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CAREER ENHANCEMENT
    WORKSHOP


    Rosa Martinez
     April 5, 2012
Workshop outcomes
   Examine how personal values, beliefs,
    attitudes & perceptions influence interpersonal
    communication

   Analyse effective core interpersonal qualities &
    physician‟s communication skills
Tasks
   Say what you believe about yourself, others,
    the world, success, money & relationships

   Describe one recent experience that has
    deepened your awareness of other cultures
   Imagine you are a member of the opposite
    sex. What would your body feel like? How
    would you interact differently with those
    around you? How do others might behave
    differently?

   Describe briefly how your family background
    influences the way in which you relate to
    others
   If you are a spiritual person, in what ways is
    this relationship supportive to you or limiting to
    you?

   If you do not have a spiritual practice, how do
    you imagine you will feel working with a client
    who has a strong faith background?
   How do you react when there is too much
    stress in your life? How do you successfully
    reduce the effects of stress in your life?

   Imagine you are working with a person who is
    concerned about moving away from his/her
    family. How would you respond if your client is
    a Middle Eastern woman of 22? What about if
    he is a man of 30?
Importance of Self-Understanding

Our self-concept is influenced by:
 Culture, race & ethnicity

 Gender

 Sexual orientation

 Family of origin

 Spirituality

 Values

 Stress & demand
Communication Process
                  Feedback



Sender   Encode    Message   Decode   Receiver




                    Noise
Case Study
John is a middle age has been experiencing
pain in his left foot which becomes acute every
time he plays soccer or goes jogging

When asked why he doesn‟t go to a doctor he
replies: “Doctors here don‟t know anything about
you. They only prescribe you pain killers and ask
you for tests. Chinese doctors are far better.”
Knowing who you are will allow you


   to differentiate what is true for you & what is
    true for your clients
   to learn more about your uniqueness
   to become aware of your own beliefs & values
   to communicate effectively with others
    to understand others from their own
    perspective
Interpersonal & Communication Skills

Accreditation Council for Graduate Medical
Education:

• effective information exchange and teaming
with patients, their families and professional
associates

• effective listening skills with non-verbal and
verbal communication; working as both a team
member and at times as a lead
Core interpersonal qualities


            Warmth                        Empathy
                                   (see the world from the
       (kind & accepting)           perspective of others)

                              Core
                          Interpersonal
                             qualities


           Respect                    Genuineness
         (unconditional             (sincere, authentic)
          acceptance)
How to communicate with patients

   listening effectively
   eliciting information using effective questioning
    skills
   providing information using effective
    explanatory skills
   counseling and educating patients
   making informed decisions based on patient
    information & preference
Task 2.
Watch the video excerpt and identify ways of:
 Establishing rapport

 Listening attentively

 Explaining procedures

 Counselling & educating

 Making informed decisions
BARRIERS IN LISTENING
   think faster than a speaker
   jump to conclusions
   lose patience/interest
   overreact & respond emotionally
   Interrupt
   use absolutes: „It will never work‟
   set limits: „We tried it that way once‟
Barriers to patient-physician communication




        Travaline J et al. J Am Osteopath Assoc 2005;105:13-18
How to be a better listener
   Be patient for the entire message
   Listen for ideas, not just facts
   Verify: So, you’re saying that…; If I
    understand correctly, you said….
   Question: What do you mean when you say…
   Acknowledge: Hmmm, oh right
   Encourage: Tell me more; Would you like to
    talk about it?
   Silence: nod your head, smile
Communications traps to avoid




    Travaline J et al. J Am Osteopath Assoc 2005;105:13-18
References
   MOC Competencies and Criteria (1999). In American Board of Medical
    Specialties. Retrieved April 5, 2012, from
    http://www.abms.org/maintenance_of_certification/MOC_competencies.asp
    x
   Travaline, J., Ruchinskas, R., & D'Alonzo Jr, G. (2005, February 11).
    Patient-Physician Communication: Why and How. The Journal of the
    American Osteopathic Association, 105 (1), 13-18. Retrieved April 5, 2012,
    from http://www.jaoa.org/content/105/1/13.full


   Watling, C., & Brown, J. (2007, November 27). Education Research:
    Communication skills for neurology residents. Neurology, 69(22). Retrieved
    April 5, 2012, from http://www.neurology.org/content/69/22/E20.full

