GailZahtz @Saif_Abed Could we duplicate recording using Healthcare social media- record scenarios

with real patients and real docs? #CPHC

Saif_Abed @GailZahtz It's an interesting point, I think social media is great for training but it

shouldn't replace real life experiences. #cphc

Saif_Abed Social media can help us to learn about ourselves and to understand differentscenarios. It can let patients share their views too. #cphc

GailZahtz Wow, I am already behind 25 messages- so encourage everyone to ask AND answer!!! #CPHC

Saif_Abed Communication is key. We can all learn the facts from a textbook but having a holistic

approach is what good medicine is about. #cphc

Saif_Abed I talk to a lot of startups and I remind them technology should facilitate the Dr-Pt relationship

and that's communication. #cphc

MDWebPro @Saif_Abed Tech is one of the many communication tools! #CPHCGailZahtz @MDWebPro Yes, IMO tech can step in to allow more human personal

contact- not replace, expand the time of physicians and nurses #CPHC

FMDChat @StorkBrian When you get a chance, check out https://t.co/2JWOCMXt. Kidneys are a first

stop for FMD. #CPHC

Saif_Abed I also found that training as a junior dr our seniors encouraged us to do all the explaining and

communicating with pts to learn. #cphc



GailZahtz @Saif_Abed Did the seniors than provide feedback- constructive or not? #CPHC

alexgraham186 @GailZahtz ill jump in, on the whole my feedback was more on the

medical stuff than the comms, those guys didnt have the training #CPHC

GailZahtz @alexgraham186 Thanks. Who did not have the training? #CPHC

alexgraham186 @GailZahtz the older doctors had less of it than we did back in the day,

so feedback sometimes was less on the comms side #CPHCGailZahtz @alexgraham186 Do you think older doctors had less desire to

communicate with patients or less ability or both? #CPHC

alexgraham186 @GailZahtz very variable, some were still of the

paternalistic way, others had adapted. now in UK we have revalidation

charter4values @alexgraham186 @GailZahtz @Saif_Abed #CPHC Older docs

sometimes in position of teaching communication w/o training

GailZahtz @giasison Do you find yourself teaching differently in your current position or using what you

were taught or both? #CPHC

Saif_Abed Also can't emphasise enough inter-disciplinary communication with nurses,physics, OTs keep

for effective teamwork. #cphcSaif_Abed I always made sure med students I taught appreciated their entire ecosystem. You can't do it

all yourself! #cphc

giasison Agree!RT @Saif_Abed: I always made sure med students I taught appreciated their

entire ecosystem. You can't do it all yourself! #cphc

StorkBrian @GailZahtz Trying something new this week... Going to write some patient education blog

posts and "flip the clinic" #CPHC

GailZahtz @StorkBrian what do you mean flip the clinic? #CPHC

StorkBrian @GailZahtz Hopefully, this flipped office model will allow me to spend more

quality time with patients but time will tell #CPHC

giasison Effective communication skills including public speaking would be a great add in med

curriculum #cphc

Saif_Abed @giasison Completely agree something that I did a lot at school and at med school

and it certainly helped my clinical practice. #cphc

Saif_Abed But communication isn't just verbal it's understanding what's not said as

well. #cphc

charter4values @Saif_Abed @GailZahtz #cphc Yes! Using new

#interprofessional (IP) competencies for teaching also --http://t.co/pyyoPBiU

ChrisCarrollMD @giasison @gailzahtz Communication used to be taught be modeling goodbehavior, but simulated scenarios can work too! #CPHC

GailZahtz @ChrisCarrollMD How did you learn to model behavior within a teaching

scenario? #CPHC

ChrisCarrollMD @GailZahtz By listening to outstanding communicators. #CPHC

GailZahtz @ChrisCarrollMD How do you find outstanding communicators? What

identifies them in your opinion? #CPHC



giasison True!MT @ChrisCarrollMD: @giasison @gailzahtz Comms used to be taught be

modeling good behavior, but simulated scenarios can work too! #CPHC

charter4values @giasison @ChrisCarrollMD @GailZahtz @Saif_Abed #CPHC Yes. Scenarios

need to be debriefed carefully, respectfully.

