Breaking Bad News-Helping Families When They Need Us the Most

Orsini, Anthony

Friday, March 23, 2018: 10:30 AM-12:00 PM

International Ballroom (Omni Championsgate)

Background: Although almost all healthcare professionals must break bad news to patients and families at one time during their career, only 10% of physicians have been formally trained. Few if any have been trained how to navigate through difficult dialogues or resolve conflict. Studies have shown that the manner in which sad or tragic news is given can effect patients for decades. Dr. Orsini will discuss the innovative Breaking Bad News PROGRAM designed to train healthcare professionals how to communicate effectively and with compassion. This lecture will discuss various verbal and non-verbal techniques using photos and videos from previous training programs.

Objectives: 1) ......the history of breaking bad news in medicine and the impact proper communication has on patients and families 2)....the Breaking Bad News teaching model of experiential learning and the effectiveness of the BBN PROGRAM as a roadmap for effective communication 3) .....various verbal and non-verbal techniques that promote effective and compassionate communication in healthcare

Breaking Bad News- Helping Families When They Need Us the Most

This presentation will cover the following content.

A discussion of the term compassionate communication and how it relates to healthcare. The difference between empathy and compassion will be discussed.
A review of the impact compassionate communication has on patients and families including: increased patient compliance with treatments, improvement in outcomes and reduction in malpractice lawsuits
A review of the history of Breaking Bad News in medicine will be reviewed. A discussion of how mixed messages and lack of training resulted in lack of empathy in medicine. We will also discuss the lasting impact Breaking Bad News has on patients and families when done incorrectly
A discussion of traditional teaching methods of communication in healthcare and its failures including how physicians historically transformed from comforters to scientists.
A review of the root causes of poor communication in medicine.
A discussion of “todays new patient” and the changing relationships between healthcare professionals, patients and families.
Introduction to the Breaking Bad News experiential learning model and its effectiveness in teaching compassionate communication to healthcare professionals and first responders.
Review of the Breaking Bad News PROGRAM roadmap. We will highlight various verbal and non-verbal techniques that can be used to enhance compassionate communication. Various video tapes and photographs of Breaking Bad News participants will be used to emphasize different communication skills including techniques on how to navigate difficult conversations
Discussion of changing the culture and moving from an informational based communication to relationship building.

Although Breaking Bad News is a skill required of all healthcare professionals, online 10% of physicians report any formal training in this important skill. Until recently communication training in medicine has been limited to didactic lectures and observation of seniors who may or may not have been trained correctly. These methods have been shown to be ineffective and the lessons learned not sustainable over time Studies have shown that the manner in which a healthcare professional delivers sad or tragic news can effect patients and families for decades. In addition, studies have shown that when patients and families feel genuine compassion from their healthcare provider they are more likely to be compliant with their treatments, have improved outcomes and are less likely to file for malpractice. In fact, 71% of malpractice law suits list lack of or poor communication as a complaint. There is increasing evidence that experiential learning is effective in teaching compassionate communication. The Breaking Bad News model of experiential learning has been used to train more than 700 healthcare professionals and nurse responders in the art of compassionate communication. The Breaking Bad News experiential learning model consists of improvisational role-playing with professional actors portraying patients and/or families. The sessions are video taped and viewed live by medical and non-medical instructors. Immediately following the role-playing session, participants review their videos and receive feedback. It is at this time that the PROGRAM acronym is introduced as a road map for teaching communication skills. The Breaking Bad News presentation and workshop will familiarize the audience with various techniques that help promote compassionate communication. Video tape of previous participants and photographs will be used to teach verbal and non-verbal language skills that help navigate difficult dialogues and de-escalate emotionally charged conversations.

Presenter:

Anthony Orsini, D.O.

A graduate of Rutgers University and the Philadelphia College of Osteopathic Medicine, Dr. Orsini completed his pediatric residency and neonatal fellowship training at Thomas Jefferson University Hospital in Philadelphia. He has been a practicing physician and a board-certified neonatologist for over 20 years. He is currently the Vice-Chairman of the Department of Neonatology at Winnie Palmer Hospital in Orlando, FL. Dr. Orsini has spent most of his career teaching healthcare professionals effective and compassionate communication. He is the developer of the Breaking Bad News PROGRAM that has trained hundreds of healthcare professionals how to communicate tragic news to patients.

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