Clinical Communication

During the recording of “Clinical Communication” episodes, before guests are asked the deep hard questions, they’re given some easier warm up questions to start with to help them feel comfortable. These are also recorded though not released at the time, until now. Some of this content from earlier episodes has been released on social media, but others from recent episodes have been held onto for this special episode, where you will hear: (00:00) – Introduction (01:26) Jo Gibson: Which Rotator Cuff Muscle Is The Heaviest? How To Build Rapport With Scousers? (04:18) Nick Lividas: Weirdest Body Parts People Have Had Steroid Injections Weirdest Substances Being Injected Where Are We Currently With Stem Cells? (14:29) Ian Reilly: What Is The Future Of Podiatry? Orthotics in Podiatry Original Podiatric Theories Do In-Soles Have To Be Specially Made?   For more, find @BWhybrowPhysio across social media.   Got questions, dilemmas or stories? Send them in to clinicalcommunication@outlook.com

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 [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 [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 clinicalcommunication@outlook.com [clinicalcommunication@outlook.com] and it may well get read out and answered.

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 [http://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 clinicalcommunication@outlook.com [clinicalcommunication@outlook.com] 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

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.

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.