Clinical Communication – Détails, épisodes et analyse

In this episode Ben speaks with Dr Brad Neal who is a Physiotherapist, Lecturer and Researcher at the University of Essex with a special interest in Patellofemoral Pain.

In This Episode We Discuss:

(00:00:00) - Intro

(00:01:00) – Brad’s Views On Current Cricket

(00:02:55) – Could Brad Ever Have Been A Cricket Physio?

(00:03:41) – Brad’s Experience Of Working In Elite Sport

(00:06:00) – Why Did Brad Choose Patellofemoral Pain To Work In?

(00:09:45) – How To Help Patients Understand The Multi-Factoral Nature of PFP

(00:11:10) – What To Say To The Patient When They’ve Been Told They Need To Strengthen Their VMO

(00:15:00) – Why We Should Tell Patients With Patellofemoral Pain What Isn’t Going On

(00:16:50) – Does The Patellofemoral Joint Cartilage Tear?

(00:17:10) – How To Reassure Someone With Patellofemoral Pain

(00:19:10) – How To Discuss Chromalaecia Patellae X-ray Findings

(00:20:40) – Are Normal Age Related Patellofemoral Joint Changes Found In Those Who Are Asymptomatic?

(00:22:00) – Should We Still Use Term “Patella Maltracking” Or Is Their A Better Way?

(00:24:00) – Are There Any Surgical Options For Patellofemoral Pain?

(00:25:55) – Does This Help Us With Buy-In To Rehab?

(00:27:45) – What To Say When They Ask “Will It Get Better?”

(00:29:10) – What’s Next For PFP Research

(00:33:20) – What Lessons From Academic Teaching Can We Use With The Patient In Front Of Us

(00:35:00) – Is There A Way To Assess Patient Understanding Of What We’ve Explained?

(00:37:45) – How Should Information About Conditions On Websites Be Laid Out?

(00:40:20) – Is Teaching Training Part Of Healthcare Training Or Should It Be?

(00:46:20) – Brads Hardest Conversations

(01:01:30) – Why People Should Watch & Play Baseball

(01:04:20) – Is Baseball The American Version Of Cricket?

(01:08:45) – Where To Find Brad Online

You can find Brad here:

X/Twitter: @DrBradNeal

Instragram: @teampfp

www.teampfp.com

You can follow Ben on @BWhybrowPhysio on your social media platform of choice.

“Messengers” is a book by Stephen Martin & Joseph Marks released in 2019. It is for anyone who wants to increase the likelihood that the messages they are giving are taken in and acted upon.

In Episode 14 of Clinical Communication we go through some of the lessons from it that can help you better manage the individual or group of patients in front of you.

(00:00) – Intro

(00:35) – You’re Not Only Judged On The Words You Say

(01:21) – Building Connections

(01:58) – Perceived Expertise

(04:29) – Warmth & Connectedness

(07:19) – Vulnerability

(09:06) – Outro

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, leave a review & subscribe.

The ICE questions are an essential component of any medical consultation. But what do they stand for? And why are they so essential?

This episode covers not only this, but the additional extra questions that should come with it.

Plus;

- When to ask them?

- Do you have to ask them in order?

- How to respond to answers you may get.

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, or leave a review.

First impressions matter, and the way we are with the patient in front of us for those first few minutes can have a profound effect on the rest of their time with us.

This episode covers:     - The first things to say on meeting someone new,

- Body language and positioning before you start talking to them,

- Small talk and the timing of certain questions,

- Signposting or “Setting The Scene” at the beginning,

- And more.

Reference:

Roberts, L. (2019). Effective Communication: Making The Most Of The Consultation. Lumbar Spine Online Textbook (Section 10, Chapter 1). Available Free Online

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, or leave a review.

Empathy is a buzzword in communication skills, everyone claims they are empathetic, but patients may not always agree.

