Clinical Education

Interview With Agnes Jacobs From The Pharmacy Show 2024

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Meducate Academy at The Pharmacy Show 2024

Welcome to Meducate Academy’s 2nd year running Interactive Workshops at The Pharmacy Show 2024!

We are excited to kick off this event by introducing you to Meducate Academy’s mission—empowering healthcare professionals with essential communication and consultation skills. To start, we’ll provide a brief introduction to our distinguished speakers, all experts in their fields, dedicated to guiding you through this learning journey.

Unveiling the Art of Communication

We’ll delve into the fundamental principles of effective communication, especially within the complex dynamics of healthcare settings. Understanding how to connect with patients through clear and empathetic dialogue is crucial in fostering trust and delivering quality care.

Establishing and Nurturing Rapport in Difficult Conversations

In this session, you’ll learn how to build and maintain rapport during difficult discussions. With a focus on active listening and emotional intelligence, we’ll explore how to navigate these challenging situations while preserving a compassionate and professional approach.

Deciphering the Anatomy of a Poor Consultation (Scenario)

Through a scenario-based analysis, we’ll examine the key factors that contribute to a less-than-ideal consultation. This will allow participants to identify common pitfalls and develop strategies for improvement in their own practice.

Physical Examination for Pharmacists: ENT, Cardio, and Manual Blood Pressure

Next, we’ll introduce the essential physical examinations that pharmacists are expected to perform. From ENT and cardiovascular assessments to manually checking blood pressure, you’ll also learn how to identify critical “red flags” during these procedures.

Showcasing a Model Consultation

We’ll present a live demonstration of a model consultation, showcasing best practices in communication, examination, and patient care. This session will highlight the core elements that lead to successful and effective consultations.

Hands-on Practical Workshops

In the practical workshops, you’ll have the chance to get hands-on experience with guidance from our experienced Associate Clinical Educators. This interactive experience will deepen your skills in both consultation and physical assessment.

Insights from Associate Clinical Educators and Participants

You’ll also benefit from the valuable insights shared by both our Associate Clinical Educators and fellow attendees, fostering a collaborative learning environment.

Interactive Question and Answer Session

Finally, we’ll wrap up with an interactive Q&A session. This is your opportunity to ask questions, clarify any doubts, and engage directly with our experts, ensuring you leave the workshop with a clear understanding of the topics covered.

Have a listen to the conversation or read the transcript below and we will hopefully see you at the NEC in October. We look forward to an insightful and engaging day ahead!

Agnes: Hello, everyone! My name is Agnes, and I’m the Content Lead for The Pharmacy Show, which will be returning to Birmingham on the 13th and 14th of October this year. Be sure to mark those dates in your diary if you haven’t already! I’m thrilled to be joined today by Bob from Meducate Academy. I’m also excited to announce that this will be the second year in a row that Bob and his team will be joining us at The Pharmacy Show to deliver a range of workshops. These workshops are designed to help you enhance your consultation and communication skills over the course of the two days. So, thank you, Bob, for being with us today.

Bob: Great to be here again, Agnes.

Agnes: Wonderful! It’s fantastic to have you with us. For those in the audience who may not have heard about Meducate Academy, could you start by giving us a brief overview of what you do?

Bob: Absolutely. So, I founded Meducate Academy in 2018, and I currently serve as its Director. Meducate Academy was established to fill a gap in the training market, not just for pharmacists but also for other healthcare professionals such as medics, nurses, physiotherapists, and physician associates. Initially, much of our work focused on physician associates, but over time, we’ve seen increasing demand from pharmacists due to the upskilling that’s been happening within the profession. Essentially, we provide medical role players—what we call “Associate Clinical Educators”—who are trained in both clinical and communication skills. We’ve been working with several companies, including ProPharmacy, to help pharmacists refine their consultation and clinical abilities.

Agnes: That sounds brilliant. You mentioned a couple of terms there, “Associate Clinical Educators” and “Medical Role Players.” Could you explain the distinction between these roles for those who might not be familiar?

Bob: Sure. I think many people have some awareness of role-playing, particularly how it can simulate real-life situations. It’s used in various industries, but it’s particularly crucial in medicine. A Medical Role Player is someone who is trained in communication skills—how to effectively gather patient history and navigate complex interactions. As they say in medicine, about 80% of a diagnosis comes from obtaining a good history, so communication is vital.

Now, our Medical Role Players go a step further—they’ve been trained in clinical skills, which is why we refer to them as “Associate Clinical Educators.” They are essentially medical role players on steroids! They simulate real-life medical scenarios, such as difficult conversations or handling challenging patients, and provide detailed feedback. For example, we recently did some work with Wolverhampton University, helping pharmacy students manage scenarios like racism in the workplace. It’s all about refining communication to build trust and achieve positive outcomes in real clinical settings.

Agnes: That’s certainly fascinating. I’m going to throw you a bit of a curveball question here. What are the key benefits of learning through role play compared to more traditional learning methods, like being told what to do in a classroom setting?

Bob: That’s a great question. The major benefit of using role players—especially those who are highly qualified like ours—is that we can simulate scenarios very realistically. Actors, while skilled, need additional training to perform medical role plays effectively. Our role players are trained not only to act but also to give expert, measured feedback. For instance, during a scenario, we might call a “time-out” to pause and dissect what’s happening. We offer feedback on what went well, what didn’t, and we’ll go back into the scenario to practice again with improvements. This iterative learning process is much more effective than traditional learning because students get real-time feedback from professionals.

If you’re role-playing with peers or friends, they might tell you everything’s fine, but we focus on constructive criticism. We’re sensitive in our approach, and the aim is to build confidence without the fear of failure. In fact, it’s a safe space to make mistakes so that when you face these situations in real life, you’ll know exactly how to handle them.

Agnes: That makes a lot of sense. Essentially, students are rehearsing real-life situations, which gives them a toolbox to draw from when they face these challenges in their careers.

Bob: Exactly! That’s what it is—rehearsing for real-life interactions. I always tell students, “You’re not acting; you’re being yourself.” That’s the key: we create an environment where they can safely explore these scenarios. We often get students who say, “I didn’t sign up to be a pharmacist to do acting,” and I remind them, “You’re not acting; you’re practising communication.” By doing this in a safe setting, they can make mistakes without consequences, learn from them, and be prepared for real-world situations.

Agnes: I love that. It’s so important to have that space where people feel comfortable learning from mistakes. And I’ve heard that in your workshops, even those who are hesitant at first eventually queue up to get involved!

Bob: Absolutely. It’s about building that initial confidence. Once participants see how it works and how helpful it is, there’s usually no holding them back. We’ve worked with pharmacists recently who were initially hesitant but soon couldn’t wait to jump into the role-play scenarios. Our job is to guide and motivate them, and once they feel comfortable, they’re all in.

Agnes: That’s amazing! Speaking of workshops, could you tell us a bit more about what you’re planning for The Pharmacy Show this year? What can attendees expect to take away?

Bob: Definitely. We’ve got some exciting things planned. We’ll be focusing on key areas of clinical education, especially those that are becoming more relevant as pharmacists take on broader roles. For example, we’ll cover ENT (Ear, Nose, and Throat) examinations and some basic cardiovascular assessments, like how to listen to the heart and take manual blood pressure. Many people rely on electronic blood pressure machines these days, but there’s real value in knowing how to take a manual reading.