ChronicPainGPS @giasison: Agreed! Pub speaking is impt as many R not comfortable in front of

the camera. Need 2B able to effectively communicate #cphcGailZahtz @ChronicPainGPS Do you think the same people who are good at public

speaking are great at bedside communications? #CPHC

ChronicPainGPS @GailZahtz: I think those who comm effectively to public (talk

to the ppl) have better chance of good bedside manner; more relatable #cphc

DAlawode "@giasison: Effective communication skills including public speaking would be a

great add in med curriculum #cphc"â –ºCosigned

GailZahtz @DAlawode Thanks for joining! #CPHC

DAlawode "@GailZahtz: @DAlawode Thanks for joining! #CPHC"â –º the

pleasure is all mine

GailZahtz @DAlawode Well feel free to jump in with questions and/or answers- we

don't stand on ceremony here- we are all teaching and learning #CPHC

GailZahtz I see a number of patients and advocates around also- would love feedback on what helps

with patient communications. #CPHC

andrewspong @GailZahtz What helps w/ pt comms? Access to means of conveying insights; a

belief that submissions will be listened to and acted on #CPHC

GailZahtz @andrewspong Thanks for joining also from the UK Andrew! What

conveys belief that there will be action? #CPHC

2ndActHealth eye contact, and taking a moment to connect all help in effective

#patient communications #CPHC

FMDChat @GailZahtz Ask. Listen. Or take a page from Michael Graves and actually try being a

patientâ€”becoming a pt changed his design approach. #CPHC

Saif_Abed Understanding what your pts and colleagues are going through is very powerful when it

comes to improving comm skills. #cphc

GailZahtz @Saif_Abed How can physicians better understand what patients are going through?

#CPHC

Saif_Abed @GailZahtz I think that's an area where technology can help. It can allow us

to understand the stressors of patients' daily l ives. #cphc

Docnieder Comm skills build with pt care. If you R listening, pts help u build them, you realize

what works, what doesn't & how each pt is diff. #CPHC

giasison @GailZahtz Communication skills is a work in constant progress. Exposure to various

cultures,individualities is a challenge #cphc

alexgraham186 @giasison absolutely! you will always have a new experience regardless of level

#CPHC

ncbennevis @giasison I completely agree on this! "holistic medical education", too!

#CPHC



giasison @ncbennevis That's right Nadia #cphc

GailZahtz @ncbennevis Thanks for joining us. What do you include by holistic medical

education with an evidence atmosphere? #CPHC

KekeBev @DAlawode @giasison Cultural sensitivity training would be great language barriers

only makes patient communication more difficult #cphc

GailZahtz @KekeBev Cultural sensitivity training could be significant. How can patientsand advocates help with that? #CPHC

Saif_Abed @GailZahtz I trained in a very multi-cultural area and role-played

cultural sensitivities too. #cphc

DAlawode @GailZahtz #CPHC community health committees could help in cultural

sensitivity training.Barriers are explained & ways are figured out 2geda

GailZahtz @DAlawode Where are these community health committees? #CPHC

DAlawode @GailZahtz #CPHC actually called village health committees in

Nigeria. We get 2meet them on entry in2 d community 2know cultural bias,

needs

KekeBev @GailZahtz @Saif_Abed Like the idea of workshops between patients

advocates and doctors,cultural role-play, before health crises arise #cphc

GailZahtz @KekeBev We could support an advocate group to help train each

other! Seriously. #CPHC

giasison I'm ALL FOR THIS! RT @GailZahtz: @KekeBev We could support

an advocate group to help train each other! Seriously. #CPHC

GailZahtz @Saif_Abed Actually a big pet peeve of mine is when attendings don't introduce and transfer

trust to the entire team. #CPHC

FMDChat Communication is a two-way: it's as much if not more about listening as it is about speaking.

