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Issue # 13 | April 2015
In This Issue
Looking Through the
Eyes of Families: Insights
and Tips
Mercy Consultation in the
Midwest Successful
PERCS - Radiology
Reaches National
Audience
"Masterfully Executed!"
Evanston Hospital
Nurses Provide Feedback
Patient & Provider Videos
Filmed for the Advancing
Relational Learning
Worldwide Project
IPEP Spotlight: Serena
Barello Receives her PhD
in Psychology
IPEP Spotlight: Kelsey
Mills Runs the 38th New
Bedford Half Marathon
Faculty Education
Fellowship in Medical
Humanism and
Professionalism Applications Open
Difficult Conversations in
Healthcare: Teaching &
Practice - Register Now!
Our Mission
To promote relational
learning for health care
professionals that
integrates patient and
family perspectives,
professionalism, and the
Dear Reader,
We have had lots of activity at the Institute community within
the past month that we are happy to share.
Looking Through the Eyes of Families:
Insights and Tips
Responding to a request from
BCH Vice President Patricia
Hickey, PhD, MBA, RN, FAAN,
we are pleased to announce a
new collaboration between
IPEP and the Cardiovascular
and Critical Care Services.
Elaine Meyer, PhD, RN and
Dave Browning, MSW, LICSW,
working closely with Nurse Managers Michelle Hurtig, MSN,
RN, NE-BC, Cheryl O'Connell, MBA, RN, NE-BC, CPHQ and
Jason Thornton, RN, MSN, CCRN, CPHQ, NE-BC,
developed a one-hour workshop aimed at refreshing staff
communication skills, enhancing empathy, and improving the
patient and family experience. Entitled "Looking Through the
Eyes of Families: Insights and Tips," the one-hour program
includes video triggers, evocative quotes and poetry, and
guidance from parents for hospital caregivers. A robust
cross-section of staff attended a pilot workshop on Monday,
March 16. The session received very positive feedback from
participants, and several useful revisions were made to the
curriculum based on the group's input. The workshop will be
rolled out and adapted as necessary for staff throughout the
Cardiovascular and Critical Care Services units in the coming
weeks, with the Nurse Managers taking the lead in teaching
their staff. Thank you to the IPEP leadership group for their
initial feedback, and special thanks to Family Faculty
Facilitator, Meg Comeau, MHA for her thoughtful and specific
suggestions for improving the program.
Mercy Consultation in the Midwest
Successful
everyday ethics of clinical
practice.
PERCS This Month
Rounds
4/15 - Navigating the
Challenges of Everyday
Practice
Topic: "Respecting Patient
Confidentiality in Shared
Spaces: Challenges and
Solutions"
4/23 - NICU (Day & Night)
Topic: "Shared Decision
Making: Can We Find
Common Ground?"
Workshops
4/1 PERCS - Neurology:
Challenges in
Supervision
4/9 PERCS - Supporting
Families at the Bedside
4/14 PERCS Cardiovascular & Critical
Care: Children with
Special Healthcare Needs
4/15 PERCS - Neurology:
Neonatology
Introducing
Eugenia Ursino
We congratulate Giulia
Lamiani and her husband,
Giovanni, on the arrival of
their beautiful baby girl.
Eugenia was born on
March 20, 2015 at 5am.
Eugenia is home doing well
with her loving parents.
Welcome to the world baby
Eugenia!
IPEP's educational consultation
team, led by Elizabeth Rider, MSW,
MD, IPEP's Director of Academic
Programs and member of the
Department of Medicine, with
Pamela Varrin, PhD, Tamara Vesel,
MD, and Brigid O'Connor, recently
returned from presenting a full-day
pilot program and training in
Springfield, Missouri for the Mercy
Health system. The pilot, Necessary
Conversations: Enhancing Communication with Patients and
Families, focused on palliative care and advance directives
training for Mercy's clinician-educators and clinical leaders.
Program participants learned about PERCS pedagogy and a
variety of relational teaching strategies for enhancing and
teaching communication skills and promoting relationshipcentered care. The training is closely adapted from IPEP's
international faculty development course, Difficult
Conversations in Healthcare: Teaching and Practice. Course
participants attended from across Mercy's large, non-profit,
healthcare system. The course was enthusiastically received
and highly rated. Later this month, IPEP's team will travel to
St. Louis, MO, Oklahoma City, and Springfield, MO to teach
clinician-educators and clinical leaders from a number of
Mercy's 46 hospitals and 700 clinics and outpatient facilities
in that extend across seven states.
PERCS - Radiology Reaches National
Audience
In their recent email news, The
Society for Pediatric Radiology
(SPR) announced our upcoming
PERCS - Radiology workshop.
PERCS - Radiology will be offering its
first national CME workshop on
Saturday, May 30. The daylong
workshop has been approved for 5.25
AMA PRA Category 1 Credits™ and
three hours of risk management
credits. The workshop cost will be $495 for
practicing radiologists and $295 for radiologists in training,
technologists, nurses, and other allied professionals. The
course will remain complimentary to members of the
Radiology Department at Boston Children's Hospital, in
gratitude and recognition of the department's long-standing
support of this program although spaces may be limited. We
will continue to hold annual workshops for the Boston
Children's Hospital radiology fellows, which are scheduled to
be held in Spring 2016. Please help spread the word!