In addition to the clinical skills, we’ll be incorporating communication elements throughout the workshops. These sessions will be quite intensive, but we’ve designed them so that participants can either refresh existing skills or learn new ones. Our team of Associate Clinical Educators will be there to guide everyone through the process. I’m really looking forward to it!

Agnes: That sounds fantastic! It’s clear that there’s a lot to look forward to at The Pharmacy Show. For anyone watching who’s intrigued but perhaps a little nervous, I’d encourage you to check out the website and sign up for one of these workshops. You might start at the back of the room, but I’m sure you’ll be drawn in by how engaging and helpful the sessions are!

Bob: Absolutely! We saw that happen last year, and I expect the same this time around. We’ve got a really experienced team who are not just educators but also performers, so they know how to create a fun and engaging environment. We’re here to help everyone feel comfortable, no matter their level of experience.

Agnes: I’m sure the workshops will be just as popular this year! Thank you, Bob, for taking the time to chat with us and give us a sneak peek into what’s coming. For those interested, head over to the Pharmacy Show website and book a time slot that fits around the other events you want to attend. We look forward to seeing you in just a few weeks!

Bob: Thanks, Agnes. I’m really looking forward to it. See you all in Birmingham soon!

Agnes: Absolutely, thanks again, Bob. Take care!

If you are a Pharmacist and wish to sign up for one or more of our free workshops hit the link here www.thepharmacyshow.co.uk and we look forward to seeing you at the NEC in Birmingham.

Contact Meducate Academy today to take your training programs to the next level.

For an informal chat please get in touch with me: bobspour@meducateacademy.com or on 07870 611850

Meducate Academy’s Busy Summer: Preparing for the New Academic Year

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Director of training Bob Spour teaching Physician Associates at The University of Chester

Meducate Academy’s summer season is a hive of activity, focused on preparing for the upcoming academic year. The team is busy refining courses and materials to deliver top-notch medical education. Intensive teaching sessions for Physician Associate programs at Chester University and collaborations with Pharmacy students at The University of Birmingham have been completed recently. New partnerships, including with Cliniskills and The Royal Orthopaedic Hospital in Birmingham, enhance our impact, offering clinical education to students from Aston University and the University of Birmingham. Additionally, we are preparing for The Pharmacy Show at the NEC in October, where we will showcase our expertise in consultation and clinical skills through interactive workshops. Meducate Academy is gearing up for a dynamic year ahead, committed to innovation and excellence in medical education.

Meducate Academy’s summer season isn’t just about kicking back and taking it easy. While the usual hustle and bustle of students may quiet down, behind the scenes, our team is ramping up efforts to ensure we’re ready to deliver high-quality medical education when the new term rolls around.

Teaching and Preparations in Full Swing

Despite the quieter halls, Meducate Academy is abuzz with activity. Our dedicated team is hard at work, fine-tuning our courses and preparing materials for the upcoming academic year. Sessions are still underway, particularly focused on training Physician Associates and Medical Students and preparing for the unique challenges that lie ahead.

Recently, we wrapped up intensive teaching sessions for Physician Associate programs at Chester University and partnered with Pharmacy students at The University of Birmingham, ensuring they are equipped with the latest knowledge and skills needed in their respective fields.

Senior ACE Gregg is teaching and demonstrating the correct way to palpate lymph nodes to a group of pharmacists for our partner's Cliniskills.

Forging New Alliances and Celebrating Success Stories

Summer presents the perfect opportunity for us to expand our horizons and build new partnerships. This year has been particularly fruitful, marked by significant collaborations that promise to elevate Meducate Academy’s impact on medical education.

Among our most exciting new partnerships is with Cliniskills, a respected group of healthcare professionals and educators specializing in healthcare training. Their expertise in patient care and healthcare education aligns perfectly with our mission to provide comprehensive and impactful medical education. We’re thrilled to join forces with Cliniskills as Associate Clinical Educators and Medical Role-players, contributing to their mission of advancing healthcare through targeted development programs.

Additionally, we are honoured to announce our collaboration with The Royal Orthopaedic Hospital in Birmingham, where we will be involved in supplying Associate Clinical Educators for the teaching sessions for medical students from Aston University and the University of Birmingham. These sessions, focusing on Musculoskeletal (MSK) examinations, will be conducted twice weekly throughout the academic terms. This partnership signifies a significant step forward in our commitment to delivering high-quality medical education in collaboration with esteemed healthcare institutions. More Information will follow once we start the sessions in August 2024.

The clinical team and the finest members of Meducate Academy at the University of Chester

Spotlight on Consultation and Clinical Skills Workshops

As if our partnerships weren’t exciting enough, we’re also gearing up for another round at The Pharmacy Show at the NEC in October. This prestigious event provides us with an invaluable platform to showcase our expertise in consultation and clinical skills through interactive workshops. It’s a fantastic opportunity to engage with a diverse audience of healthcare professionals, sharing insights and innovations that define Meducate Academy’s approach to medical education.

Looking Forward

With so much happening behind the scenes during what might appear to be a quiet summer break, Meducate Academy is poised for an exciting year ahead. Stay tuned for more updates and insights as we continue to innovate and excel in medical education through high-fidelity simulation.

Contact Meducate Academy today to take your training programs to the next level.

For an informal chat please get in touch with me: bobspour@meducateacademy.com or on 07870 611850

Meducate’s Recent Achievements & Future Goals In Medical Education

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1st Year Physician Associate students collaborate with an ACE on the patient journey at Chester University

Meducate Academy – Reflecting on Our Recent Achievements and Future Goals in Medical Education

As summer approaches, it’s an ideal time to reflect on Meducate Academy’s accomplishments over the past few months and consider how we can continue to elevate our teaching standards. This period has been marked by a diverse array of topics and students, ranging from potential medical students to seasoned professionals, including pharmacists, physician associates, and doctors.

In this blog post, we’ll take a closer look at the busy months we’ve had at Chester University Medical School, our rewarding engagements with the Physician Associate Programme, and our collaborative efforts with Cliniskills. We’ll also share insights into our expanding reach to Aston and Kensington, ongoing work with the University of Birmingham Pharmacy undergraduates, and the exciting addition of Ruth Newton as our new Advanced Clinical Specialist & Ambassador. Stay tuned for upcoming events and more details on how we are continuously striving to make a meaningful impact in medical education.

Busy Months at Chester University Medical School

The University of Chester Medical School has kept us particularly busy, especially with the new medical school opening in September. Throughout April and May, we conducted numerous interviews to assess prospective students. It’s a privilege to be part of this process, focusing on evaluating candidates’ communication skills and problem-solving abilities. Alongside Mark Reynolds, who played the role of a patient during our roleplay sessions, I acted as an assessor, ensuring we identified students with strong interpersonal skills. While most sessions were held at the university, we also conducted several virtual interviews for international candidates on Teams.

Engaging Physician Associate Students

Our work with the Physician Associate Programme has been equally demanding and rewarding. We’ve primarily engaged with first-year students, helping them apply their foundational knowledge in cardiology, respiratory, gastrointestinal, and cranial nerve examinations. These sessions incorporated high-fidelity simulations to enhance their developing communication skills. The “Patient Journey” simulation, in particular, demonstrated the effectiveness of this blended learning approach.

