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

• Reports of problems caused by mis-communication 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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1. Identifying techniques for effective communication skills

focus on dealing with angry patients2. Being able to handle cultural issues

effectively.

Learning Outcomes

Methods

• Standardized patients (SPs), a trained actor used as "real" simulators

• 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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• 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

1- SISFR

Feedback

• Information describing students' performance in a given activity.

• Key step in the acquisition of clinical skills.

• 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

• Videotaping• Setting the simulated scenario• Immersion & belief

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Evaluation &

Feedback• Comments on : the strategies used• The reflection• Authenticity• Future trainings

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Limitations

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