Topic: How to have realistic conversations

Realistic Conversations: Shared Decision Making for Anaesthetic and Surgical Trainees

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.

This interactive afternoon session for Anaesthetic and Surgical Trainees will explore a framework to support shared decision making conversations.  Identifying helpful communication behaviours and how they are used in practice.

This session will be facilitated by NHSGGC EC4H tutors.

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:

• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.

This workshop is open to NHS Greater Glasgow and Clyde staff only.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes
• Use decision aids to support effective communication and shared decision-making

Realistic Conversations: Shared Decision Making in Practice (Wait List)

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.  This one-day interactive workshop for Doctors, Senior Nurses and other AHPs (Band 6+), will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

Open to staff from all health boards 

Date of workshop to be confirmed – please complete the online application form to be added to our waiting list and notified of upcoming dates

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:
• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.
• Respond to complaints about clinical decision-making and consent.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes
• Use decision aids to support effective communication and shared decision-making
• Respond to complaints about decision-making and consent

 

Realistic Conversations: Shared Decision Making for Podiatry Staff

A free online webinar for Podiatry staff working within NHS Greater Glasgow and Clyde, who are involved in shared decision making conversations. This online session allows participants to watch a real time interactive demonstration led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box

Workshop overview

Scenario: Irene Hopman is attending Podiatry Clinic for general footcare. Irene is a 72 year old lady, she has type 2 diabetes.  The Podiatrist engages in a shared decision making conversation with Irene around enabling footcare self-management.

Shared Decision Making, as defined by NICE in their 2021 guideline, is a collaborative process that involves a person and their healthcare professional working together to reach a joint decision about care. It could be care the person needs straightaway or care in the future, for example, through advance care planning. It involves choosing tests and treatments based both on evidence and on the person’s individual preferences, beliefs and values. It means making sure the person understands the risks, benefits and possible consequences of different options through discussion and information sharing. This joint process empowers people to make decisions about the care that is right for them at that time (with the options of choosing to have no treatment or not changing what they are currently doing always included).

In this scenario we demonstrate the use of the ‘DECIDE’ approach to structure the conversation, demonstrating the value of the clinician and the patient exploring options together.

Learning outcomes

Workshop participants will:

Review their current practice in communication about treatment related decision-making and consent

Working together, they will practice more effective ways to:

  • Communicate information about risk clearly and effectively with a wide range of patients and families.
  • Communicate the benefits and limitations of treatment in a balanced way.
  • Manage patients and families who have unrealistic expectations of treatment and outcomes.
  • Use decision aids to support effective communication and complex shared decision-making
  • Respond to complaints about clinical decision-making and consent

 

 

Realistic Conversations: Shared Decision Making for Primary Care Staff

A free online webinar for GPs/Pharmacists (Primary Care) and ANPs working within NHS Greater Glasgow and Clyde, who are involved in shared decision making conversations. This online session allows participants to watch a real time interactive demonstration led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box

Workshop overview

Scenario: Louise Mathieson has a telephone consultation with the practice pharmacist to discuss her 84 year old mother’s medication. Her mother has recently started having carers attend to support with meals and medication as Louise cannot visit her mum daily.

Shared Decision Making, as defined by NICE in their 2021 guideline, is a collaborative process that involves a person and their healthcare professional working together to reach a joint decision about care. It could be care the person needs straightaway or care in the future, for example, through advance care planning. It involves choosing tests and treatments based both on evidence and on the person’s individual preferences, beliefs and values. It means making sure the person understands the risks, benefits and possible consequences of different options through discussion and information sharing. This joint process empowers people to make decisions about the care that is right for them at that time (with the options of choosing to have no treatment or not changing what they are currently doing always included).

In this scenario we demonstrate the use of the ‘DECIDE’ approach to structure the conversation, demonstrating the value of the clinician and the patient exploring options together.

Learning outcomes

Workshop participants will:

Review their current practice in communication about treatment related decision-making and consent

Working together, they will practice more effective ways to:

  • Communicate information about risk clearly and effectively with a wide range of patients and families.
  • Communicate the benefits and limitations of treatment in a balanced way.
  • Manage patients and families who have unrealistic expectations of treatment and outcomes.
  • Use decision aids to support effective communication and complex shared decision-making
  • Respond to complaints about clinical decision-making and consent

 

 

Shared Decision Making in Practice

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options. This half-day interactive workshop for Anaesthetists will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:

• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.

This workshop is open to NHS Greater Glasgow and Clyde staff only.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes
• Use decision aids to support effective communication and shared decision-making

How to Have Realistic Conversations: Shared Decision Making in Practice (August)

**Our Admin Office is closed for annual leave until 26th August.  Please contact bor.simulationteam@borders.scot.nhs.uk to book a place**

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.  This half day interactive workshop for consultants, senior trainees, nurses and other AHPs (Band 6+), will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

This workshop is free to NHS Borders staff.  Please complete the online application form to register your interest.  

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:
• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.
• Respond to complaints about clinical decision-making and consent.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and shared decision-making (see Resources).
• Respond to complaints about decision-making and consent

 

Realistic Conversations: Shared Decision Making in Practice

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.  This one-day interactive workshop for Doctors, Senior Nurses and other AHPs (Band 6+), will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

Open to staff from all health boards 

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:
• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.
• Respond to complaints about clinical decision-making and consent.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes
• Use decision aids to support effective communication and shared decision-making
• Respond to complaints about decision-making and consent

 

How to Have Realistic Conversations: Shared Decision Making in Practice (June)

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.  This half day interactive workshop for consultants, senior trainees, nurses and other AHPs (Band 6+), will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

This workshop is free to NHS Borders staff.  Please complete the online application form to register your interest.  

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:
• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.
• Respond to complaints about clinical decision-making and consent.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and shared decision-making (see Resources).
• Respond to complaints about decision-making and consent

 

How to Have Realistic Conversations: Shared Decision Making in Practice

All clinicians in Scotland are asked to practice “Realistic Medicine” including talking about risks, benefits and limitations of treatment and care options.  This half day interactive workshop for consultants, senior trainees, nurses and other AHPs (Band 6+), will support participants to have realistic conversations about care. Helping patients to feel empowered to discuss their treatment options fully and be at the centre of decisions about their care.

This workshop is free to NHS Borders staff.  Please complete the online application form to register your interest.  

Participants will work in a small peer group to address the challenges around shared decision making. Working together they will practice more effective ways to:
• Communicate information about risk clearly and effectively with a wide range of patients and families.
• Communicate the benefits and limitations of treatment in a balanced way.
• Manage patients and families who have unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and complex shared decision-making.
• Respond to complaints about clinical decision-making and consent.

Learning outcomes

• Review current practice in communication about treatment related decision-making and consent
• Describe and communicate information about risk clearly and effectively
• Discuss treatment options, benefits and limitations, taking a person-centred perspective
• Respond to people with unrealistic expectations of treatment and outcomes.
• Use decision aids to support effective communication and shared decision-making (see Resources).
• Respond to complaints about decision-making and consent