Conflict of Interest Slide l l Miriam Baron

Conflict of Interest Slide l l Miriam Bar-on, MD – Volunteer CLER site visitor with the ACGME Ann Dohn, MA – No conflicts of interest to report

SES 128: Continuing the Conversations…Techniques for Difficult Encounters Miriam Bar-on, MD, DIO, University of Nevada Ann Dohn, MA, DIO, Stanford

AGENDA l l l l Introduction Case Studies De-brief Brainstorm Tips/tools to use Practice Wrap Up

Introduction l Where are we as a group? – Who? l l – – DIOs Program Directors Faculty Coordinators/Administrators What are our biggest issues? What can you take home?

Case Studies l Examples of some good and bad conversations

Case Study # 1 l “Failure to progress resident”

Case Study # 2 l Faculty “misbehavior”

Case Study # 3 l Sexual Harassment (resident to resident)

De-brief l De-brief on reactions of the group to the case studies

Brainstorming

Find Your Style l Brief “quiz”.

Can We Talk? l Understand your style and its impact – – – Competing Collaborating Compromising Avoiding Accommodating Adapted from Thomas-Kilmann

Can We Talk? l Multi-dimensional problem solving – – – Many perspectives Different objectives Integrative process

Can We Talk? l Create opportunities for mutual gain – – Reframe Find shared interest Generate options Give and get

Can We Talk? l Conflict escalators – – – – Enemy image Simplification Polarization Emotions Humiliation Investments The obsession to win

Can We Talk? l De-escalators – – – Humanize Perspective Save face Desire to settle Share savings Apology

Can We Talk? Process of Change Self Interest Aligned Interest Enlarged Interest Enlightened Interest

Can We Talk? l Getting started: – – Define the problem Find multiple dimensions Create mutual benefit Reach agreement

Can We Talk? l Getting started (continued): – – Who are the parties? What is their view of the problem? What are the stakes for them? What is the history of the problem?

Can We Talk? l l l What do the parties have to gain/lose? What outcomes are they willing to accept? What outcomes do they want?

Can We Talk? l Generating options: – – – Brainstorming Innovation Flexibility

Questions

Contact us! l l adohn 1@stanford. edu mbar-on@medicine. nevada. edu