#CPHCGailZahtz @FMDChat Communication is definitely two ways. How can docs help patients be

better communicators? History is often a problem. #CPHC

FMDChat @GailZahtz Docs can help pts be better communicators by asking questions

to get at the information they need. #CPHC

Saif_Abed @GailZahtz Paired learning. Med students visiting nursing homes, shadowing nurses

and walking the walk from all perspectives. #cphc

LungCancerFaces @FMDChat Patients or their advocates must communicate and

coordinate care just as effectively, if not more, than physicians. #cphc

GailZahtz @LungCancerFaces How can we help patients and advocates communicate more

effectively? #CPHC

lttlewys @gailzahtz @ChronicPainGPS Luv! Patients need to learn how to communicate

just as much as Drs need to communicate back #CPHC

charter4values @lttlewys @GailZahtz @ChronicPainGPS @Saif_Abed #CPHC True! It's

relationship-centered -- goes BOTH ways. Values key.

Saif_Abed Shifting perspectives is important. You're treating a human not a disease! #cphc



charter4values @Saif_Abed @GailZahtz #CPHC Absolutely! Important to remember human

dimensions of care always: http://t.co/mf9EEHB7

ncbennevis @GailZahtz medical education need to include core competences

empowering in skills to see not only a body but also a soul in patients #CPHC

charter4values @alexgraham186 @GailZahtz @Saif_Abed #CPHC Need to train people to teach

communication. Different than other topics.

LungCancerFaces @GailZahtz Teaching is great, but some Drs. r just better at it. R onc. is best at

it, uses cell on the spot to TT other drs. #cphc

GailZahtz @LungCancerFaces Absolutely, there is an element that can not be taught- so

how do we help the non-natural communicators? #CPHC

LungCancerFaces @GailZahtz Patient or advocate must b in charge to some

degree. I never leave family member in hosptial alone, ever, unless ICU. #CPHC

charter4values @GailZahtz @LungCancerFaces @Saif_Abed #CPHC Need to work to

enhance reflection, self-awareness.

charter4values @GailZahtz @LungCancerFaces @Saif_Abed #CPHC And understanding,awareness of effect of clinician and what is said on pt

Saif_Abed The Dr-Pt relationship is now a continuum of care not just discrete steps. Digital health will

enhance it.Comm skills must reflect it. #cphc

2ndActHealth Patients complain that doctors are interrupted during the precious few minutes and

sometimes never sit down or enter the room fully #CPHC

Nickdawson @2ndActHealth describing being present vs being presumptive - interestingly

theater has training for this so actors donâ€™t rush lines. #CPHC

GailZahtz @nickdawson Being present vs being presumptive- love that- care to share

more? #CPHC

FMDChat @nickdawson GREAT POINT. Don't ever assume what one is going to hear nextâ€”you

might miss an important detail. #CPHC

Nickdawson @GailZahtz @FMDChat #CPHC there are good frameworks for active

listening for both. Docs can ask things like â€œexplain what we discussed tdyâ€•

giasison @nickdawson @GailZahtz @FMDChat Totally agree Nick. Opening lines

are vital in triggering an in-depth talk with peers/patients #cphc

GailZahtz @KekeBev Great to see a new face- feel free to jump in, we encourage everyone to ask

questions and answer- we are all learners here #CPHC

ChronicPainGPS Good listening skills are essential to good communication; Need 2B able to understand

what the pt is saying, where they R coming from #cphc

GailZahtz @Saif_Abed Could we also do paired learning with patient advocates and physicians? #CPHC

Docnieder Great idea. MT @Saif_Abed: @GailZahtz Paired learning. Med stdts visiting NHs,

shadowing RNs and walk the walk from all perspectives. #cphc

http://t.co/mf9EEHB7






Saif_Abed @GailZahtz Definitely! But are physicians stateside willing? I can't answer

that. #cphc

GailZahtz @Saif_Abed The question may be different in that physicians may be

willing if systems allow- can some U.S. physicians answer this? #CPHC

Saif_Abed Paired learning enhances your decision making and your ability to share your

perspectives to everyone so we can work united. #cphccharter4values @GailZahtz @Saif_Abed #CPHC We use paired learning, patients in as

co-teachers, actors to represent patients' voices in US. ? if others do

KekeBev @Saif_Abed Really like this idea! As an advocate training so far I have more

experienced Advocates to shadow but no physicians as yet #cphc

Saif_Abed I remember my toughest moment was telling a pt they had cancer. I learned more in that

hour than at any other time. #cphc

GailZahtz @Saif_Abed The toughest news can make for such difficult converations can't it?