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Career enhancement workshop 4

  • 1. CAREER ENHANCEMENT WORKSHOP Rosa Martinez April 5, 2012
  • 2. Workshop outcomes  Examine how personal values, beliefs, attitudes & perceptions influence interpersonal communication  Analyse effective core interpersonal qualities & physician‟s communication skills
  • 3. Tasks  Say what you believe about yourself, others, the world, success, money & relationships  Describe one recent experience that has deepened your awareness of other cultures
  • 4. Imagine you are a member of the opposite sex. What would your body feel like? How would you interact differently with those around you? How do others might behave differently?  Describe briefly how your family background influences the way in which you relate to others
  • 5. If you are a spiritual person, in what ways is this relationship supportive to you or limiting to you?  If you do not have a spiritual practice, how do you imagine you will feel working with a client who has a strong faith background?
  • 6. How do you react when there is too much stress in your life? How do you successfully reduce the effects of stress in your life?  Imagine you are working with a person who is concerned about moving away from his/her family. How would you respond if your client is a Middle Eastern woman of 22? What about if he is a man of 30?
  • 7. Importance of Self-Understanding Our self-concept is influenced by:  Culture, race & ethnicity  Gender  Sexual orientation  Family of origin  Spirituality  Values  Stress & demand
  • 8. Communication Process Feedback Sender Encode Message Decode Receiver Noise
  • 9. Case Study John is a middle age has been experiencing pain in his left foot which becomes acute every time he plays soccer or goes jogging When asked why he doesn‟t go to a doctor he replies: “Doctors here don‟t know anything about you. They only prescribe you pain killers and ask you for tests. Chinese doctors are far better.”
  • 10. Knowing who you are will allow you  to differentiate what is true for you & what is true for your clients  to learn more about your uniqueness  to become aware of your own beliefs & values  to communicate effectively with others  to understand others from their own perspective
  • 11.
  • 12. Interpersonal & Communication Skills Accreditation Council for Graduate Medical Education: • effective information exchange and teaming with patients, their families and professional associates • effective listening skills with non-verbal and verbal communication; working as both a team member and at times as a lead
  • 13. Core interpersonal qualities Warmth Empathy (see the world from the (kind & accepting) perspective of others) Core Interpersonal qualities Respect Genuineness (unconditional (sincere, authentic) acceptance)
  • 14. How to communicate with patients  listening effectively  eliciting information using effective questioning skills  providing information using effective explanatory skills  counseling and educating patients  making informed decisions based on patient information & preference
  • 15. Task 2. Watch the video excerpt and identify ways of:  Establishing rapport  Listening attentively  Explaining procedures  Counselling & educating  Making informed decisions
  • 16. BARRIERS IN LISTENING  think faster than a speaker  jump to conclusions  lose patience/interest  overreact & respond emotionally  Interrupt  use absolutes: „It will never work‟  set limits: „We tried it that way once‟
  • 17. Barriers to patient-physician communication Travaline J et al. J Am Osteopath Assoc 2005;105:13-18
  • 18. How to be a better listener  Be patient for the entire message  Listen for ideas, not just facts  Verify: So, you’re saying that…; If I understand correctly, you said….  Question: What do you mean when you say…  Acknowledge: Hmmm, oh right  Encourage: Tell me more; Would you like to talk about it?  Silence: nod your head, smile
  • 19. Communications traps to avoid Travaline J et al. J Am Osteopath Assoc 2005;105:13-18
  • 20. References  MOC Competencies and Criteria (1999). In American Board of Medical Specialties. Retrieved April 5, 2012, from http://www.abms.org/maintenance_of_certification/MOC_competencies.asp x  Travaline, J., Ruchinskas, R., & D'Alonzo Jr, G. (2005, February 11). Patient-Physician Communication: Why and How. The Journal of the American Osteopathic Association, 105 (1), 13-18. Retrieved April 5, 2012, from http://www.jaoa.org/content/105/1/13.full  Watling, C., & Brown, J. (2007, November 27). Education Research: Communication skills for neurology residents. Neurology, 69(22). Retrieved April 5, 2012, from http://www.neurology.org/content/69/22/E20.full