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