Clinical Communication is a video or audio resource for any healthcare clinicians wanting to have easier and better conversations with the people in front of th...
How To Discuss Bunions, Toe Deformities & Surgical Corrections With The Person In Front Of You with Ian Reilly
Many healthcare clinicians can probably identify a bunion or
toe deformity, but asked anything more than this by patients and most would get stuck.
So how do we explain what they are, why they’ve occurred and what the management options are in a way the patient can understand?
How do foot surgeons have conversations around surgical
options & expectations and explaining risks?
In this episode Ben is joined by Ian Reilly, Consultant Podiatric
Surgeon & International Lecturer, where they discuss:
(00:00:00) – Introduction
(00:00:46) – Dad Jokes
(00:02:05) – How Romanian Christmas’s Compare To British
(00:03:50) – What Made Ian Choose Podiatry & Podiatric
Surgery?
(00:07:08) – How To Explain What A Bunion Is To A Patient
& Why They Have It
(00:13:00) – When Surgery Doesn’t Always Go Well
(00:17:38) – How To Discuss The Risks Of Foot Surgery
(00:21:28) – Shared Decision Making & Informed Consent
In Foot Surgery
(00:25:20) – What To Say If They Ask “Will My Bunion Come
Back After Surgery?”
(00:28:07) – How To Manage Different Surgical Opinions
(00:30:50) – What To Say If They Ask “How Can I Prevent This
Bunion Coming Back?”
(00:33:53) – How To Explain What A Hammer Toe Is To A
Patient & Why They Have It
(00:35:58) – What To Say If A Toe Deformity Is Asymptomatic?
(00:39:12) – How To Discuss The Risks Of Toe Deformity
Surgery
(00:41:05) – How To Discuss Toe Amputations
(00:51:28) – How Surgeon Communication Skills Have Changed Over The Years
(00:56:10) – Does Better Surgeon-Patient Rapport Lead To
Better Outcomes?
(00:58:24) – How To Tell A Patient Surgery Isn’t Appropriate
(01:02:31) – Always Find Out What Your Patient Wants
(01:03:37) – Ian’s Hardest Conversation
(01:12:01) – Ian’s Most Rewarding Surgical Outcomes
(01:16:00) – Outro Discussion & Ian’s Courses
You can find Ian on Social Media here:
X/Twitter: @podsurgery
Instagram: @podsurgeon
YouTube: @IanReillyPodsurgeon
As well as on LinkedIn.
His website is: https://podsurgeon.co.uk/
You can find Ben across Social Media @BWhybrowPhysio
More information on Podiatric Surgery Training:
https://rcpod.org.uk/podiatric-surgery/become-a-podiatric-surgeon#:~:text=Qualified%20podiatrists%20undertake%20postgraduate%20training,Podiatric%20Surgery%20(MOPS)%20programme
“Trick or Treatment” Book Mentioned by Simon Singh &
Ezard Ernst.
https://www.amazon.co.uk/Trick-Treatment-Alternative-Medicine-Trial/dp/0552157627
Have questions/situations you want help with or stories you
would like to share?
Send them into [email protected]
and it may well get read out and answered.
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1:24:28
How To Run Effective Group Programmes (Discussion with Conor Creedon)
Group programmes can be a part of the management of many long-term conditions, combining various different activities which combined can have greater outcomes than individual components.
Whilst suggestions may exist for what kind of content to
cover in the specific group, the practicalities of how to run a group and ensure it is effective, have not been discussed in much depth, until now.
In this first discussion episode, Ben is joined by Conor Creedon who is a Back Pain Specialist Physiotherapist & First Contact Practitioner.
Both Ben & Conor run group programmes for people with persistent pain, in this episode they cover:
(00:00:00) – Introduction
(00:02:11) – Connors Group Programme
(00:06:25) – How Should We Assess If Someone Is Ready For A Group Programme?
(00:12:00) – Is It Possible To Individualise Elements Of A
Group Programme?
(00:17:00) – What Is The Impact Of The “Mechanisation
Paradigm” On The Thinking Of Clinicians & Patients?
(00:28:44) – How Do We Help Patients Understand The Context Nature Of Long Term Conditions?
(00:30:30) – How Using Stories Could Be The Future
(00:38:00) – How To Help Patients Understand The
Multi-Factoral Nature Of Their Condition, Without Devalidating Their Existing Beliefs.
(00:42:43) – How Do We Help Patients Understand These
Factors, Without Feeling That It’s Their Fault?
(00:48:27) – How To Use An “Accusation Audit” In A Programme
(00:53:43) – What To Do When Participants Don’t Get On
(00:57:06) – When To Remove Someone From A Programme
(00:58:12) – Conor’s Hardest Conversation
(01:02:08 – Success Story From Conor’s Programme
You can find Connor on LinkedIn or at www.conorcreedonphysio.co.uk
You can find Ben across social media @BWhybrowPhysio
Got questions/situations you need help with or interesting
stories to share?
Send it to [email protected]
and we’ll read it out.