"Masterfully Executed!" Evanston
Hospital Nurses Provide Feedback
News & Announcements
The Center for Bioethics
at Harvard Medical
School, directed by Dr.
Robert Truog, is now
accepting applications for a
Master of Bioethics
Degree
*******
Melanie McLaughlin who is
enrolled in the Institute's
Family Faculty
Apprenticeship
program, and David Waisel,
MD are completing their
submission for the special
ethics edition of
International
Anesthesiology Clinics, a
quarterly hardback
publication. Entitled "What
a Patient / Parent wants to
Tell a Doctor," from
miscarriage to C-section
and pediatric heart surgery,
the McLaughlin family
shares their remarkable
life-affirming story and their
experience(s) with a variety
of doctors over several
years.
Conferences of Interest
7th International
Pediatric Simulation
Symposia & Workshops
On March 31st, four nurses from
Evanston Hospital (NorthShore
University HealthSystem) outside
of Chicago joined IPEP to attend
our PERCS - NICU workshop. The
group collectively described the
workshop as "masterfully
executed!" Tarren Prange, MS,
RN, and her fellow colleagues
described their experience: "The
PERCS-NICU workshop provided
a unique opportunity to engage in
interdisciplinary communication
From left: Elaine Meyer, PhD, RN, regarding difficult conversations in
Erin Ward, MsEd,
the NICU setting. The use of
CAS, Magdalena
professional actors enhanced the
Gnatek, BS, Katie Michalak,
BSN, Tarren Prange, MS, RN, and experience far more than
Marguerite Schoenbeck, BSN
anticipated. Each scenario felt like
a real-life interaction, and the subsequent debriefing and
reflection provided valuable insight into family perspectives
and possibilities for improvement or modification on the part
of the healthcare team. Healthcare professionals naturally
lack such opportunities to receive real-time feedback from
families following difficult, yet necessary, conversations.
PERCS programs certainly have the potential to benefit
patients and healthcare organizations around the world."
Patient & Provider Videos Filmed for
the Advancing Relational Learning
Worldwide Project
Filming for the Advancing Relational Learning Worldwide
project continued in March, with the recording of patient and
provider videos that will be part of the Disclosure and
Apology online course. Working again with Spy Pond
Productions, on March 3rd we filmed several providers
telling about their experience with Disclosure and Apology,
including stories from Robert Truog, MD, and Paul Hickey,
MD, whom also shared his personal experience as a patient
who experienced a medical error, offering an important
perspective as both a patient and provider for our curriculum.
We filmed two other patient/family experiences, including
May 4-6, 2015
Vancouver, Canada
Enriching Relationships
in Communication and
Healthcare
June 18-21, 2015
Philadelphia, PA
13th International
Conference on
Communication in
Healthcare
October 25-28, 2015
New Orleans, LA
Abstracts Due: April 24th
Events of Interest:
*******
Paul S. Russell Museum
2 North Grove Street
Boston, MA 02114
Articles of Interest
Linda Kenney, the founder of the Medically Induced Trauma
Support Services, (MITSS) and a parent from the BCH
Family Advisory Council. We are grateful to these providers
and patients for their willingness to share their personal
stories with us.
Filming also continued in March with OPENPediatrics
filmmakers who recorded several expert speaker films for the
self-guided pathways within our online course. These experts
included: Patricia Folcarelli, RN, PhD, Senior Director for
Patient Safety at the Beth Israel Deaconess Medical Center,
who spoke to the need for a just decision-making culture for
clinicians involved in errors and adverse events; Jo Shapiro,
MD, Chief, Division of Otolaryngology and
Director, Center for Professionalism and Peer Support at
Brigham and Women's Hospital, on the importance of peer
support for clinicians; and Dr. Rick van Pelt, who was
instrumental in the development of MITSS.
IPEP Spotlight: Serena Barello Receives
her PhD in Psychology
Serena Barello (pictured at center), who
was IPEP's visiting scholar in
September 2014, recently earned her
PhD in Psychology from the Catholic
University of the Sacred Heart (Italy).
Her research project, entitled "Patient
engagement in healthcare: Redefining
ethical and medical professionalism in
the era of participatory medicine" was
aimed at discussing the concept of
patient engagement and its implications
for future healthcare practice and
professionalism. Serena has always
been interested in the study of effective patient-doctor
relationships as an essential cornerstone of quality care and
the patients' health and wellbeing.
A special section of her doctoral dissertation is the result of
the collaboration between Serena and Elaine Meyer, IPEP's
Director, and discusses an innovative proposal for future
PERCS-style educational workshops devoted to training
health professionals in communication and relational
strategies to effectively engage patients in their medical
care. The hope is that the partnership between the Faculty of
Psychology of the Catholic University and IPEP will continue
to grow and flourish. For more information about Serena's
research project, please email her at
serena.barello@unicatt.it or click here.