In medical education, the term “patient journey” refers to the comprehensive pathway a patient experiences from the onset of symptoms to the resolution of their health issue. This concept includes all interactions and processes a patient undergoes within the healthcare system. Our ACEs™ provide the student Physician Associate with a realistic hi-fidelity simulation of a “real patient” Here’s a breakdown of the key aspects:

Initial Encounter: This includes the patient’s first recognition of symptoms and their initial steps to seek medical help, which could involve self-care, consulting with family, or visiting a primary care provider.

Diagnosis: The journey continues with the diagnostic process, where healthcare professionals gather the patient’s history, perform physical examinations, and order diagnostic tests to identify the underlying cause of the symptoms.

Treatment Planning: Once a diagnosis is made, a treatment plan is developed. This could involve medications, surgeries, lifestyle changes, or other therapeutic interventions. The plan may be discussed with the patient and their family, considering their preferences and concerns.

Treatment and Management: This phase includes the implementation of the treatment plan. The patient might need to visit various healthcare providers, undergo procedures, or follow specific regimens. This phase often requires coordination between multiple healthcare professionals.

Follow-up and Monitoring: After the initial treatment, ongoing follow-up is necessary to monitor the patient’s progress, manage any side effects, and make adjustments to the treatment plan as needed. This phase ensures that the patient is recovering well and that any complications are promptly addressed. (This would be discussed with the student but not simulated.)

Outcome and Long-term Care: The patient journey also encompasses the long-term outcomes and any necessary chronic care management. This could involve rehabilitation, ongoing medication, lifestyle adjustments, or palliative care in some cases.

Patient Experience: Throughout this journey, the patient’s experience is a crucial component. This includes their interactions with healthcare providers, the clarity of information provided, emotional support, and overall satisfaction with the care received. In this case, the ACE would give measured and accurate feedback on the process alongside a clinician who would give feedback on the clinical aspects of the interaction.

In medical education, understanding the patient journey is essential for training healthcare professionals to provide holistic and patient-centred care. It helps students and practitioners appreciate the importance of each step in the process and the need for effective communication, empathy, and coordination among healthcare providers to ensure the best outcomes for patients.

Collaborations with Salford University

In the Northwest, we had the opportunity to collaborate with the simulation team at Salford University. Greg and Mark delivered a comprehensive demonstration of musculoskeletal (MSK) examinations, both on-site and via Teams for remote participants. This experience highlighted our expertise in MSK examinations, an area where our founder and director, Bob, continues to make significant contributions at the Royal Orthopaedic Hospital in Birmingham as an independent ACE™.

Our YouTube channel features a full range of MSK examination tutorials, which we encourage those interested to explore.

Expanding Our Reach: Aston and Kensington

Next, we expanded our reach to Aston and Kensington, working with a large team of Associate Clinical Educators (ACEs)™. In collaboration with Cliniskills, we ran several stations to teach pharmacists how to conduct ENT, cardiovascular, and blood pressure examinations. This was very well received and the work will continue into 2025.

Continuing with the theme of pharmacy, we also delivered training on gastrointestinal and respiratory examinations to experienced pharmacists at the Humanitarian Academy for Development. The pharmacists’ enthusiasm and engagement during these sessions were truly inspiring.

Ongoing Work with the University of Birmingham

Our ongoing collaboration with the University of Birmingham’s undergraduate pharmacy program has been highly productive. We have been actively involved in Objective Structured Clinical Examinations (OSCEs) and teaching sessions. In the coming weeks, we look forward to participating in staff training sessions.

Welcoming Ruth Newton and Upcoming Events

We are delighted to welcome Ruth Newton as our new Advanced Clinical Specialist & Ambassador. Ruth, a medical education and nutrition pharmacist at The Countess of Chester Hospital, also serves as a visiting lecturer for the Physician Associate Programme at the University. I’ll be hosting a podcast with Ruth for Meducate Academy soon, so stay tuned for that.

Additionally, we are excited to announce our involvement in this year’s Pharmacy Show at the NEC. Being invited once again as educational partners is an honour, and we look forward to bringing our workshops to a wider audience. More details on this will be shared soon.

In summary, the past few months have been a period of significant activity and achievement. As we move forward, we remain committed to improving our teaching standards and expanding our reach to make a meaningful impact in medical education.

Join us on our journey of advancing healthcare education and empowering professionals for the challenges that lie ahead. Stay updated on our upcoming training sessions and university collaborations by bookmarking and following our blog Associate Clinical Educators.

If you’re a Clinical Lead or Medical Role Player and wish to discuss working with Meducate Academy Ltd., or if you would like us to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

 

Effective Clinical Communication: A Guide for Associate Clinical Educators

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Meducate Academy Founder, Bob, assists a Pharmacy Undergraduate in managing a challenging patient encounter
Meducate Academy Founder and Training Director Bob helps a Pharmacy Undergraduate deal with a difficult patient

Navigating the intricacies of clinical communication is imperative for Associate Clinical Educators as they mould the next generation of healthcare professionals. Understanding this necessity, I’ve meticulously crafted a condensed yet thorough resource to bolster teaching efforts. Whether guiding budding medical practitioners or refining personal aptitude, this guide is designed to serve as an invaluable asset.

Mike Kinsella, Associate Clinical Educator, emphasizes effective communication during a cardiovascular exam with Undergraduate Pharmacists at The University of Birmingham
Associate Clinical Educator Mike Kinsella explains the importance of good communication with Undergraduate Pharmacists at The University of Birmingham

As an Associate Clinical Educator, it’s crucial for us to periodically revisit the expectations we have for our students concerning clinical communication. Recognizing this need, I’ve developed a concise yet comprehensive aid to assist you during your teaching endeavours. Whether you’re guiding aspiring medical professionals or refreshing your understanding, this simplified aide memoire aims to be a valuable resource for all.

In the realm of medicine, effective communication is not just a skill; it’s an art form. From conveying critical information to patients and their families to collaborating seamlessly with colleagues, the ability to communicate clearly and empathetically is paramount for any healthcare professional. In this guide, we delve into the importance of clinical communication for healthcare providers and offer valuable insights to help master this essential aspect of medical practice.

Why is Clinical Communication Important?

Clear and effective communication lies at the heart of quality healthcare delivery for several reasons:

1. Patient Understanding: Patients often come to healthcare settings feeling vulnerable and anxious. Clear communication helps them understand their condition, treatment options, and what to expect, fostering trust and cooperation.

2. Informed Decision-Making: Informed consent is a cornerstone of medical ethics. Effective communication ensures that patients have the information they need to make decisions about their care that align with their values and preferences.

3. Team Collaboration: Healthcare is rarely a solitary endeavour. Effective communication among healthcare teams is crucial for coordinated care, preventing errors, and optimizing patient outcomes.

4. Empathy and Support: Patients and their families are not just cases; they are human beings facing challenging circumstances. Empathetic communication can provide comfort and support, improving the overall patient experience.

Key Principles of Clinical Communication

1. Active Listening: This involves not just hearing, but truly understanding what the patient is saying. Pay attention to both verbal and nonverbal cues, and encourage patients to express their concerns and preferences.

