Effective Techniques for Handling Difficult Encounters in Medical Settings

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This presentation delves into practical strategies for managing challenging interactions within medical environments, featuring case studies, debriefing sessions, brainstorming activities, and insights on effective communication styles. Attendees will gain valuable tips and tools to navigate complex situations, fostering a conducive work environment and constructive outcomes.


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  1. Conflict of Interest Slide Miriam Bar-on, MD Volunteer CLER site visitor with the ACGME Ann Dohn, MA No conflicts of interest to report

  2. SES 128: Continuing the Conversations Techniques for Difficult Encounters Miriam Bar-on, MD, DIO, University of Nevada Ann Dohn, MA, DIO, Stanford

  3. AGENDA Introduction Case Studies De-brief Brainstorm Tips/tools to use Practice Wrap Up

  4. Introduction Where are we as a group? Who? DIOs Program Directors Faculty Coordinators/Administrators What are our biggest issues? What can you take home?

  5. Case Studies Examples of some good and bad conversations

  6. Case Study # 1 Failure to progress resident

  7. Case Study # 2 Faculty misbehavior

  8. Case Study # 3 Sexual Harassment (resident to resident)

  9. De-brief De-brief on reactions of the group to the case studies

  10. Brainstorming

  11. Find Your Style Brief quiz .

  12. Can We Talk? Understand your style and its impact Competing Collaborating Compromising Avoiding Accommodating Adapted from Thomas-Kilmann

  13. Can We Talk? Multi-dimensional problem solving Many perspectives Different objectives Integrative process

  14. Can We Talk? Create opportunities for mutual gain Reframe Find shared interest Generate options Give and get

  15. Can We Talk? Conflict escalators Enemy image Simplification Polarization Emotions Humiliation Investments The obsession to win

  16. Can We Talk? De-escalators Humanize Perspective Save face Desire to settle Share savings Apology

  17. Can We Talk? Process of Change Self Interest Aligned Interest Enlightened Interest Enlarged Interest

  18. Can We Talk? Getting started: Define the problem Find multiple dimensions Create mutual benefit Reach agreement

  19. Can We Talk? Getting started (continued): Who are the parties? What is their view of the problem? What are the stakes for them? What is the history of the problem?

  20. Can We Talk? What do the parties have to gain/lose? What outcomes are they willing to accept? What outcomes do they want?

  21. Can We Talk? Generating options: Brainstorming Innovation Flexibility

  22. Questions

  23. Contact us! adohn1@stanford.edu mbar-on@medicine.nevada.edu

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