Dealing with differing health beliefs and values
This is the original scenario submitted in the scenario selection phase. Click here to see the realistic script in development.
A patient has just filed a complaint about an attending physician. Patient health beliefs and values are not congruent with the physician. Physician says he is emotionally exhausted and unable to respond.
Category:
physician – administrator
What's happening?
Feb 22 2012 (All day)
Nov 12 2011 - 9:30am
Comments
interaction with physician and co-worker
This could lead to illustrations of conversations between the physician and another physician, or the physician and a staff member, or the physciain and someone from the regulatory body.
In all cases there could be a more-empathic and less-empathic versions.
Who is the conversation between?
The script should be between 2 ( or at most 3) people, to make it simpler to produce.
We don't have any scenarios between physician and regulatory body - the college?
How about:
College administator brings physician to their office to informally (first conversation) discuss the complaint.
Not really physician-patient
I wouldn't put this in the category of physician-patient, since the patient is not really part of the action on screen. This is really between colleagues, and talks about how we bring forward the notion that a complaint has been filed.
Can we focus on how the action might look in the moment where the patient's health beliefs and values weren't heard and understood, and then show how they might be?
If the patient is the protagonist, would we want to show how this might be brought up in the meeting with the doc?
It's an important scenario for learning, but tricky to illustrate effectively in a pair of vignettes.
Changed the category
After having read the comments, I have changed the category of this scenario to physician - administrator. It could also fit into the phyician - physician category, or even physician - non-physician co-worker.
Original scenario
Here's brenda's original scenario:
A patient has just filed a complaint about an attending physician. Patient health beliefs and values are not congruent with the physician. Physician says he is emotionally exhausted and unable to respond.
Maybe we could "kick it up a notch"?
To misquote Emeril here...
What I'd like to do here is show a complaints officer / leader who genuinely does understand the physician's perspective, and actually does what most people would think of as a good job of supporting the physician, perhaps at the risk of blaming the patient or the patient's family. This would then end up as a realistic scenario that most people would find satisfactorily supportive. In the empathic transformation, we could then show some fine distinctions between supportive and empathic.