#CPHC

giasison @Saif_Abed I can relate. Tough detachment to make when it comes to "crisis"

communication. #cphc

GailZahtz @giasison How do you make that detachment and yet stay compassionate? #CPHC

FMDChat Detachment w/ empathy â€” one may need to tell a person a terrible thing,

but one can still interact w/ empathy. #CPHC

LungCancerFaces @GailZahtz @giasison I don't know if u can, especially when your

patient for yrs. Docs r human. They get attached 2 some degree. #cphc

giasison @GailZahtz Tough love. Still a work in progress for me. Opening up to peers like you

help a lot! #cphc

FMDChat Why does it seem that so frequently we forget to treat others as we would

like to be treated? #CPHCcharter4values @Saif_Abed @GailZahtz #CPHC Working on this internationally & in US as well.

Compassion so important!

Nursefriendly @charter4values @Saif_Abed @GailZahtz Interesting that a simple apology so many do

not get, could head off #Malpractice cases. #cphc

FMDChat Calling on the great @BabaBrinkman's mantra "Performance, Feedback, Revision" â€” applies

to communication skills too. #CPHC

charter4values @Saif_Abed @GailZahtz #CPHC Excellent learning. Can have students interview and

write their pt's story and reflectionsGailZahtz @charter4values Seems we go back to the power of patient stories- both in video, in

person and in writing for teaching! #CPHC

GailZahtz So many great ideas: role-playing (including using patient advocates), multi-cultural training,

modeling.. what else am I missing #CPHC



Saif_Abed There are frameworks for comm skills here It's not what's said thats' the problem per se but

HOW its said. #cphc

GailZahtz @Saif_Abed What frameworks for communication skills did you find most helpful?

#CPHC

LungCancerFaces @Saif_Abed The best doctors know this very well. Some do forget at times.

#cphc

alexgraham186 pt comms undoubtedly vital, but with rota systems we have a different team almost

every day here, comms across disciplines vital #CPHC

Saif_Abed Inter-disciplinary comm skills as well as with pts is a great focus here. We need all

involved to be effective & compassionate. #cphc

ChronicPainGPS Think it wld be great if med schls wld invite real pts/pt ambassadors into classes to

learn how to better understand pt perspective #cphc

FMDChat @ChronicPainGPS Doing exactly that next week! #CPHC

GailZahtz @ChronicPainGPS I would bet that some medical schools would be open to

having patients! Let's put on our list!!! #CPHC

charter4values @FMDChat @Saif_Abed @GailZahtz #CPHC Great point! Need to make this

primary in every interaction. See: http://t.co/mf9EEHB7

ChronicPainGPS @GailZahtz: pt education is a start; pt can't communicate what they

don't know. Need 2B willing 2 spend time educating! #cphc

ChronicPainGPS @FMDChat: that's wonderful! I would love to do this with respect to treating

chronic pain patients! #cphc

GailZahtz @ChronicPainGPS I am ALL in on helping chronic pain patients! We

have interest from Australia also on this. #CPHC

FMDChat @ChronicPainGPS Chronic pain is SUCH a tricky subject. Manyin our pt community deal w/ it - another invisible disease. #CPHC

ChronicPainGPS Sweet! RT @GailZahtz: @ChronicPainGPS I am ALL in

on helping chronic pain patients! We have interest from Australia also

on this. #cphc

ChronicPainGPS Yup - my Passion! MT @FMDChat: Chronic pain is

SUCH a tricky subject. Many in our pt community deal w/it - another

invisible disease. #cphc

GailZahtz @ChronicPainGPS This may go back to our patient to patient training model

to help patients communicate. #CPHC

ChronicPainGPS @GailZahtz: Love it! Sign me up! :o) #cphc

Ncbennevis @Saif_Abed that's the point! social media can help in the practical training

