Mutual caring between clinician and patient only thrives within the mutually understood boundaries of a professional relationship. Occasionally, unexamined feelings or misinterpreted communications by patient or clinician lead to incursions beyond those boundaries, and such incursions always threaten the relationship….
Clinician rates of impairment from substance abuse and from psychiatric and physical disability are at least as high as the general population. As a clinician, you owe allegiance to both your colleagues and to a professional standard of ethics and…
In this module, we explore typical reactions to disruptions, terminations and transfers of care as well as communication strategies that have proven effective in managing such separations. Diplomate Engagement Self-assessment questions tailored to each specific module topic are required upon…
Unexpected death, any major complication or any error produces very strong emotions high reactivity. Clinicians need support setting up and conducting conversations about tragic outcomes. In conversations regarding “major” complications or clear errors, emotions and disappointment are stronger, particularly the…
Communicating news about a diagnosis of life-threatening illness, discussing prognosis, eliciting patients’ goals, translating goals into interventions, providing psychosocial support and saying goodbye are critically important interventions for all clinicians. Often, specialists such as oncologists, cardiologists, pulmonologists, and others provide…
This module describes a six step process for giving bad news and discusses special circumstances that commonly arise in the communication of bad news. These circumstances include discussing prognosis, discussing conflict between what the provider and the family think the…
This module describes advance care planning (ACP) concepts and skills to encourage you to enter into ACP conversations. Conversations could be during a time of health in the office setting or during the end-of-life in the hospital setting. Diplomate Engagement…
The term “medically unexplained symptoms” (MUS) refers to symptoms that are not adequately explained by the presence of organic disease or pathology, even after an appropriate work-up. Patients with MUS are in emotional distress, and caring for them is difficult…
This module provides the knowledge, skills and attitudes needed in the screening, evaluation and referral of patients with substance use disorders. Diplomate Engagement Self-assessment questions tailored to each specific module topic are required upon module completion. Multiple choice questions required;…
Alcohol use disorders afflict 20 percent or more of adults and lead to tragic family and social problems, injuries and death. Most clinicians feel inadequately prepared to interact with affected patients, and many express feelings of dismay at having to…
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