2. Clarity and Simplicity: Medical jargon can be confusing for patients. Use plain language and avoid technical terms whenever possible. Ensure that patients leave consultations with a clear understanding of their condition and treatment plan.

3. Empathy and Respect: Treat patients with dignity and respect, and strive to understand their perspectives and emotions. Empathy goes a long way in building trust and rapport.

4. Cultural Competence: Recognize and respect cultural differences that may influence communication preferences and healthcare decisions. Tailor your approach accordingly to ensure effective communication across diverse patient populations.

5. Nonverbal Communication: Body language, facial expressions, and tone of voice can convey as much meaning as words. Maintain eye contact, use open body language, and convey warmth and compassion in your interactions.

6. Adaptability: Every patient is unique, and what works for one may not work for another. Be flexible in your communication style, adapting it to suit the individual needs and preferences of each patient.

Tools and Techniques for Improving Clinical Communication

1. Patient-Centered Communication Models: Familiarize yourself with frameworks such as the SPIKES protocol for breaking bad news or the teach-back method for confirming patient understanding. These structured approaches can help streamline communication and ensure key points are addressed.

2. Role-Playing and Simulation: Practice communication skills through role-playing exercises or simulation scenarios. This allows you to hone your abilities in a safe and supportive environment, receiving feedback from peers and mentors.

3. Continuing Education: Attend workshops, seminars, and online courses focused on communication skills in healthcare. Continuing education opportunities can provide valuable insights and strategies for enhancing your clinical communication abilities.

4. Feedback and Reflection: Solicit feedback from patients, colleagues, and supervisors on your communication skills. Reflect on your experiences, identifying areas for improvement and setting goals for ongoing development.

Conclusion

Effective clinical communication is not just a desirable skill; it’s an ethical imperative and a cornerstone of quality healthcare delivery. By embracing principles of empathy, clarity, and cultural competence, healthcare providers can forge stronger connections with patients, facilitate informed decision-making, and ultimately improve patient outcomes. Through ongoing practice, education, and reflection, mastering the art of clinical communication is within reach for every healthcare professional.

Join us on our journey of advancing healthcare education and empowering professionals for the challenges that lie ahead. Stay updated on our upcoming training sessions and university collaborations by bookmarking and following our blog Associate Clinical Educators.

If you’re a Clinical Lead or Medical Role Player and wish to discuss working with Meducate Academy Ltd., or if you would like us to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

Mastering Leadership in Medical Training: A Comprehensive Guide

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Meducate Academy ACEs emphasise collaboration, innovation, and excellence in the dynamic field of medical training.

Discover practical insights for effective leadership in medical training with a focus on key concepts like the SMARTER model, team management styles, and situational leadership. Our guide discusses the importance of self-reflection, pacing in leadership, and applying a model based on environment, behaviour, beliefs, values, identity, and vision. Emphasizing collaboration, innovation, and excellence in the dynamic field of medical training, the guide outlines a commitment to empowerment and transformative leadership. Exploring leadership styles, it concludes with an overview of directing, coaching, supporting, and delegating, offering detailed behavioural approaches. A valuable resource for healthcare professionals navigating the complexities of leadership in medical training.

In my extensive experience collaborating with various organizations and overseeing my personal ventures, such as managing one of the largest Muay Thai groups in the UK and founding the Meducate Academy, I’ve come to understand the essence of effective leadership. Leading from the front, actively participating, and providing support are pivotal elements in successful leadership—a stark contrast to organizations merely paying lip service to teamwork.

Frustration often arose when working for teams that didn’t align actions with their words. This discontent led me to prefer entrepreneurial pursuits, where I could both work for myself and empower others. Many have asked me about the qualities of a good leader, prompting me to reflect on and document my fundamental leadership principles.

Here’s a concise overview of key ideas I apply daily. Your insights and experiences on these concepts are highly encouraged:

“When the best leader’s work is done, people say, ‘We did it ourselves’.”

Embrace the SMARTER Model:

· Specific
· Measurable
· Achievable
· Realistic
· Timely
· Ecology
· Resources

Recognize the 4 team management styles, with the ultimate aim of becoming a situational leader:

· A boss has conscripts; a leader has recruits.
· A boss wields power; a leader holds influence.
· A boss says “I will”; a leader says “we will.”
· A boss gets people to do things; a leader inspires them to want to do things.
· A boss is obeyed; a leader is followed.

Reflect on your leadership role in life:

· Identify existing leadership roles.
· Consider where you serve as a role model.
· Define what aspect of leadership appeals to you.
· Explore why you want to be a leader and what it will bring you.

Understand the importance of pacing in leadership, acknowledging and aligning with others’ starting points.

Pacing in Organizations Leading in Organizations:

· Manager – Leader

o Seeks control. – Facilitates change
o Keeps procedures going. – Creates new procedures
o Does things right. – Does the right things
o Mainly at the neurological level of skill. – At the neurological level of identity
o Administration. – Innovation
o Get people to do things. – Get people to want to do things by appealing to their beliefs and identity

When thinking about leadership and team building I tend toward using the following model:

ENVIRONMENT

Current Circumstances: Engaged in the dynamic field of medical training, navigating the challenges and opportunities that arise within this evolving landscape.

Workplace Details and Colleagues: Collaborating with a diverse team of healthcare professionals, educators, and administrators. Thriving in an environment that values innovation, teamwork, and excellence in medical education.

Daily Routine and Impact on Others: Diligently shaping the medical training landscape. My contributions positively impact colleagues by fostering a culture of continuous learning, effective collaboration, and patient-centred care.

BEHAVIOR AND CAPABILITIES

Skills and Appreciated Qualities: Demonstrate proficiency in your relevant skills, with a keen ability to specialise.

Recognized Strengths and Praised Attributes: Acknowledged for Specific Strengths, including Strategic Planning, and Decision-making. Colleagues appreciate my Attributes, e.g., empathy that enhances team dynamics and elevates the workplace culture.

Communication Skills: Possess strong verbal and written communication skills, effectively conveying complex medical concepts to diverse audiences. Recognized for fostering open communication and active listening within the team.

BELIEFS AND VALUES

Importance of Leadership: Hold a deep conviction regarding the transformative power of leadership in advancing medical training and healthcare. Believe that strong leadership is instrumental in creating a positive impact on both professionals and patient outcomes.

Desired Accomplishments: Aspire to your Leadership Goals, e.g., enhance medical curriculum, and foster interdisciplinary collaboration to contribute significantly to the advancement of medical education. Committed to achieving tangible outcomes that reflect excellence and innovation.

Beliefs About Good Leadership: Adhere to the philosophy that good leadership involves your Leadership Philosophy, e.g., empowering others, leading by example. Value collaborative decision-making, inclusivity, and a visionary approach to navigating challenges in the medical field.

IDENTITY

Self-Perception as a Leader: Embrace my role as a leader with humility, recognizing the privilege and responsibility it entails. Strive to be an authentic, approachable leader who leads with integrity and empathy.

Alignment with Personal Values and Lifestyle: Align leadership practices with your values, e.g., integrity, and continuous learning. Integrate leadership seamlessly into your lifestyle, emphasizing the importance of a balanced and purposeful approach.