#cphc

Saif_Abed @ncbennevis I completely agree we just need to get both patient

and clinical buy-in for best effect. #cphc







Saif_Abed The Cambridge-Calgary Model is the classic. You're going through this journey with a patient

together not one leading the way. #cphc

GailZahtz @Saif_Abed Do you have a link for the Cambridge-Calgary model? #CPHC

giasison @Saif_Abed Great share Saif! We need models to help us pattern effective

comm skills #cphc

Saif_Abed http://t.co/ZHy4fACl #cphc

Saif_Abed There's a pretty detailed link! Workshops are great but we can't have discrete

teaching events only. We need longevity. #cphc

charter4values @ChronicPainGPS @GailZahtz @Saif_Abed #CPHC Education key! Many

models: Calg-Cambr, Kalamazoo, 4 Habits

GailZahtz @Saif_Abed How do we have longevity? #CPHC

Saif_Abed @GailZahtz It's difficult, Continuing Medical Education

programs can be effective. #cphc

GailZahtz @Saif_Abed Are continuing medical education programs really that

effective? Can physicians lose some skills in time? #CPHCSaif_Abed @GailZahtz Again it depends on the individual some use a

checkbox exercise and others use it to enhance their skills. #cphc

alexgraham186 C-C model does work, when you manage pt ideas, concerns,

expectations, you have done the hard part of comms #CPHC

GailZahtz @alexgraham186 What is C-C model? Please explain more! #CPHC

alexgraham186 @GailZahtz cambridge-calgary model I had to shorten

it! #CPHC

GailZahtz @alexgraham186 I heard it brought up a couple of times- perhaps

you can post at http://t.co/L1nNRT6F during the week on this? #CPHC

alexgraham186 @GailZahtz also in UK drs now have to 'revalidate' every few years so

they are on top of skils #CPHC

charter4values @Saif_Abed @FMDChat @GailZahtz #CPHC Do same here in

US. Lifelong learning expected; regulations support this.

Saif_Abed If you're not seeing patients regularly at medical school then you're not learning medicine

you're just memorising facts. #cphc

giasison +1000/MT @Saif_Abed: If you're not seeing pts regularly at med school then you're not

learning medicine you're just memorising facts. #cphc

GailZahtz @peds_id_doc Hope we can get your input on this issue during the week! Go run for patientcare!! #CPHC

GailZahtz @NurseTTG Thanks for joining us- how can providers be more "present?" #CPHC

GailZahtz @giasison Very kind what you said earlier by the way (just sayin') #CPHC

ChronicPainGPS Would also REALLY be nice to see more conferences include patient panels/speakers to

enable our voice to be heard! Not often included! #cphc



GailZahtz @FMDChat Patients at conferences is a continuing ongoing attempt- but patients

must also be good models at conferences of value. #CPHC

KekeBev @ChronicPainGPS @GailZahtz so true and I find that the area of patient

education is where Advocates really try to begin their work #cphc

FMDChat @GailZahtz It's being used at Stanford's Medicine X, Doctors 2.0 & You, and w/ a TED

event overseas. #CPHCGailZahtz @FMDChat What is being used at Stanford, etc? #CPHC

Saif_Abed Pts have so much to share but they should understand that Drs are learning too! All this new

tech/reform can be intimidating! #cphc

Giasison @Saif_Abed We learn from each other. #cphc

FMDChat @Saif_Abed We do understand docs are still/always learning - but we don't

appreciate it when doctors act as though it's otherwise. #CPHC

Saif_Abed @FMDChat Unfortunately some Drs think they're gods but times are

changing hopefully. #cphc

FMDChat @Saif_Abed A doctor who doesn't know a particular thing but is willing to learn aboutthat thing grows to be a better doc. #CPHC

charter4values @Saif_Abed @FMDChat @GailZahtz #CPHC We're all human beings.

