Clinical Communication

Various evidence exists showing the benefits of injury prevention programmes for reducing the risk of injury to young athletes, yet uptake in them has not been 100%. So how can we increase the number of young athletes doing regular injury prevention programmes? And how can we influence coaches and organisations to ensure it is implemented? In this Ben is joined by Tom Jacbos, who is a Sports & Musculoskeletal Physiotherapist, and also a trustee for “Power Up To Play”. A charitable organisation aiming to increase young athlete welfare with injury prevention programmes. On this episode they discuss; (00:00:00) - Introduction (00:01:52) - What Made Tom So Interested In Injury Prevention? (00:06:43) - Should We Still Call Them Injury Prevention Programmes? (00:17:57) – How Do We Help Young Athletes Buy Into Injury Prevention Programmes? (00:24:43) – How To Influence Coaches To Implement Injury Prevention Programmes (00:35:57) – Do Parents Help or Hinder Buy-In To The Programmes? (00:38:44) – How Do We Influence Larger Organisations? (00:46:41) – Will Making These Programmes Mandatory Make An Impact? (00:50:16) – What To Say When Coaches Have Doubts About The Programme (00:55:00) – Do The Same Principles Apply To Adult Athletes? (01:02:30) – Tom’s Hardest Clinical Conversation (01:11:11) – What’s The Future For Injury Prevention Programmes? (01:14:23) – How To Find Out More About Power Up To Play   You can find more about Power Up To Play here: https://poweruptoplay.org/ [https://poweruptoplay.org/]   You can find Ben across social media @BWhybrowPhysio   Got questions or stories to share? Contact clinicalcommunication@outlook.com [clinicalcommunication@outlook.com]

The concept of influence, persuasion or even manipulation (psychologically) in clinical practice can seem very uncomfortable to some. Yet it occurs in every interaction we have, whether we intentionally do it or not. And with the increasing evidence that contextual factors and therapeutic relationships play a large role in patient outcomes, being able to master these could be as important as the assessments we do and treatment plans suggested. On this episode Ben is joined by Andrew McCauley, Specialist Physiotherapist & Athletic Development Coach where they discuss; (00:00:00) – Introduction (00:01:24) – Andrew’s 10 Quick Fire Questions (00:06:19) – What Led Andrew (and Ben) To Be Interested In Cialdini’s Work? (00:11:39) – What Is Priming & How Have We Used It? (00:21:21) – Why We Should Not Feel Uncomfortable With The Terms “Influence”, “Persuade” or “Manipulate” As Healthcare Clinicians? (00:25:50) – Is Influence By Authority Still Effective In Healthcare? (00:34:12) – Can We Use Scarcity In Healthcare? (00:39:47) – Is It Ethical To Use Reciprocation With Patients? (00:45:52) – How Could We Use Social Proof With Patients? (00:50:48) – Is Being Likeable With Our Patients Enough? (00:55:15) – How Do We Increase Feelings Of Unity With Our Patients? (01:02:08) – How To Increase Patient Commitment & Consistency To The Plan (01:15:01) - Andrew’s Hardest Conversation (01:24:30) - When Andrew Was Able To Influence A Patient When He Thought He Couldn’t (01:30:42) - Where To Find Andrew, Therapeutic Conversations Unravelled Podcasts & Unravelling S&C For Therapists   You Can Find Andrew On Social Media: Instagram: @procaresports Twitter/X: @mccauleyandrew As well as on LinkedIn   Therapeutic Conversations Unravelled Podcast (TCUP): Spotify: https://open.spotify.com/show/4gkQRHkg0EZJ7kOPnlPurC?si=9a4e4a69e51e401a [https://open.spotify.com/show/4gkQRHkg0EZJ7kOPnlPurC?si=9a4e4a69e51e401a] Apple Podcasts: https://podcasts.apple.com/us/podcast/therapeutic-conversations-unravelled-podcast-tcup/id1777788887 [https://podcasts.apple.com/us/podcast/therapeutic-conversations-unravelled-podcast-tcup/id1777788887]   Unravelling S&C For Therapists Course: https://linktr.ee/procaresports [https://linktr.ee/procaresports]   Books Mentioned: Influence – Robert Cialdini Presuasion – Robert Cialdini Grit – Angela Duckworth Key Person Of Influence  - Daniel Priestly The Chimp Paradox – Steve Peters Thinking Fast & Slow – Daniel Kahneman Atomic Habits – James Clear   You can find Ben across social media @BWhybrowPhysio Send Questions or Stories in to clinicalcommunication@outlook.com [clinicalcommunication@outlook.com]

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