Communication | Topics | Reflective Practice

#GoldenGirls A doctor from Grady Primary Care in Atlanta, GA shares a twitter thread of a patient conversation - an example about how reactions, listening, and empathy made all the difference.

Contributor: Francesca CiminoAugust 17, 2020Topics: Background info / Communication / Empathy&Sympathy

Narrative Humility Narrative humility is a philosophy of listening which holds potential beyond health care as well, in any situation where more powerful individuals engage with stories of those who are socially, culturally or politically less powerful. It acknowledges that the listener -- be that a clinician, reporter, policy maker, or teacher -- must willingly place herself in a position of some transparency. The witness must not only see, but be seen, and by doing so, enable herself to see even more clearly.

Contributor: Francesca CiminoJuly 29, 2020Topics: Bias / Communication / Perspective / ReactionKeywords: implications / narrative medicine / reaction / story

It’s a Terrible Day in the Neighborhood, and That’s O.K. - (aka why we do reflective practice) Fred Rogers’s belief that we should validate emotions, not suppress them, is wisdom for all ages. This is why we do a course on Reflective Practice. We have feelings - and it turns out, it's ok.

Contributor: Francesca CiminoDecember 30, 2019Topics: Background info / Communication / Empathy&Sympathy / Perspective

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Thriving in Scrubs: How Much Time Do I Have, Doctor? Fictional accounts of medical encounters often feature the conversation when a patient asks their doctor to predict the outcome of their disease. Doctors in real life have to answer these questions, too, but without the benefit of a pre-written script. Thinking about prognostication means trying to answer difficult questions, but more importantly trying to get to the heart of what the patient may really be wondering. It’s about trying to connect with the heart of what patients need in times of uncertainty about their health. It’s also about understanding how these conversations affect us doctors as people who struggle with some of the same questions ourselves.

Contributor: Adam SapersteinOctober 30, 2019Topics: Burnout / Communication / Death&Dying / Empathy&Sympathy / Grief / Illness & Disability / LossKeywords: death / dying

Getting to Know Our Patients Dr. Mikkael Sekeres is director of the leukemia program at the Cleveland Clinic. The article addresses the doctors need to know their patients.

Contributor: Josh SpencerMay 2, 2019Topics: Communication

My Human Doctor Medical school teaches us to examine, to research, to treat. We don’t learn to err and recover.

Contributor: Francesca CiminoOctober 12, 2018Topics: Communication / Guilt & Shame / MistakesKeywords: Guilt / human / mistakes / shame

Why Perfectionism is a 20-ton shield (~3min) Why we are driven by 'what people think'?

Contributor: Francesca CiminoOctober 1, 2018Topics: Communication / Empathy&Sympathy / Guilt & Shame / Mistakes / Perspective / Provider-Patient Relationship / ResilienceKeywords: Guilt / mistakes / perfectionism / shame

Cognitive bias - it's influence on clinical diagnosis Our clinical decisions are often influenced unconsciously by our thoughts and feelings; cognitive bias is one of the leading causes of diagnostic error. Here is a look at why and what to do about it.

Contributor: Francesca CiminoJuly 11, 2018Topics: Background info / Communication / Distraction/MindfulnessKeywords: bias / heuristics

Is it time for different questions? a report on what REALLY matters about caring for patients.

Contributor: Francesca CiminoMay 7, 2018Topics: Background info / Communication / Compassion Fatigue / Mindfulness / Personality / Provider-Patient Relationship

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