Need to teach that.

Saif_Abed @FMDChat Completely, medical schools here in the UK make us pledge to devote

our lives as lifelong students. #cphc

giasison Medicine is an actively evolving science so constant medical educ updates/best

practices is much needed. #cphc

ChronicPainGPS That's awesome! Always learning! MT @Saif_Abed: medical

schools here in the UK make us pledge to devote our lives as lifelong students

#cphc

charter4values @FMDChat @Saif_Abed @GailZahtz #CPHC Yes! It's about reflection, self-

awareness, open-mindedness. Need to cultivate in all.

Saif_Abed An important point I was taught was that comm skills are about accountability and

transparency. #cphc

charter4values @Saif_Abed @GailZahtz #CPHC Focus priority on human dimensions of care--core

values--for all interactions to inform all

GailZahtz @charter4values How do you teach humanity? #CPHC

Saif_Abed When I taught students I told them to think beyond the clinic walls, your pt

has a life so learn about it and be responsible. #cphcGailZahtz @Saif_Abed Can physicians find the time to learn about the life

outside of the clinical walls? #CPHC

giasison @Saif_Abed Empathic communication skills goes beyond our clinic

walls. #cphc

Saif_Abed @GailZahtz They can learn to ask the right questions & spot the right cues when

they're in the clinic to learn about life outside. #cphc



GailZahtz @Saif_Abed Wouldn't check lists of questions for both physicians and

patients help in asking the right questions? #CPHC

Saif_Abed @GailZahtz Yes definitely but must also focus on how we ask and

how we observe too. #cphc

Nickdawson Theres a role in GME for soft skills RT @GailZahtz: @charter4values How

do you teach humanity? #CPHCGailZahtz @nickdawson How can we make soft skills in the curriculum? #CPHC

Nickdawson @GailZahtz donâ€™t have an answer, but know some

avant garde med school deans who are working on it. Starts w selection

process. #CPHC

FMDChat @nickdawson Can we canonize those deans? #CPHC

Saif_Abed @nickdawson Now selection a huge issue by itself! Is academic

excellence enough to be a good Dr...can of worms right there! #cphc

Nickdawson @Saif_Abed good can to open :) #CPHC Recent study

found students who excelled in humanities faired as well as science &

math gurus in GME

Saif_Abed @nickdawson Before med school my top subjects

were economics & history so that's good to hear! :) #cphc

Nickdawson @Saif_Abed history and English here :) #CPHC

Saif_Abed @nickdawson Well good to meet you! #cphc

GailZahtz @nickdawson Selective process of what? Think we could grow from

here even if vague. #CPHC

GailZahtz Seems each week we accept a new initiative, and I am definitely hearing support for a patient

community of practice! #CPHC

ChronicPainGPS Partnership is key! Drs need 2B willing to set ego aside and work WITH pts to

find best solution; individualized care! #cphc

GailZahtz @JjrkCh Thanks for joining in- do you like this patient to patient advocacy

community of practice idea? #CPHC

Saif_Abed An important point I feel those is we need more leaders as role models for junior Drs/med

students. #cphc

giasison AMEN! RT @Saif_Abed: An important point I feel those is we need more leaders as role

models for junior Drs/med students. #cphc

Saif_Abed What I've always appreciated is that open, honest communications create trust and reduce

anxiety which can improve outcomes. #cphc

giasison @Saif_Abed Being able to openly communicate breaks all barriers towards change.

#cphc

KekeBev @Saif_Abed I like that you said increased trust 'can improve outcomes' because even

in treatment ppl forget that attitude counts #cphc

Saif_Abed @KekeBev I did small study & learned reducing anxiety in parents can

improve children's outcomes. Amazing. #cphc



KekeBev thats amazing do you have a link to the study? #cphc @Saif_Abed 'I

learned reducing anxiety in parents can improve children's outcomes.'

Saif_Abed @KekeBev I'm sure I could dig it up I think it was to do with

cardiac surgery if I recall correctly. #cphc

GailZahtz @Saif_Abed We can provide you any room to post answers and content and

links post chat- no worries! And it will be archived too. #CPHCcharter4values @Saif_Abed @KekeBev @GailZahtz #CPHC Not surprising.

