Week 7 P&L

Question 1

What’s a 5 step process for responding to patient complaints and notifications?

Answer 1

1. Engage with complaint
2. Reflect on what’s happened
3. Discuss with colleagues
4. Reach out to insurance/indemnity people
5. Seek support for own wellbeing

Question 2

What are some characteristics of a ‘fit and proper’ person to practice medicine?

Answer 2

• Honest
• Moral
• Knowledgeable
• Ethical
• Trustworthy
• Compassionate
• Confidential
• Respectful

Question 3

How do we maintain professional boundaries as a medical practitioner?

Answer 3

• Set expectations early, and stick to promises
• Avoid providing care to anyone you have a close/personal relationship with, unless in an emergency
• Manage emotional investment (e.g. ?accepting gifts)

Question 4

What are three skills that are important for person-centered communication with adolescents?

Answer 4

1. Tell the truth, but leave room for hope
2. Meet someone where they’re at (this can vary day to day)
3. By reading verbal or non-verbal cues, tailor how much information you share based on patients’ wants

Question 5

What steps can we take to support an adolescent and their parent in healthcare decision making

Answer 5

• Acknowledge that the adolescent may have developed autonomy/reasoning skills earlier in serious illness cases
• They still look to their parents, though, so involve in decision making process
• Check in with patient/parents/MDT members to figure out where the child sits on the spectrum

Question 6

How can we make decision making/planning more enjoyable/manageable for adolescents?

Answer 6

• Link to things they’re interested in
• Esp in rehab, try and get them doing things they enjoy

Question 7

Biopsychosocial/developmental factors that contribute to an adolescent’s health and wellbeing. Which factors are most important?

Answer 7

• Biological factors (rehab, medications)
• Psychological factors
• Sociocultural factors (friends, school support religion etc)

Different strategies will work for different people, and often patients are more prepared for one thing than another.

Question 8

What are some ways to build rapport with adolescent patients?

Answer 8

• Talk about their interests (know some popular artists, trends, and TV series)
• Use context-appropriate humour (check in first)
• Understand that rapport grows over time

Question 9

Connect the issue of ageism with the importance of inclusive communication with patients.

Answer 9

• Ageism is a form of unjustified discrimination, which runs directly against the idea of inclusive communication
• Some strategies to avoid it include avoiding assumptions, speaking to them like normal humans (only adjusting language where actually necessary), being collaborative > paternalistic, Focusing on capabilities/autonomy, rather than deficiencies/dependencies where appropriate