APRIL 2019
NEWS ON BEST PRACTICES
For Your Most Difficult Conversations in Healthcare
Hello!

Clinician burnout is now widely recognized as a public health crisis. More than half of physicians and nurses report burnout that impacts their care. The more stressful the work, the harder it is for clinicians to weather it, day in, day out. B urnout has implications for patient care, patient experience, hiring and retention costs, even institutional standing. 

The recent report A Crisis in Healthcare: A Call to Action on Physician Burnout, from the Massachusetts Medical Society and other leading organizations notes that "meaningful steps to address the crisis and its root causes must be taken at a systemic and institutional level." Better mental healthcare for clinicians is necessary —and starts with team-wide readiness for the emotional toll of difficult situations.

Below, please find news and learning opportunities to help you, your team, and your institution prepare for the most difficult conversations —to help you reduce the emotional exhaustion and moral distress that contribute to burnout. If you'd like more information or counsel, please be in touch. And be sure to scroll down for upcoming workshops.
Regards,

Director, Institute for Professionalism and Ethical Practice
Associate Professor of Radiology, Boston Children's Hospital and Harvard Medical School
NEW IPEP VIDEO GALLERY
The Reality of Disclosure Conversations
Dr. Robert Truog, Director of the Center for Bioethics at Harvard Medical School, discusses differing patient and family responses to disclosure and why we need to practice for these conversations.

Creating a Just Decision-Making Culture For Clinicians Involved in Medical Errors
Patricia Folcarelli, Vice President for Health Care Quality, Beth Israel Deaconess Medical Center in Boston, shares some principles for creating a just culture for clinicians and staff after errors.

LATEST RESEARCH SPOTLIGHT:
The State of Physician and Nurse Burnout:
Studies explore the costs of emotional exhaustion and error
Commonwealth of Massachusetts' Betsy Lehman Center for Patient Safety says,"Organizations recognize that clinician burnout is associated with lower productivity, early retirement, higher staffing cost, and greater risk of medical error." Among the causes: "emotional exhaustion" and "moral distress" connected to "the inherent stress of caring for people in emotionally intense circumstances."
American Medical Association summarizes the recent Medscape National Physician Burnout, Depression & Suicide Report 2019. It notes: Physicians encourage their patients to share concerns about depression, anxiety or other mental health conditions. However, doctors are less likely to seek help themselves due to stigma.
A study of "Trends and Implications with Nursing Engagement" indicates that "15.6% of all nurses reported feelings of burnout," finding "a statistical significance between nurse engagement and patients having better experiences." That is, "when nurses feel more supported at work, they are better able to do their job and care for patients." 
FEATURED WORKSHOPS
with IPEP's Harvard Medical School and Boston Children's Hospital faculty
All workshops and courses integrate IPEP's innovative learning model, the validated Program to Enhance Relational and Communication Skills (PERCS) , blending ethics, practice, patient/family voices, and live actors to create an unscripted, real-world experience. 
Choose Date:
 Saturday, May 11, 2019 or Saturday, June 15, 2019
Are you a clinical coach, mentor or educator? In this popular workshop, l earn innovative concepts, methods and strategies for teaching and enhancing communications within your team or institution. Designed for medical / healthcare education leaders and clinicians in a variety of academic and clinical healthcare settings CEs available.
Tuesday, May 14, 2019
Learn the unique communication and relational skills needed to support young neurologically complex patients and their families. Designed for team and department leaders as well as individual clinicians working in the fields of neonatology, neurology, neurosurgery, and anesthesiology at any level of experience.  CNE & Social Work credits available.
 Thursday, May 30, 2019
 For physicians, nurses, team and department leaders, and interested clinicians. Gain confidence and skills to improve patient experience, manage burnout, and strengthen your institution.  CNEs//Social Work credits available.
ONLINE LIVE 2-HOUR WORKSHOP
Wednesday, June 26, 2019
9-11am EDT | 6-8am PDT
Designed BY radiologists specifically FOR radiologists, this online workshop will outline the ethical underpinnings, legal and risk management perspectives, important recent developments, and nationally recommended best practice standards around error disclosure. Highly recommended for radiology department/team leaders, training managers, and risk managers (both practice- and insurer-based) as well as individual clinicians. CEs available.
What participants are saying...
"(The workshop) I attended has already changed my approach to how I communicate difficult or potentially life altering information to patients. I now have confidence that I can be present with the family without having to have all of the answers. The actors portraying families during the simulations where so real I forgot they were actors. "
ABOUT THE INSTITUTE FOR PROFESSIONALISM & ETHICAL PRACTICE

Based at Boston Children’s Hospital and Harvard Medical School, The Institute for Professionalism and Ethical Practice trains institutions, teams, and clinicians worldwide to plan for and engage better in their most difficult conversations with greater readiness, confidence, compassion, and skill.

The Institute offers workshops, monthly interdisciplinary clinician support rounds, trainer-training, custom programs in Boston and at host institutions, and consultation, all integrating its innovative, validated approach to hands-on learning.


ipep@childrens.harvard.edu | (617) 355-5021