To promote relational learning for health care professionals that integrates patient and family perspectives, professionalism, and the everyday ethics of clinical practice
Success at PERCS – Ophthalmology Workshop at Massachusetts Eye and Ear Infirmary
After several months of planning, IPEP’s collaboration with Massachusetts Eye and Ear Infirmary (MEEI) culminated in our inaugural PERCS-Ophthalmology Workshop on October 28th at the main campus of MEEI in Boston. The IPEP faculty team included David Browning, MSW, Donna Luff, PhD, Elaine Meyer, PhD, RN, and Suzanne Morse-Fortier, LICSW, with able project coordination provided by Kayla Boyer. The MEEI faculty team consisted of Anuradha (Anu) Mishra, MD, Mary Lou Jackson, MD, and Carolyn Kloek, MD, Director of the Harvard Medical School Ophthalmology Residency Training Program. Three case scenarios representative of difficult conversations faced by ophthalmology residents were developed for the workshop: managing a “difficult” patient in an emergency department waiting room; communicating with a patient and his adult daughter in the aftermath of a surgical complication; and communicating an unexpected serious diagnosis involving vision loss and an uncertain prognosis. IPEP actors, Jessica Webb and Phil Thompson, did an excellent job bringing the scenarios to life. With the assistance of Donna, Anu collected narratives from workshop participants that were integrated into a whiteboard activity to initiate the day’s learning. Anu plans to utilize these narratives and workshop evaluations as part of a research project, with the goal of writing an article for publication in the coming months. The collaboration between IPEP and MEEI has been productive and synergistic – both teams have expressed the wish and motivation to work together in the future.
Partnership and Success with Atrius Health
IPEP has once again partnered with Atrius Health to customize and offer a second workshop for their site medical directors and staff. Following the success of the Open Communication with Patients and Families After Safety Events Including Medical Errors workshop in January 2015, Atrius’ Beverly Loudin, MD, MPH, Medical Director, Patient Safety & Risk Management, and Kerry Markert, BSN, MS, MSN, Director, Clinical Programs, reached out to IPEP to schedule and plan for booster training.
IPEP launched its second workshop for Atrius on November 5th at their headquarters in Auburndale, MA. The primary goal of this subsequent workshop, entitled Disclosure Coach Training, was to provide staff with opportunities to practice their role as coaches for the CARe (Communication, Apology and Resolution) initiative that Atrius launched earlier this year, as part of MACRMI (Massachusetts Alliance for Communication and Resolution following Medical Injury). Sigall Bell, MD, Elaine Meyer, PhD, RN, and Pamela Varrin, PhD facilitated. Chandra Pieragostini and Lewis Wheeler, seasoned members of our IPEP actor group were exceptional in rendering realistic portrayals and providing feedback as a family coping with medical error. The workshop was well attended by site medical directors from across Atrius Health. We received some great feedback following the workshop and we are excited about future possibilities for an ongoing educational partnership.
NEW Featured IPEP Publication
Steve Brown, MD, Director of the PERCS Radiology program invited Elaine Meyer, PhD, RN, to join as a co-author on an article published in the journal Radiographics‘ annual monologue edition. The article, entitled “Radiologic Professionalism in Modern Health Care,” reviews the ways in which modern technology and financial structures potentially create stressors and challenges to professionalism in radiology, while highlighting the opportunities they provide for radiologists seeking to fulfill professional ideals. Specific topics included the evolution, challenges, and opportunities created by computing and reporting technologies, social media, patient portals, and economic developments. The annual monograph issue is highly valued by its radiologist readership, and our IPEP team is proud of its recognition and contribution.
IPEP Partners with International Charter to Bring Core Values into Healthcare Interactions and Education
IPEP joins major healthcare and educational institutions in Hong Kong, Australia, Brazil, the Netherlands, New Zealand, United Kingdom, Uganda, and the US, as a Partner of the International Charter for Human Values in Healthcare. The Charter was developed through an international, interprofessional collaborative effort to restore the primacy of core values necessary for practicing compassionate, ethical, and safe healthcare around the world. Using a rigorous 3-year qualitative research process to identify and develop a framework for values essential for every healthcare interaction, the Charter delineates five categories of fundamental human values, with sub-values within each:
- Commitment to integrity and ethical practice
- Commitment to excellence
- Justice in healthcare
The framework of values articulated in the Charter underpin ongoing and developing clinical care projects, educational programs and research efforts inhealthcare settings internationally. At IPEP, a Partner of the Charter since 2014, we have implemented values curricula in several IPEP programs including IPEP’s international faculty development course, Difficult Conversations in Healthcare: Teaching and Practice, Pedagogy and Practicalities Seminar, Difficult Conversations in Outpatient Pediatrics, and IPEP Faculty Retreats.
Elizabeth Rider, MSW, MD, IPEP’s Director of Academic Programs and member of the Department of Medicine, is a leader of the Charter initiative. Created in early 2011, the Charter is a major initiative of the International Research Centre for Communication in Healthcare at Hong Kong Polytechnic University and University of Technology Sydney, Australia; Curtin University, Western Australia is a strategic partner. For more information about the Charter, please click here and you can downlaod the paper here.
Blog Post for Elaine Meyer’s TEDx Talk
On the one-year anniversary of On Being Present, Not Perfect, the TEDx Talk by Elaine Meyer, PhD, RN, a blog post recently went live. Elaine reflects, “Delivering the TED Talk, I distinctly remember hitting my stride when describing our approach to holding challenging healthcare conversations at the Institute for Professionalism and Ethical Practice. I was on terra firma and the story arc bowed gracefully. I enjoyed sharing the Wizard of Oz metaphor-courage; brains and heart-to highlight the core ingredients of honest, effective conversations. I had contributed something that I hoped would improve the emotional standard of care.” To read the blog in its entirety, please click here.