Books Mentioned:
Ian McGilchrist – The Matter With Things
Chris Voss- Never Split The Difference
Donald Miller – Building A Story Brand
Alan Gordon – The Way Out
Liam Mannix – Back Up
Baaahhh
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1:07:55
Live Webinar Recording: Empathy, Attentive Listening & Difficult Conversations
Over the past year I've been asked to deliver some talks or webinars to various organisations and departments around clinical communication skills and difficult conversations.
One of which I was given permission to record the audio for, and so am releasing now to you.
There are interactive elements which you are welcome to play along with at home, work, in the car or wherever you listen.
It covers the topics of:
What is empathy and how to demonstrate it?
How to show you are attentively listening to the person in front of you?
How manage difficult conversations around patient expectations? (in this case of imaging)
Plus some audience questions at the end.
Want to know more?
I am @BWhybrowPhysio on X/Twitter, Instagram, TikTok, LinkedIn & YouTube.
Please follow & subscribe.
Thank you for listening and watching this year.
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34:55
How To Shoulder Difficult Conversations with Jo Gibson
Shoulder pain is a common reason for people to seek
healthcare support. Whilst many will respond well to time and rehabilitation, certain situations and beliefs make it harder to treat and manage.
This may be in relation to certain tissues being “torn”, the
joint being “out of place” and “unstable” or having to break bad news when there is no easy solution.
Jo Gibson is an Upper Limb Specialist Physiotherapist &
International Lecturer for shoulder conditions. In this episode Ben & Jo discuss;
(00:00:00) – Introduction
(00:01:37) - What Influence Did Jo’s Father Have On Her
Practice?
(00:06:07) - Where Did “Communication Is Your SuperPower” Come From?
(00:09:00) - Which Communication Skill Did Jo Find The
Hardest To Master?
(00:16:05) - Are We Done With The Term “Shoulder Impingement”?
(00:21:00) - How To Help Someone With A Rotator Cuff Tear
Buy Into Rehab
(00:26:42) - How To Support Those Who Are Worried Their
Shoulder Will Regularly Dislocate
(00:33:03) - How To Discuss Frozen Shoulder With A Patient
(00:37:47) - Jo’s Hardest Conversations
(00:45:48) - What Did The Upper Limb Unit Team Mean To Jo?
(00:47:57) - Jo’s Courses & Further Info
Jo is on X/Twitter: @ShoulderGeek1 & LinkedIn
Her course is “Shoulder Steps To Success” available either
in person or online.
Ben is available across social media @BWhybrowPhysio –
follow & subscribe to stay up to date.
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49:34
What To Say Before, During & After A Cranial Nerve Examination with Alan Taylor
A cranial nerve examination can be part of a general
neurological examination for some clinicians, but often not considered by others. Whilst resources and guides now exist online on how to perform a cranial nerve examination, less guidance is available on what to say to patients before, during and after performing one.
Until now.
Alan Taylor is a Specialist Physiotherapist in Vascular Flow
Limitations, especially related to Cervical Spine Risk, as well as being an Associate Professor at The University of Nottingham.
In this episode Ben & Alan Cover:
(00:00:00) – Introduction
(00:00:50) – What led to Alan Being Interested In Cranial
Nerve Testing?
(00:03:50) – Why Are Cranial Nerve Examinations Not Taught As Much At Undergraduate Level?
(00:07:18) – How Accurate Are The Cranial Nerve Tests?
(00:08:50) – How To Prepare Patients For A Cranial Nerve
Examination?
(00:10:54) – What To Say During Each Part Of A Cranial Nerve
Examination?
(00:20:49) – Can The Torch On A Mobile Phone Replace A Pen Torch?
(00:22:57) – What Should We Say To Patients After The Cranial Nerve Examination?
(00:29:40) – What Is It Like To Be An Expert Witness &
Who Should Consider Doing It?
(00:34:10) – Alan’s Hardest Clinical Conversation
(00:39:20) – What Is The Story Of Alan & Rogers Not
Country Music Band?
You can find Ben across Social Media: @BWhybrowPhysio
Alan’s Social Media:
X/Twitter: @TaylorAlanJ
Instagram: @alan_taylor_physio
YouTube: @alantaylor1068
Alan’s Cranial Nerve Examination Paper Discussed:
A Guide To Cranial Nerve Testing For Musculoskeletal
Clinicians
https://pmc.ncbi.nlm.nih.gov/articles/PMC8725776/
Lawrence County Band:
https://www.youtube.com/@Skiffleshow
https://linktr.ee/lawrence_county?fbclid=PAZXh0bgNhZW0CMTEAAaYxduB4Kcna3j5NI8XIulc8pDwQqlZMuXOZIOK-WIG5gz0gJ2D89APPTG0_aem_84E4Qu8lQKBU2EoDXM5AJA
Clinical Communication is a video or audio resource for any healthcare clinicians wanting to have easier and better conversations with the people in front of them.
Hosted by Ben Whybrow, Clinical Communication Skills Educator and Specialist Physiotherapist. This resource provides simple and practical advice for any clinician of any experience, that can lead to better outcomes.
Ireland