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Communication Skills Using Simulation for Physicians
(Dealing with Angry Patients and Cultural Sensitivities)
Iblagh,Nadia
BSc,MA.Leadership
MSc.Med.Ed &Diabetes Candidate-University ofDundee
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Introduction
• Good non- technical (eg. vigilance, anticipation, clear
communication, team coordination) can reduce the
likelihood of error consequently of accidents.
• Simulation is a powerful tool because it allows the trainer
to systematically control the schedule prime,
presentation of feedback and introduction( or
suppression) of environmental distractions, within a safe,
controlled environment.
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Slide taken from Rhona flins ppt called
“safety at the sharp End!
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Leadership
•
Team Work
•
Communication
•
Situation Awareness
•
Decision Making
•
Personal Limitations – managing stress and
fatigue
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•
Reports of problems caused by miscommunication amongst
Practitioners themselves
Patients and the practitioners
•
Non- technical clinical skills
vs
Technical skills training in Kuwait
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Objectives
Designing a training session for HCP
to train them on one NTS at a time .
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Learning Outcomes
1.
Identifying techniques for effective
communication skills
focus on dealing with angry patients
2. Being able to handle cultural issues
effectively.
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Methods
•
Standardized patients (SPs), a trained actor
used as "real" simulators
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The SP playing a specific role based on given
scenario.
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Teaching Strategies
Number of strategies
1- SISFR
2- STEPS
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1- SISFR
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S = Set the context and identify roles and
outcomes.
I = Immerse in roles and practice for agreed
time frame
S = Summary presentation of progress with
scenario
F = Feedback from self, peers, and tutors
R = Refine practice building on feedback. I
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Feedback
•
Information describing students'
performance in a given activity.
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Key step in the acquisition of clinical skills.
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Often omitted or handled improperly in a
clinical training.
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When effective feedback is provided and
focuses on directly observable skills and
behaviors, important personal and
educational progress can occur, Katz
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Feedback & Debriefing
Importance of the feedback & debriefing
SETGO :
• What student Saw.
• What else the group/student Saw
• What the student Thinks
• What Goal do we want to achieve.
• Any offers how we get there
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The Intervention
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•
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Videotaping
Setting the simulated scenario
Immersion & belief
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Evaluation
&
Feedback
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Comments on : the strategies used
The reflection
Authenticity
Future trainings
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Limitations
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Notes
Improved performance ?
true progression ?
or
an artificial improvement!!
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Conclusion/ Reflection
•
The results for this study would be used
designing and providing non-technical skills
session. offering practitioners, clinical skill
sessions, using simulation equipped with
standards teaching strategies to master
those skills is a milestone towards a better
health outcome.
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References
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Thank You
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