# Presentation: 185414

## General Facilitation Tips for the PACE Seminar

## Overview

- General guidelines
- Background and pointers for:
- Medical management discussion
- Communication skills discussion
- Educational messages discussion
- Case studies

## General Guidelines (1)

- Create a thoughtful, permissive atmosphere
- Model the communication techniques
- Nonverbal attentiveness
- Address immediate concerns
- Interactive conversation
- Use open-ended questions
- Praise participants for valuable contributions
- Be comfortable with the “10 second” pause

## General Guidelines (2)

- Stay to the Script
- Refocus the discussion when off target
- Summarize long answers
- Present alternate viewpoints tactfully
- Ask for other viewpoints: “Does anyone else do this (or think this way)?”
- Ask for consequences: “Are there any possible unintended results?”
- Refer to authoritative sources: “Recent studies suggest...”

## General Guidelines (3)

- Probe for additional comments from group
- “What did you mean...”
- “Does anyone else feel the same way?”
- “You looked like you were about to add something...”
- “Relay” the idea
- Ask if others have had the same experience to draw them into the discussion
- “George, what do you  think about Laura’s comment?”
- Be calm and relaxed

## Overview

- General guidelines
- Background and pointers for:
- Medical management discussion
- Communication skills discussion
- Educational messages discussion
- Case studies

## Medical Management Discussion

- Assess your audience and acknowledge their concerns
- “How do you feel about treating patients using this approach?”
- “I recognize that you only have 12 minutes...”
- Acknowledge the complexity of diagnosis and management
- Keep the discussion focused on the issues involved on the key points
- Defer lengthy discussions on rare conditions or minor points
- Keep your answers short; don’t overwhelm with information

## Medical Management Discussion

- Introduce correct or accepted procedures if ineffective ones are described by participants
- “Many physicians use...”
- “Current guidelines suggest...”
- “My own experience suggests...”
- Prevents misinformation out of politeness or courtesy

## Communication Skills Discussion

- The aim is to enable physicians to link what they saw in the video to what they do in practice
- Most physicians use one or more of these strategies, but may not see this right away
- Not all strategies will fit a physician’s practice style, but one or two will
- Discussion often starts slowly because the material is new
- Repeat the question
- Say “take a minute to think”

## Communication Skills Discussion

- Use the open-ended questions in the manual to start, especially the first two
- If no one can think of anything, ask:
- “How many of you sit when you see patients?”
- “What else do you do to make your patients feel that they have your full attention?”
- Use the tips for involving others:
- Praise people who report using a skill
- Ask them about its effect on their patients
- Ask if others do this as well
- Refocus the discussion if it wanders from the topic of using communication skills

## Educational Messages Discussion

- The purpose is to have physicians share effective ways they have taught patients about these messages
- One physician’s effective strategies can serve as a model for other physicians
- Use questions outlined in the manual for each segment
- Keep it brief (5 minutes per segment)

## Case studies Discussion

- Cases selected fall into the “gray” areas of the asthma guidelines
- There are multiple acceptable ways to approach the management for each case
- Invite comments and suggestions
- Stimulate discussion
- Probe for an “opposing” or alternate view
- Point out advantages and disadvantages of each approach