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Conflict of Interest Slide
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
Introduction Case Studies De-brief Brainstorm Tips/tools to use Practice Wrap Up
Introduction
Where are we as a group?– Who?
DIOs Program Directors Faculty Coordinators/Administrators
– What are our biggest issues?– What can you take home?
Case Studies
Examples of some good and bad conversations
Case Study # 1
“Failure to progress resident”
Case Study # 2
Faculty “misbehavior”
Case Study # 3
Sexual Harassment (resident to resident)
De-brief
De-brief on reactions of the group to the case studies
Brainstorming
Find Your Style
Brief “quiz”.
Can We Talk?
Understand your style and its impact– Competing– Collaborating– Compromising– Avoiding– Accommodating
Adapted from Thomas-Kilmann
Can We Talk?
Multi-dimensional problem solving– Many perspectives– Different objectives– Integrative process
Can We Talk?
Create opportunities for mutual gain– Reframe– Find shared interest– Generate options– Give and get
Can We Talk?
Conflict escalators– Enemy image– Simplification– Polarization– Emotions– Humiliation– Investments– The obsession to win
Can We Talk?
De-escalators– Humanize– Perspective– Save face– Desire to settle– Share savings – Apology
Can We Talk? Process of Change
Self Interest Aligned Interest
Enlarged InterestEnlightened
Interest
Can We Talk?
Getting started:– Define the problem– Find multiple dimensions– Create mutual benefit– Reach agreement
Can We Talk?
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?
What do the parties have to gain/lose? What outcomes are they willing to accept? What outcomes do they want?
Can We Talk?
Generating options:– Brainstorming– Innovation– Flexibility
Questions
