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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.
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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
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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?
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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
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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
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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
patient—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
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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
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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 don’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 next—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 “explain what we discussed tdy―
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
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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 — 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" — 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
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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
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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
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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
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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 don’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
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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
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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 docs—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 completely—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."
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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
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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