Workshop Title – Building Humanism and Resilience through Challenging Simulations
Time: 1-2:30 p.m. ET
Andrew Shaner, MD
Andrew Shaner, MD is Health Sciences Clinical Professor of Psychiatry at the UCLA David Geffen School of Medicine and Staff Psychiatrist for the Homeless Patient-Aligned Care Team (HPACT) at the West Los Angeles VA Healthcare Center. At the clinic, he helps lead an interprofessional training program for nurse practitioners and residents in internal medicine, pharmacy, social work, psychology and psychiatry. With support from NIMH, NIDA and the Department of Veterans Affairs, he developed new treatments for schizophrenia and co-occurring substance dependence, including a widely used skills training manual. His 1995 New England Journal of Medicine article drew national attention to the need for better treatments for people with schizophrenia and co-occurring addictions. He has also published research on the evolutionary biology of schizophrenia and autism. His research now focuses on the evolutionary psychology of humanism and on the development and testing of the Humanism Pocket Tool and of the interactive Humanism e-Learning Program (iHELP).
Carole Warde, MD, FACP
Carole Warde, MD, FACP is Health Sciences Clinical Professor of Medicine Emeritus at the David Geffen School of Medicine at UCLA. She is a General Internist with 35 years of clinical and educational experience in primary care settings. Her medical education expertise is ambulatory teaching, curriculum development and educational leadership. She has studied, taught and published on relationship-centered communication and leadership, interprofessional teamwork, physician worklife, and evidence-based medicine. Dr. Warde has spent much of her career caring for underserved patients and helping others learn to approach society’s most vulnerable groups with respect, humility and compassion. Most recently, she led a team of interprofessional clinicians to develop a training program for faculty and trainees from 6 health professions in a patient-centered medical home caring for unhoused Veterans. Since retiring from clinical practice, she serves as an organizational consultant with Relationship Centered Health Care that aims to help people work, think and learn together more effectively and improve quality, efficiency, and personal meaning in their work. She has also contributed to the development of the Bedari Kindness Institute at UCLA and co-taught the first undergraduate course on Kindness. She serves as a lecturer and facilitator for physician leadership, teamwork and communication locally and nationally. Currently, she is a mentor, advisor, sponsor and coach to many physician trainees and faculty.
Rachel Dajani, MD, MPH
Rachel Dajani MD, MPH is a primary care internist at the West Los Angeles VA Medical Center. She is a recent graduate of the UCLA Internal Medicine Primary Care Residency. Dr. Dajani is a Clinical Instructor of Medicine at the University of California David Geffen School of Medicine and precepts medical students and internal medicine residents in the Homeless Patient-Aligned Care Team clinic and Women’s Health Comprehensive Care clinic at the West Los Angeles VA.
Use the code GOLDDISCOUNT for $200 off the non-member full conference pass.
Session: Are you exhausted from dealing with challenging patients who are angry, threatening, or poorly adherent to treatment? Challenging patient encounters—especially common during the pandemic—evoke strong emotional responses in clinicians, including fear, anger, disgust and contempt. These emotions undermine the doctor-patient relationship, and are especially likely when a clinician is overwhelmed, distracted or pressed for time. Our approach—a novel application of evolutionary medicine—is called the Humanism Pocket Tool (HPT). The HPT comprises seven skills designed to help clinicians notice and control innate subconscious psychological mechanisms which would otherwise distort their view of challenging patients. By correcting the distortion, clinicians are free to experience empathy, respect and compassion. This frame of mind can turn a difficult, time-consuming and fruitless encounter into an efficient and rewarding experience for patients and clinicians.
In this workshop, participants will interact with brief video clips of an actor playing a fictionalized, highly-irritable patient, based on actual patients seen in our clinic devoted to unhoused Veterans. The scene is the first 10 minutes of an outpatient visit cut into pivotal moments representing nine opportunities to practice HPT skills. During the session, presenters will coach participants to recognize their reactions to the patient, build empathy and practice skillful responses that lead to a moving and rewarding visit for both patient and clinician. We’ll have time to illustrate a few pivotal moments and practice most of the seven HPT skills. Participants can complete the rest on their own using the link we will provide to iHELP (interactive Humanism E-Learning Program).
Learning Objectives: Use the Humanism Pocket Tool to:
1. Notice negative thoughts and emotions about the patient, and the details that triggered them.
2. Refocus on other details that trigger the positive thoughts and emotions that maintain a caring frame of mind.
3. Build a clinical team culture that enhances clinician humanism.
Don’t miss the other two Gold Foundation sessions at Planetree: “Nursing Leadership Panel: Delivery of Humanistic Community-Based and Community-Responsive Care” and “Trauma-Informed Care as Person-Centered Care.”