Preferred Leadership Models: Draw inspiration from leadership models that prioritize your Preferred Leadership Models, e.g., servant leadership, and transformational leadership. Continuously seek to evolve and refine your leadership style to meet the evolving needs of the medical training landscape.

VISION

Motivations for Leadership: Motivated by the opportunity to contribute to the future of healthcare through impactful leadership in medical training. Aspire to inspire and nurture the next generation of healthcare professionals.

Vision Fuel Sources: Driven by a vision fueled by:

· Personal development: Constantly evolving as a leader and learner.
· Relationships: Building strong, collaborative partnerships within and beyond the medical community.
· Family: Striving for a healthcare system that prioritizes the well-being of families and communities.
· Work: Envisioning a workplace that values innovation, inclusivity, and continuous improvement.
· Health: Committed to promoting health and wellness within the medical community.
· Leisure: Finding inspiration and rejuvenation in moments of leisure to sustain passion and commitment.

This leadership CV encapsulates a commitment to mastering leadership within the intricate realm of medical training, emphasizing collaboration, empowerment, and a transformative approach to leadership.

Exploring Leadership Styles and Behaviours

1. Directing: Providing Specific Instructions and Close Supervision

In the directing leadership style, a leader takes charge by offering precise instructions and closely overseeing tasks. This approach is often employed in situations where clarity and control are paramount. A directing leader provides a roadmap for team members, leaving little room for interpretation. This style is effective in high-stakes scenarios where immediate decisions and actions are crucial.

Behavioural Approach: Directive

· Structure: Clearly outline tasks, goals, and expectations.
· Supervise: Monitor progress closely, ensuring adherence to guidelines.
· Control: Establish a controlled environment, maintaining order and discipline.

2. Coaching: Directing, Supervising, Explaining, Soliciting Suggestions, and Supporting Progress

Coaching involves a more interactive leadership style, where the leader not only provides guidance but actively engages with team members. This approach includes explaining decisions, seeking input, and offering support for personal and professional growth. The coaching style is effective in developing team members’ skills and fostering a collaborative environment.

Behavioural Approach: Directive and Supportive

· Structure: Provide a framework while encouraging input.
· Supervise: Offer guidance and support, ensuring progress.
· Listen: Actively engage with team members, seeking and valuing their input.
· Encourage: Support individual and team progress, praising achievements.

3. Supporting: Facilitating and Supporting Subordinates’ Efforts

The supporting leadership style involves empowering team members by offering guidance and facilitating their efforts. This approach values collaboration and shared responsibility for decision-making. Leaders who adopt this style create an environment where individuals feel supported and encouraged to contribute their ideas and skills.

Behavioural Approach: Supportive

· Praise: Acknowledge and appreciate team members’ contributions.
· Facilitate: Enable collaboration and provide necessary resources.
· Listen: Foster open communication, valuing diverse perspectives.
· Encourage: Cultivate a supportive atmosphere, promoting shared responsibility.

4. Delegating: Turning Over Responsibility and Problem-Solving

Delegating is a leadership style where the leader entrusts team members with responsibilities and problem-solving tasks. This approach relies on the expertise and autonomy of team members, promoting a sense of ownership. Leaders who adopt a delegating style empower their team to take initiative and showcase their skills.

Behavioural Approach: Supportive

· Praise: Recognize achievements resulting from delegated responsibilities.
· Facilitate: Ensure team members have the necessary resources and support.
· Listen: Encourage open communication for effective problem-solving.
· Encourage: Reinforce a culture of initiative and autonomy.

Avoiding Seagull Management: Consistent Commitment and Engagement

Seagull management, characterized by swooping in, creating chaos, and departing, is detrimental to effective leadership. Leaders should steer clear of this approach and instead focus on consistent commitment and engagement. Effective leadership requires ongoing dedication to understanding team dynamics, fostering a positive work environment, and providing continuous support. By avoiding the pitfalls of seagull management, leaders can establish trust, build strong teams, and achieve sustained success in their endeavours.

If you’re a Clinical Lead and wish to discuss working with Meducate Academy Ltd., we would love to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

Empowering Medical Education: Meducate Academy’s 2023 Achievements

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Celebrating a dynamic year marked by unprecedented success for Meducate Academy, our journey unfolds with dedicated professionals actively sharing expertise with diverse students, from Physician Associates to Pharmacists. At the heart of our triumphs lies The Pharmacy Show, a pinnacle event in the pharmaceutical landscape, propelling us to be educational partners once again in 2024. Our impactful Consultation and Clinical Skills Workshops, collaborations with esteemed institutions, and a partnership with Cliniskills underscore our commitment to upskilling Pharmacists. As we bid farewell to 2023, stay tuned for undisclosed projects set to revolutionize Pharmacy in 2024. Join us on this empowering journey, and let’s make 2024 another year of triumph and excellence in medical education. Read on…

It has been an exceptionally dynamic period for Meducate Academy, marking our busiest year to date. The thriving momentum is not only a cause for celebration within the company but also for the dedicated professionals collaborating with us. Over the past months, our experts have been actively sharing their wealth of knowledge with a diverse group of students, ranging from Physician Associates, Nurses, and Medical Students to recently added Pharmacists.

In the context of our recent endeavours, it is noteworthy to highlight the resounding success we experienced at The Pharmacy Show held at the NEC. The positive response was so overwhelming that we have been invited to be educational partners once again in 2024, with an even larger venue for our Practical, Clinical, and Consultation Forum. This time, the forum unfolded in a 30-seater theatre space right in the heart of the NEC, as captured in the attached video.

Meducate Academy Teaching at The Pharmacy Show 2023 at the NEC BirminghamThe Pharmacy Show, held at the NEC Birmingham is a hallmark event in the pharmaceutical landscape and has become a resounding success for us, prompting our invitation to serve as educational partners once again in 2024. The overwhelming response has necessitated a move to an even grander venue to accommodate our expanding Practical, Clinical, and Consultation Forum.

In the previous edition, our Forum unfolded within the dynamic ambience of a 30-seater theatre nestled at the heart of the NEC, as vividly captured in the attached video. The success of this endeavour has propelled us to secure an even larger space for the upcoming event, ensuring an immersive and enriching experience for all participants.

Speaking of success, our significant achievements at The Pharmacy Show underscore its position as the UK’s foremost provider of education and communication for community pharmacists. Boasting a legacy of over 40 years, The Pharmacy Show is synonymous with industry excellence and is celebrated for its influential publications such as Pharmacy Magazine, Training Matters, P3Pharmacy, Independent Community Pharmacists, and Counterintelligence Plus.

Notably, The Pharmacy Show extends its reach into the digital realm through The Pharmacy Network (TPN), a robust platform with a staggering 100,000 registered individuals. Participating in this show is not just a presence; it is a testament to the honour bestowed upon us as contributors to a community that values knowledge dissemination and professional development. As we gear up for the 2024 edition, the prospect of engaging with a broader audience and contributing to the growth of the pharmaceutical landscape fills us with anticipation and pride.

Our Consultation and Clinical Skills Workshops garnered immense interest, with some sessions even selling out. The feedback received from participants was outstanding, leading to invitations to conduct workshops at the BPSA Eastern Region conference at Nottingham University, where student feedback was similarly commendable.