Understanding pt/parents's perspective, listening to latent content, responding

R key.

GailZahtz @KekeBev Both trust and attitidude can have tremendous impace on outcomes!

#CPHC

ChronicPainGPS Mutual trust and respect. Attitude makes a BIG diff! MT @GailZahtz:

Both trust and attititude can have tremendous impact on outcomes! #cphc

GailZahtz Interesting: @saif_abed volunteered to guest because we started on medical education- but

the full relationship must include patient! #CPHC

GailZahtz @LungCancerFaces How do you develop long term relationships with physicians for better

relationships? #CPHC

charter4values @GailZahtz @Saif_Abed @GailZahtz #CPHC Been trying to figure that out for

years! Role-modeling, reflection, feedback, appreciative inquiry.

LungCancerFaces @Saif_Abed While in recovery post surgery, saw a doc tell patient she

had breast cancer & just walk away to join a party in next room #cphc

Saif_Abed @LungCancerFaces That's disgusting and shameful. Sorry for being

blunt but that's my response. #cphc

FMDChat @Saif_Abed @LungCancerFaces Totally agree. Wow. Just... wow.

#CPHCFMDChat HCPs who deserve it/earn it need to hear "thank you" and "I appreciate your help."

Goes a long way for the long term. #CPHC

KekeBev @Saif_Abed probably need to foster and support a strong community to

create that longevity. has to emerge from a real place of need #cphc

charter4values @GailZahtz @Saif_Abed #CPHC Developed charter to make human

aspects priority & focus4 education, practice, research.

GailZahtz @FMDChat Completely agree! Patients don't say thank you often enough.

#CPHC

ChronicPainGPS I do a LOT. MayB that's why I have good relatnshp w/my Drs!

MT @GailZahtz: @FMDChat Patients dont say thank you often enough #cphc

GailZahtz @ChronicPainGPS Me too. I had a nurse thank me 5 times for just

saying the truth of how great the practice is. #CPHC

giasison Love this!MT @FMDChat: HCPs who deserve it need to hear "thank you" and "I

appreciate your help." Goes a long way for the long term. #CPHC

Saif_Abed @KekeBev We need medical leaders or Drs to be supported to promote the message

then can we have longevity in the Dr community. #cphc

GailZahtz @Saif_Abed How can we support the message? #CPHC



charter4values @giasison @Saif_Abed @Saif_Abed @GailZahtz #CPHC Yes! It's about a 'way of

being' rather than just skills to demonstrate. Still need skills.

giasison @charter4values @Saif_Abed @GailZahtz Well said! #cphc

charter4values @GailZahtz @Saif_Abed #CPHC International Charter for Human Values in Healthcare.

Welcome Partners in this! See: http://t.co/mf9EEHB7

Saif_Abed @GailZahtz Patient and medical community needs to create a platform for those with

innovative ideas to share and action their ideas. #cphc

KekeBev @Saif_Abed I agree. Who can provide that support to Doctors? The community?

patients? legislators? We are working on this in my area #cphc

GailZahtz @Saif_Abed I just saw you tweet on a platform for creative ideas... IMO I

believe we are building that in this community- agree/not? #CPHC

FMDChat @KekeBev Re: support to docsâ€”there is tendency to forget pts have

CAREERS too. Pts are more than illnesses. Use pts' skills. #CPHC

Saif_Abed @GailZahtz Definitely, that's what I devote my life/work to now. Working with

startups to turn ideas--->innovations w/ clinical effect #cphc

KekeBev @FMDChat I feel advocates n patients should encourage the community to be

more active with health info communication BEFORE crisis #cphc

charter4values @FMDChat @KekeBev@Saif_Abed @GailZahtz #CPHC

Humanistic approach views pts & docs in relationship--both experts working

together on issues.