Teaching doctors how to
engage more and lecture
less
SG Boodman
Improving patient recall
of information:
Harnessing the power of
structure
W Langewitz et al.
Hearing Others'
Perspectives When We
Hear, "Do Everything!"
K Himi & B Carter
Time Will Tell
B Sisk
Ethical Implications of
Patients and Families
Secretly Recording
Conversations with
Physicians
M Rodriguez, J Morrow, &
A Seifi
The Expanded Four
Habits Model - A
teachable consultation
for encounters with
patients in emotional
distress
T Lundeby, P
Gulbrandsen, A Finset
Co-debriefing for
Simulation-based
Education
A Cheng et al.
The Importance of Sitting
with Patients
D Khullar
Quick Links
IPEP Spotlight: Kelsey Mills Runs the
38th New Bedford Half Marathon
On March 15, 2015 Kelsey Mills, IPEP
intern from Simmons College, was
fortunate enough to complete her fourth
half marathon with her mother. She
had completed her first at the 36th New
Bedford Half Marathon. The half
marathon has always been near and dear
to Kelsey and her mother, and has
become a tradition for them. However,
this year was extraordinarily special
as they ran to honor their favorite three
year old - Christian, who is undergoing his second round of
chemotherapy treatment here at Boston Children's Hospital.
Christian and his amazing parents have been big-time
supporters of Kelsey and her mother at the marathons.
Kelsey expresses that "Running 13.1 miles has always been
challenging, but this time was different with the motivation
and inspiration of Christian Strong. Being able to dedicate
this year's race to him and his immense strength was a
feeling like no other."
Faculty Education Fellowship in
Medical Humanism and
Professionalism - Applications Open
We are pleased to invite
applications for the Faculty
Education Fellowship in
Humanism and
Professionalism: Fostering
Tomorrow's Leaders
Dr. Carmon Davis; Dr. William Branch presented by the Institute
Fellowship Visiting Professor, Jr; Dr. Emily
for Professionalism &
Davidson; and Dr. Elizabeth Rider,
Fellowship Director
Ethical Practice, in
collaboration with the Office
of Faculty Development, Office of Graduate Medical
Education, and the Academy for Innovation in Education at
Boston Children's Hospital. The Fellowship began in 2013,
and ten outstanding Faculty Education Fellows from across a
number of Children's departments and divisions participated
in the first cohort (2013 - 2014).
The fellowship curriculum includes advanced teaching skills
with focus on humanism and professionalism topics, and
provides an opportunity for faculty to enhance their teaching
effectiveness. Fellows meet twice a month. Curricular topics
IPEP Website
Contact Us
Workshop Information
Workshop Registration
Upcoming Conferences
Where We'll Be
include: Appreciative Inquiry Narratives and Reflection,
Active Role Modeling, Bedside Teaching, Feedback / Difficult
Feedback, After the Error, Highly Functioning Teams,
Boundary Transgressions, Teaching Caring Attitudes, WellBeing and Renewal, Mindfulness, Learner-Centered Skills
Sessions, Strengthening Core Values, Appreciative Inquiry
for Teaching & Change, and others. Completed applications
are due by April 30, 2015. For more information about
applying for a fellowship, please click here. Please visit the
Faculty Education Fellowship webpages here.
Difficult Conversations in Healthcare:
Teaching & Practice - Register Now!
This one-day interprofessional
faculty development course
offers the opportunity to learn
about a variety of innovative
methods for teaching and
enhancing relational capacities,
communication skills, attention to
values and 'everyday ethics',
Actors and workshop participants role
professionalism, and
playing a case scenario during a
realistic enactment
interprofessional collaboration
and care. The course will be
offered on both Saturdays, May 16th and June 6th at BCH
Waltham in Conference Room A from 9:30am to 5pm. The
course is designed for physicians in all specialties, residency
and clerkship directors, medical/healthcare education
leaders, clinicians/practitioners who work with patients of any
age across the lifespan, multidisciplinary healthcare
professionals (nurses, psychologists, social workers, and
others), patient safety and quality staff, and others interested
in and/or involved in teaching the course topics. CME/CEU
credits are available for physicians, psychologists, social
workers, and nurses.
Participants will experience and learn about a variety
educational strategies including: the Program to Enhance
Relational and Communication Skills (PERCS) model, use of
narratives, appreciative inquiry, values and everyday ethics,
small group team-based learning, interprofessional
collaboration and teamwork, videotape/discussion, interactive
didactic, large group discussion, and facilitated reflections. To
view the course brochure, click here. For more course
information and to register, please click here.
We thank each of you for your enthusiasm, efforts and
contributions to the Institute. As we know, "none of us is as
smart as all of us" and we are pleased that you are a part of
the Institute community. Please let Donnah (Dee) Gallett
know if you have any special news or accomplishments that
you would like to share.
Best, Elaine
Elaine C. Meyer, Ph.D., R.N.
Director, Institute for Professionalism & Ethical Practice
Boston Children's Hospital
Associate Professor of Psychology
Harvard Medical School