A notable attendee at The Pharmacy Show was Ruth Edwards, the Head of the Pharmacy School, with whom we have established a working relationship at Wolverhampton University School of Pharmacy. This collaboration extends to assisting in their Undergraduate program and contributing to their OSCEs in the upcoming year.

Our involvement in Clinical and Consultation skills training aligns with the recent government directive mandating the upskilling of Pharmacists from 2024 onward. This initiative has already commenced at the University of Birmingham and Wolverhampton University, and we are enthusiastic about sustaining these relationships into the future.

A significant project on our agenda involves a partnership with Cliniskills, providing Clinical Examination Skills Training for Community Pharmacists. This fully funded, free-to-access resource, tailored for community pharmacists, aims to enhance their ability to assess patients, treat common conditions, and identify high-risk presentations. The positive reception at venues in Birmingham and Bristol has us eagerly anticipating future sessions in Manchester and Slough.

A substantial portion of our work involves collaboration with Physician Associates at Chester University, led by James Ennis. The continuous growth of our relationship with students is a testament to the dedication of the teaching team, which remained unwavering even throughout the challenges posed by the pandemic.

The last Physician Associate cohort at The University of Wolverhampton 2023

While we bid farewell to the PA program at Wolverhampton University, we celebrate the ongoing collaborations with various institutions, leading to new projects and partnerships. Noteworthy among these is our involvement with Dr Gareth Nye at Chester University, who teaches Bio-med students, and our support for the new Medical School at Chester, actively recruiting students for their MBChB course.

Our commitment to supporting diverse medical education extends to specialized areas, such as Obs and Gynae and Male Intimate Examinations. A recent project at Hastings House GP practice showcased our expertise, benefiting Paramedics, Pharmacists, and a Physician Associate keen on keeping their skills up to date.

A special mention goes to University College Birmingham, where we were invited by the Head of School Marina Kendrick to conduct a communication and consultation skills workshop with Undergraduate Nurses. The engaged participation of students made for a memorable and productive day.

As the year draws to a close, we express our gratitude to our dedicated team of ACEs, whose belief and commitment have been instrumental in Meducate Academy’s success. We extend our thanks to the students who have actively contributed to refining our skills and to our valued customers, both new and old.

As we look forward to the new year, we anticipate exciting developments, including undisclosed projects set to impact Pharmacy in 2024. Stay tuned for more information in January 2024, and here’s to another year of success and growth. Wishing you all a Happy New Year, and let’s do it again in 2024!

If you’re a Clinical Lead and wish to discuss working with Meducate Academy Ltd., we would love to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

Meducate Academy’s Exciting Collaboration with Cliniskills: Transforming Healthcare Training

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Meducate Academy at The University of Chester Medical School

Meducate Academy is excited to announce its transformative collaboration with Cliniskills, a leading healthcare training company dedicated to equipping healthcare providers with cutting-edge skills in response to the evolving healthcare landscape. Recognizing the challenge of balancing work and skill development, Cliniskills offers flexible, tailored training solutions rooted in real-world expertise. Their initiative for community pharmacists, developed in partnership with the NHS, empowers them with critical diagnostic skills. In this partnership, Meducate Academy supplies Associate Clinical Educators to support Cliniskills’ training efforts, aiming to enhance healthcare training programs’ effectiveness and drive positive outcomes. Together, they are committed to shaping the future of healthcare education and empowering professionals in a rapidly changing healthcare environment.

As summer bids farewell, we are delighted to unveil a significant development from Meducate Academy that promises to shape the future of healthcare training. We are thrilled to announce our latest collaboration with Cliniskills, a distinguished healthcare training company that stands at the forefront of adapting to the ever-evolving healthcare landscape.

In an era where healthcare roles and demands are in constant flux, Cliniskills remains steadfast in its mission to empower healthcare providers and practitioners with cutting-edge training programs. These programs are meticulously designed to equip them with the skills and knowledge needed to proactively respond to the dynamic healthcare environment.

The Challenge of Balancing Work and Skill Development

Cliniskills recognizes the delicate balancing act that healthcare professionals face. They must juggle demanding workloads with the imperative need for continuous skill development. To address this challenge, Cliniskills offers flexible and best-practice training solutions that allow individuals to enhance their expertise while operating in diverse, multi-disciplinary settings.

Expertise Rooted in Real-world Experience

What sets Cliniskills apart is its team of healthcare professionals and experts in healthcare higher education. Their wealth of firsthand experience translates into a deep understanding of the transformative potential of targeted development in both the public and private healthcare sectors.

Tailored Training for Transformative Outcomes

One of Cliniskills’ key strengths is its ability to collaborate closely with organizations to tailor training and development programs to align with their specific workforce transformation goals. Their comprehensive offerings encompass online learning, hands-on training, or a combination of both, all designed to meet the unique requirements of each organization. Additionally, they are equipped to provide face-to-face training at convenient times and locations, ensuring they cater to organizational needs effectively.

Parbir Jagpal BEM
Parbir Jagpal BEM Director of Operations at Cliniskills

A Noteworthy Initiative: Transforming Community Pharmacy

One noteworthy initiative by Cliniskills is their fully funded clinical examination skills training resource, developed in collaboration with the NHS and specifically tailored for community pharmacists. Recognizing the pivotal role of community pharmacists in managing acute and long-term conditions, Cliniskills equips them with essential skills. These skills enable pharmacists to assess patients, diagnose common and high-risk conditions, and identify high-risk red-flag cases. This training supports pharmacists during a period of exciting workforce transformation, enabling them to deliver the clinical services that community pharmacies will increasingly provide.

Meducate Academy’s Contribution

In this groundbreaking partnership, Meducate Academy’s role is to supply the highest quality Associate Clinical Educators to support Cliniskills’ endeavours with hi-fidelity simulation and teaching. This collaboration aims to enhance the effectiveness of healthcare training programs and drive positive outcomes for both individual practitioners and the healthcare organizations they serve.

As summer fades away, the future of healthcare training shines brighter than ever, thanks to the synergy between Meducate Academy and Cliniskills. Together, we are committed to empowering healthcare professionals with the skills and knowledge they need to thrive in a rapidly changing healthcare landscape. Stay tuned for more updates as we embark on this transformative journey to shape the future of healthcare education.

If you’re a Pharmacy Clinical Lead and wish to discuss working with Meducate Academy Ltd., we would love to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

Adapt, Improvise, Excel: How ACEs Deliver Effective Educational Content

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University of Newcastle Physician Associate 2nd year cohort
We were invited to teach MSK skills to University of Newcastle Physician Associate 2nd year cohort in preparation for their upcoming OSCEs.

Being an Associate Clinical Educator (ACE) is a rewarding and dynamic role that contributes to the education and growth of future healthcare professionals. The ACEs receive immense fulfilment from positive student feedback and witnessing their progress. The job brings excitement and unpredictability, requiring adaptability and improvisation to deliver effective educational content. ACEs gain valuable experience from working with diverse clinicians, undergo regular training and evaluation to stay updated, and ensure the quality of education. Recently, at Newcastle University Medical School, a four-person ACE team provided comprehensive MSK examination training and extended support in other areas of healthcare education. The students appreciated learning from experienced ACEs and requested guidance on various exams. Despite time constraints, consultation skills were briefly covered, and a group Q&A session concluded the day. Gratitude was expressed to the university staff for their collaboration in creating a valuable learning environment.