GailZahtz @KekeBev Most definitely patients and family need to learn their part in the

communications for better relationships- y idea great. #CPHC

FMDChat @KekeBev Agree completelyâ€”improving health literacy and engagement

are critical to improving care. #CPHC

GailZahtz @FMDChat Health literacy, almost every week (of our long, now 5thweek!) has come up somewhere. #CPHC

KekeBev @GailZahtz thanks! now a practical strategy to bring that to life... hmm :) this is

something I am working on as a volunteer advocate. #cphc

GailZahtz @HealthStream Seems this idea of involving family and patient advocates in learning

has taken off! #CPHC

GailZahtz @ViscotMedical Welcome along- glad you've been lurking and now RT'ing- everyone counts

here! #CPHC

Nursefriendly @nickdawson @GailZahtz @FMDChat Asking #Patients to restate discussion in their own

word can be very revealing. #cphc

Ncbennevis #CPHC this is the logo I mentioned "patients included " http://t.co/wMZktlzg

GailZahtz @ncbennevis Very nice. Where has this logo been used? #CPHC

FMDChat @GailZahtz The patients included logo. http://t.co/LcKWwKcA #CPHC

charter4values @GailZahtz @ncbennevis @Saif_Abed #CPHC Have also heard quote "nothing

about me without me."




http://t.co/wMZktlzg







GailZahtz @charter4values Absolutely- within our core values as a community: trusted

relationships, respect, collaboration, caring! #CPHC

GailZahtz @FMDChat Oh, how do you get the logo used at a facility? #CPHC

Saif_Abed Remember paired learning should happen early in one's career. We need to all appreciate

each other roles & responsibilities. #cphc

Saif_Abed Effective comm skills are the lifeblood of good clinical practice. We're all responsible for it,

Drs,pts,nurses,govt,innovators #cphc

charter4values @Saif_Abed @GailZahtz #CPHC Agree! It's about relationships, values, caring,

respect, collaboration All R responsible!

charter4values @FMDChat @KekeBev @Saif_Abed @GailZahtz #CPHC Agree! Need to

place focus on relationships, values as things that improve outcomes, quality.

GailZahtz @KekeBev Easy shmeazy- help start the patient advocacy community

of practice for Carpool Health Community! #CPHC

GailZahtz I know some will stay and some will go- but we will be opening up video, and other platforms

this month- so please send requests! #CPHC

Saif_Abed Unfortuntaly all, I need to exit this AMAZING discussion. Feel free to keep tweeting me and

I'll try to reply! #cphc

GailZahtz @Saif_Abed Thank you SO much on behalf of everyone for being such a great guest!

We have Q & A cards if people want to use online #CPHC

Saif_Abed If you're interested I write about DigitalHealth on HITConsultant too. Good night from the UK

and I look forward to talking soon #cphc

KekeBev @GailZahtz @Saif_Abed same here! great talk everyone I really enjoyed the tips and sharing

#cphc

charter4values @Saif_Abed @Saif_Abed #CPHC Thank you!

ChronicPainGPS @Saif_Abed: thanks for all your great input! Have a great day! #cphc

GailZahtz Thank you to everyone- so good to see so many new faces too. And thanks to the "seasoned"

for carrying where I couldn't! #CPHC

Saif_Abed If you guys think of any projects Stateside let me know! #cphc

Drseisenberg @Saif_Abed sorry to miss it; will read transcript! #CPHC

GailZahtz @drseisenberg When reviewing transcripts- you will be pleased to see so many of

your/our original values continue to duplicate & grow! #CPHCdrseisenberg @GailZahtz yay! #CPHC

GailZahtz With the new platforms and initiatives- where would everyone like to start archiving requests

and ideas? #CPHC

alexgraham186 @GailZahtz just had EPIC tech problem at my end, i can upload some stuff to CPHC this

week and we can discuss further topics! #CPHC



GailZahtz @alexgraham186 I had an EPIC tech problem yesterday- no worries- look forward to

your posts and input-send to me. Maybe 3 way skype! #CPHC

alexgraham186 @GailZahtz absolutely we're always keen to share our

clinical/management knowledge and help others! #CPHC

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