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Healthcare Communication Program cases

Motivational interviewing

  • Smoking cessation
  • Gestational diabetes mellitus (GDM) - behavioral (OB-GYN)
  • Healthy lifestyle-high cholesterol
  • Tetrahydrocannabinol (THC) marijuana cessation
  • VA motivational interviewing - smoking cessation

Breaking bad news

  • Death notification - parent
  • Breast cancer
  • Down syndrome diagnosis
  • Death notification - child
  • Fetal loss - female
  • Fetal loss - male
  • Trisomy 21
  • Brain death - Gift of Life
  • Lung cancer (matches 3C)
  • Sexually transmitted disease (STD)
  • Dementia (VitalTalk)
  • Lung cancer (VitalTalk)
  • Congestive heart failure (CHF) (VitalTalk)
  • Death notification child - only mom
  • Fetal loss - amniocentesis
  • Metastatic pancreatic cancer
  • Glioblastoma
  • News psychosis
  • Trisomy 18
  • Dementia
  • No driving

End of life

  • Communication - SPIKES 
  • Seizures
  • Lung cancer (matches BBN case 2I)
  • Family decision
  • Kidney cancer
  • Patient-centered goals of care
  • Futility
  • Patient-centered goals of care for physicians - medical case
  • Patient-centered goals of care for physicians - surgical case
  • End-of-life futility - neurosurgery
  • End of life - Emergency Department (ED) - stroke

Informed consent

  • Caesarean section (C-section) & tubal ligation
  • Subarachnoid hemorrhage
  • Gastrointestinal (GI) bleed-central line
  • Clinical trial
  • Colonoscopy
  • Informed consent - dental rehab
  • Central line - anesthesia
  • Ureteral repair and breaking bad news apheresis
  • Laparoscopic cholecystectomy (lap choly) anesthesis
  • Informed consent - chemotherapy 

Interprofessional communication

  • Nurse & resident
  • Respiratory distress 
  • Nurse & resident
  • Struggling learner - social support
  • Respiratory distress
  • Struggling learner - divorce
  • Labor and delivery
  • Angry spouse (precedes 5D)
  • First meeting with coach

Angry patient or family

  • Drug abuse
  • Drug abuse - urology
  • Abdominoplasty
  • Podiatry angry patient - inpatient pain

Basic communication skills

  • Amputation
  • Jaw pain
  • Appendicitis-appreciative inquiry (large group)
  • Hip fracture
  • Wicca
  • Breast surgery 
  • Medication counseling (orientation)
  • Asthma (orientation)
  • Dentistry (orientation)
  • Podiatry (amputation)

Shared decision making

  • Multiple sclerosis
  • Multiple sclerosis – young patient
  • Teen pregnancy
  • Hospital discharge
  • Domestic violence counseling
  • Patient requests opiate (non-addict)
  • Severe opioid use disorder
  • Severe opioid use disorder (OB-GYN)
  • Severe opioid use disorder (hematology-oncology)
  • Patient requests magnetic resonance imaging (MRI)
  • Patient requests benzodiazepines
  • Trauma surgery 
  • Return to play

Hidden agenda

  • Domestic violence screening
  • Domestic violence screening & counseling
  • Domestic violence screening & counseling (OB-GYN)
  • Domestic violence screening & counseling (neurology)

Disclosure of error

  • Transplant case
  • Central line
  • Candor
  • Liver transplant - intensive care unit (ICU) fellow
  • Rheumatology
  • Liver transplant - AHN 
  • Disclosure error - migraine adult
  • Disclosure error - migraine teen
  • Disclosure error - fetal loss
  • Disclosure error - central line - anesthesia
  • Disclosure error - dermatology
  • Disclosure error - anesthesia

History and Physical (H & P) skills

  • Shortness of breath (orientation)
  • Post-operation deep vein thrombosis (DVT)
  • Appendicitis
  • Competency to stand trial 
  • Fatigue and hypotension-urosepsis diagnosis
  • Shortness of breath - myasthenia and pulmonary embolism (PE) (utilizes obesity suit)
  • Headache
  • Suicide
  • Guillain-Barre syndrome
  • Appendicitis - large group demo - appreciative inquiry

COVID-19

  • COVID-19- exclusion from ICU - stay in med/surg
  • COVID-19 - hospitalists exclusion from ICU
  • COVID-19 - emergency medicine (EM) exclusion from ICU
  • COVID-19 - pharmacy pandemic medication shortage

Telehealth

  • Asthma telehealth
  • Seasonal allergies telehealth

Microaggression

  • Racism 
  • Homophobia 
  • Sexual harassment

Spiritual care

  • Hip fracture
  • Wicca
  • Amputation
  • End of life - family decision

Respecting choices 

  • CHF (VitalTalk)
  • Chronic obstructive pulmonary disease (COPD) (VitalTalk)
  • BBN lung cancer 
  • BBN heart failure