Experienced Associate Clinical Educator (ACE), Mark Reynolds, collaborates with experienced clinicians from the FRCS (Fellowship of the Royal College of Surgeons) at the prestigious Royal Orthopaedic Hospital
Experienced Associate Clinical Educator (ACE), Mark Reynolds, collaborates with experienced clinicians from the FRCS at the prestigious Royal Orthopaedic Hospital

Working as an Associate Clinical Educator (ACE) is an incredibly fulfilling and stimulating role. ACEs play a vital role in the education and development of future healthcare professionals, and the rewards of this position are often experienced on a personal and professional level. The positive feedback received from students after a job well done is a source of immense fulfilment. Knowing that your efforts have contributed to their growth and progress is a testament to the significance of the ACE role.

One aspect that makes this role exciting is the unpredictability it brings. The subject matter can change at a moment’s notice, from cranial nerves to a cardio examination with a roleplay element added spontaneously. These unexpected twists and turns add an element of excitement and keep the role fresh and invigorating. As ACEs, it is crucial to be adaptable and ready to improvise, as this flexibility ensures the effective delivery of educational content.

The ability to adapt and improvise stems from the wealth of experience ACEs gain from working with clinicians from diverse backgrounds. This experience equips them with the necessary skills and knowledge to handle various teaching scenarios. To ensure the continuous professional development of ACEs, regular training sessions and a rigorous evaluation process are implemented. These measures not only guarantee that ACEs are up to date with the latest advancements but also uphold the quality of education they provide.

Recently, at Newcastle University Medical School, we had the privilege of teaching MSK examinations to 2nd Year Physician Associate students. Musculoskeletal (MSK) is one of our specialties, and our expertise in this field is derived from training with renowned clinicians and collaborating with members of the FRCS. Our knowledge is cutting-edge, ensuring that students receive the most up-to-date information.

Experienced MSK ACE Howard takes the student through the details of a Spine examination at The University of Newcastle
At The University of Newcastle, experienced MSK Associate Clinical Educator (ACE), Howard, expertly guides students through the intricacies of a spine examination

The positive feedback we received from our previous visit to Newcastle prompted the university to invite us back for further training. While the students initially exhibited some reticence, having only practiced on each other, our four-person ACE team quickly alleviated their fears. The advantage of having a small student-to-ACE ratio allowed us to delve into details and answer their questions promptly and effectively. We covered a range of MSK examinations, including the hip, knee, shoulder, and spine. Additionally, we fulfilled requests for hand and ankle exams, ensuring a comprehensive learning experience. Our instruction included all the special tests for MSK, providing continuous feedback to aid their learning. The students greatly appreciated the opportunity to learn from experienced ACEs rather than relying solely on practicing with their peers. One student even humorously remarked that it was a case of the blind leading the blind!

Surprisingly, some students were amazed at our level of knowledge of other body systems. They requested that we check their cardio, GI, and respiratory exams ahead of their upcoming OSCEs (Objective Structured Clinical Examinations). As ACEs, our expertise extends beyond our specialization, allowing us to provide guidance and support in various areas of healthcare education.

Although time constraints prevented us from fully exploring consultation skills, we provided the students with a brief overview of the basics. We reassured them that their history-taking skills were up to par for their current stage of training.

As the day came to an end, we conducted a group Q&A session to address any remaining questions. We expressed our gratitude to the students for their active participation and made the journey back to Birmingham, reflecting on the meaningful interactions and knowledge shared.

We would like to extend our heartfelt thanks to Alice Fitzpatrick, Year 2 & EDI Lead for MSc Physician Associate Studies, and Emma McAllister, Degree Program Director, MSc Physician Associate Studies, for granting us the opportunity to teach at Newcastle University. Their support and collaboration have been instrumental in fostering a rich learning environment for the students.

In Other News…

Exciting times are ahead for Meducate Academy as we prepare to launch our latest offering: Pharma Pathways. This is a programme of training designed to support clinical pharmacists. In collaboration with experienced Clinical Lecturers in Clinical Pharmacy, we aim to assist pharmacists in meeting the new government directive regarding consultation and clinical skills training. Through our dedicated ACEs and Medical Roleplayers, who possess decades of experience working with healthcare professionals such as Physician Associates and Nurses, we are committed to delivering comprehensive support.

Currently, Meducate Academy supplies ACEs and Medical Roleplayers to pharmacy programs at both the University of Wolverhampton and Birmingham, further expanding our reach and impact in the field of healthcare education. Pharma Pathways has been created to offer educators access to ACEs and Medical Roleplayers.

In conclusion, the role of an Associate Clinical Educator is undeniably fulfilling, interesting, and exciting. It provides opportunities for personal growth and professional development while positively influencing the education and future careers of aspiring healthcare professionals.

 

If you’re a Pharmacy Clinical Lead and wish to discuss working with Meducate Academy Ltd., we would love to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

Mastering The Skill of Listening: A Key To Patient-Centred Care

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Image showing Meducate Academy teaching consultation skills to a group of pharmacists during their Clinical Pharmaceutical Team Meeting.
Meducate Academy Teaching Consultation Skills to Pharmacists at their Clinical Pharmaceutical Team Meeting

In this article, we explore the role of ACEs in healthcare education and the importance of effective communication skills. We discuss the impact of active listening on building rapport with patients and avoiding miscommunication. Drawing insights from experienced pharmacists, we address the challenges of difficult conversations in healthcare. We also highlight the wisdom of Plutarch and the practicality of Anatol Rapoport’s rules for navigating such conversations. By emphasizing the collaborative nature of communication and its life-saving potential, we stress the significance of effective listening skills. ACEs and healthcare professionals are encouraged to prioritize listening as a foundational skill and utilize tools like the Rappoport Rules for improved communication.

Image of Agenda of Pharmaceutical Team Meeting at Dudley College of Technology
Pharmaceutical Team Meeting at Dudley College of Technology Agenda featuring Meducate Academy

How often do you hear what someone is saying but fail to truly listen? How frequently do you find yourself waiting for the person to finish speaking so that you can assert your own thoughts, often with a prepared speech centered around your own agenda, without genuinely addressing the original question? These are the subjects I intend to explore in my writing this month.

As ACEs (Associate Clinical Educators), it is necessary and important that we provide accurate feedback on students’ technical competencies. The feedback should, of course, be relevant and precise, enabling the students to develop as safe practitioners. Another essential aspect of our role is to assist students in developing effective communication tools to establish rapport and gain the trust of simulated patients. This becomes particularly relevant when students embark on their journey to master the art of effective history-taking, marking their initial exploration of the realm of effective communication.

I always emphasize to students that the essence of communication lies in the response one receives. This is crucial because failing to genuinely listen to the patient can result in miscommunication. Each party brings their own agenda to the conversation – the clinician and the patient have their respective goals. It is no wonder that communication can be seen as something of a dark art. Therefore, the role of the ACE is to carefully guide the students through the process.

Always remember that a conversation is a partnership. It is a collaborative process, led by the patients’ ideas, concerns, and expectations, with the clinician and the patient working together.

This topic emerged during a recent Clinical Pharmaceutical Team Meeting held at Dudley College, where my colleague Mark Reynolds and I were invited to speak about Enhancing Consultation Skills to a group of highly experienced Pharmacists. In addition to discussing generic communication skills, we presented a couple of scenarios illustrating poor and effective communication and engaged in discussions on the points raised.