In this episode we'll discuss:

- What Is Empathy

- The Difference Between Empathy & Sympathy

- How To Demonstrate Empathy To The Patient In Front Of You

- The Risks Of Empathy Coming Across As Fake

- What Not To Say

Further Reading:

Howick et al (2018)

"Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis"

Open Access Link:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047264/

Licciardone et al (2024)

"Physician Empathy and Chronic Pain Outcomes"

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, or leave a review.

Attentive Listening is a popular phrase in clinical communication skills. But what does it mean? And how can we demonstrate that we are attentively listening to the patients in front us? Find out in this episode.

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, or leave a review.

Listening to the patient in front of us and letting them tell their story uninterrupted is one of the most important, and simplest, communication skills to utilise.

The benefits are many. Some are obvious, some more subtle. This episode discusses them all.

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, or leave a review.

Osteoporosis, Osteoarthritis & Inflammatory Arthritis are conditions that many clinicians across many different specialities will see. Being able to have helpful and productive conversations with patients with these conditions is essential for being able to provide great care for them.

Jack March is a Rheumatology Specialist Physiotherapist & Director of Operations for PhysioMatters. You can find him online by searching for “Rheumatology Physio” in whatever social media you use.

His website is here: https://rheumatology.physio/

In This Episode Ben & Jack Discuss:

(00:00:00) – Introduction

(00:00:59) – Music You Might Hear In A Rheumatology Department

(00:01:59) – Jack’s Top Disturbed Song

(00:03:47) – The Metal & Physio Podcast That Didn’t Happen

(00:04:30) – Jack’s New “Low Bone Density” Course

(00:05:15) – How To Explain Osteoporosis To The Patient In Front Of You

(00:09:45) – Is The “Swiss Cheese” Analogy Still Useful?

(00:13:23) – Should We Still Say “Brittle Bones”?

(00:15:55) – What To Say When They Ask “Anything I Should Avoid?”

(00:17:40) – What To Say When They Ask “Is It Curable?”

(00:20:25) – How To Explain Osteoarthritis To The Patient In Front Of You

(00:24:39) – How To Shift Patient Perspectives On Osteoarthritis Away From Wear & Tear

(00:40:00) – What To Say If They Ask “Do I Need An X-Ray?”

(00:41:55) – What Would Trigger You To Consider Asking Additional Inflammatory Screening Questions?

(00:49:05) - When Should We Ask The Inflammatory Screening Questions During A History Taking?

(00:54:00) – What Should We Say To Patients When Referring Them To Rheumatology?

(00:59:00) – How To Explain Inflammatory Arthritis To The Patient In Front Of You

(01:04:00) – Jack’s Hardest Clinical Conversations

(01:17:00) – The FA Cup Semi-Final Incident

(01:21:25) – Jack’s Courses & CPD Resources

(01:22:50) – Jack’s Final Thoughts

You can find Ben on social media: @BWhybrowPhysio

Every clinician has the potential to do the perfect assessment and come up with the ideal treatment plan for the patients needs and aspirations.

However, all of that is useless if they are unable to commit to it and carry out whatever has been discussed.

This episode is all about simple and practical tips you can use with any patient you see to increase their commitment to the shared plan once they get home, so that they are more likely to carry it out, and more likely to think it will help.

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, leave a review & subscribe.

Metaphors are an effective way to help patients easily understand complex ideas we talk about, be it diagnosis, treatment options or prognosis.

In this episode I go through three metaphors I use regularly in clinical practice that most of the patients you see can relate to and will hopefully benefit from, regardless of the speciality you are in.

They are;

The Computer Default Setting (2:04)

The Mobile Phone Analogy (4:30)

The Cocktail Analogy (7:28)

For the visuals on The Cocktail Analogy, you can find them on social media @BWhybrowPhysio or the YouTube video of this Podcast titled "Steal These Metaphors!".

Do let me know how you get on using them and tell me other metaphors you use which you feel are effective, they might just get read out.

If you have suggestions for what would make this resource better, topics to cover or guests to suggest;

Do contact @BWhybrowPhysio on X, Instagram, TikTok and Youtube, leave a review & subscribe.