One of the key themes that emerged from the pharmacists was the common problem of patients demanding specific drugs, such as antibiotics, and how to handle such situations. Another recurrent theme was the instances of angry patients being informed about the cost of prescriptions. In other words, the main focus of the discussion revolved around managing difficult conversations.

Effectively navigating a difficult conversation requires active listening, and most of the attendees were eager to hear our thoughts on this matter. Like any skill, it demands constant practice and simply paying attention to the conversation. However, finding the time to listen is challenging in today’s busy pharmacy or GP surgery, where restrictions are imposed on the duration of patient interactions. Nonetheless, learning this skill is vital.

In order to build rapport and gather important information, we allow the patient to talk and express their needs. This is of utmost importance.

Greek philosopher Plutarch, Greek philosopher philosopher, writer, magistrate and priest
Plutarch, Greek philosopher, writer, magistrate, and priest who lived during AD 46, extensively wrote about the subject of listening

Plutarch, the philosopher, writer, magistrate, and priest who lived during AD 46, extensively wrote about the subject of listening. It might be useful to briefly examine his views, as expressed in one of his letters to a young man about to embark on his studies. He discusses different types of listeners: the Lazy Listener, the Scornful Listener, the Excited Listener, and the overly confident listener.

The lazy listener is someone who only listens for information that interests them and shows no interest in what the speaker is saying. They wait for their turn to expand on their own interests, paying little attention to the speaker’s main topic of conversation. The scornful listener is judgmental of alternative ideas or beliefs, as they adhere strictly to their own set of values and beliefs. Plutarch notes that judgment is, in fact, a distraction of the mind, and these types of listeners tend to develop a distorted view of what is actually being said. It is better to have an open mind, he says – a sentiment with which I wholeheartedly agree. We must not let the speaker’s performance distract us from paying attention. Otherwise, we will quickly forget our purpose and potentially miss valuable information. Finally, Plutarch talks about the Overconfident Listener, who assumes they know what the speaker means right from the start and fails to listen for subtle, sometimes hidden, cues in the conversation. When this happens, it is important to step back and actively listen.

Even Plutarch recognized that a conversation is a collaborative process. The responsibility for the outcome of a conversation rests with the listener and with healthcare professionals. Achieving the correct outcome is crucial, and listening can literally save lives.

Throughout my experience as an actor, comedian, corporate trainer, NLP trainer, and associate clinical educator, I have employed various methods to teach communication skills to students in different fields of study. From armed response teams to salespeople, from actors to presenters, and more recently to physician associates, pharmacists, nurses, and young doctors, the process remains the same: learning to listen first and foremost.

At the recent Team Meeting in Dudley, I extensively discussed the use of Rapoport Rules as a valuable tool for communication skills. I encountered these rules a few years ago and have always wondered why they are not more widely known. Anatol Rapoport, a Russian-born American game theorist, developed a set of rules for handling difficult conversations:

  • Clearly re-express your conversation partner’s position, defining your understanding of what they want. This ensures clarity in the conversation and prevents you from straying off course with your own assumptions.
  • List points of agreement with your partner to develop rapport further.
  • Always mention something you have learned from the person you are talking with, further building agreement.
  • Only then can you proceed to disagree or compromise with the person. You can see how these rules can be helpful when patients hold fixed beliefs about vaccines, antibiotic use, or various other treatment-related ideas.

I encourage you to follow and practice these steps each time you engage in a difficult conversation. If you are an ACE, please be aware of these tools and pass these skills on to students during their history-taking sessions. The positive impact will be appreciated by everyone.

Next month, I will be talking about our work with Newcastle University PA program teaching musculoskeletal (MSK) examinations.

 

If you’re a Pharmacy Clinical Lead and wish to discuss working with Meducate Academy Ltd., we would love to give you a demonstration and a workshop at your institution.

Please contact: bobspour@meducateacademy.com or on 07870 611850

15 Questions to Test Your Skills as an Associate Clinical Educator

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Meduucate Academy ACEs with Medical students at the University of Chester
If you’re an Associate Clinical Educator (ACE), you may have wondered what sets you apart from a simulated patient or medical role player. In this article, we will be exploring this question and providing a useful questionnaire that will help you become a better ACE, teacher, and communicator. Our goal is to improve the quality of ACEs by answering important questions and providing helpful training resources.

How well do you really know your role as an Associate Clinical Educator? I have been thinking for a while now about creating a quiz for ACEs. I wanted to find out what makes an ACE more than just a simulated patient or medical role player. I believe the following questionnaire will help us become better Associate Clinical Educators, as well as better teachers and communicators.

Over the past couple of years, Meducate Academy has been putting together training courses to help existing ACEs and simulated patients improve their existing skills and introduce new people to the role of the ACE. We are always striving to improve the quality of our ACEs, and in order to do that, we always listen to what they have to say.

When I was starting out, many of these questions were never answered satisfactorily, and after much discussion with our existing ACEs, they all seemed to ask the same questions.

On the 13th of this month (May 2023), we will be running another one-day training course aimed at potential ACE. These are normally people who have been medical role players or have some experience as simulated patients and wish to take it to the next level.

If you are one of those people, you might find it helpful to ask yourself these questions below. If you are an experienced ACE, you could revisit this questionnaire or add more questions to the list.  So, get a sheet of paper and answer these questions now.

1. When did you first start working as a medical role player and why?
2. When did you start working as an ACE, and how easy was the transition?
3. How often do you work as a medical role player or ACE?
4. What types of students have you worked with, and did their needs differ?
5. Have you been involved in OSCEs or any other type of examination?
6. Was the training we gave you adequate, or do you feel it was confusing?
7. What type of training would you find most useful?
8. Which aspect of your previous training (prior to medical roleplay/simulated patient/ACE) has helped you engage with your current role?
9. Where do you find resources that help with your current role?
10. What new resources would you find useful to help you improve the quality of teaching?
11. How much do you think your personality affects the learning outcome, and do you think you should spend more time on that aspect of your training?
12. Do you know how to teach a student how to develop rapport with a difficult patient?
13. What do you get, at a personal level, from teaching as an ACE?
14. How do you structure feedback to the student?
15. Do you always achieve your desired outcome when teaching, and if not, do you reflect on what you could do better next time?

We came up with these initial 15 questions, but we welcome any suggestions. As we ask these types of questions to our new ACEs, it’s essential to understand that none of us are experts or masters of our craft.  Acknowledging that there is always room to learn something new helps us stay vigilant. Our honesty fosters implicit trust from our students, and they feel that we are with them on their journey.

The type of people we are looking for are those who say, “C’mon chaps, let’s get stuck in,” not “Go on, chaps, off you go.” Lead from the front. We are there to work with the students, not talk at them. Build rapport with the students, have the flexibility to change your behaviour when you need to, be aware, and you and the students will achieve their desired outcomes.

Have an open mind and question everything! At the end of the day, that is what education should be about. That is how we grow and become better humans.

If you are interested in joining us or want to have a chat about our one-day training course aimed at potential ACEs on 13th May 2023 get in touch. Please contact: bobspour@meducateacademy.com or on 07870 611850