{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Is Attending to Clinician Distress Our Job? Sara Johnson, Yael Schenker, & Anne Kelly","description":"Have you had one of those consults in which you\u2019re thinking, huh, sounds like the patient\u2019s goals are clear, it\u2019s really that the clinician consulting us disagrees with those goals?  To what extent is it our job as consultants to navigate, manage, or attend to clinician distress?  What happens when that clinician distress leads eventually to conflict between the consulting clinician and the palliative care team? Today our guests Sara Johnson, Yael Schenker, & Anne Kelly discuss these issues, including: A recent paper first authored by Yael asking if attending to clinician distress is our job, published in JPSM. See also the wonderful conversation in the response letters from multidisciplinary providers (e.g. of course  that\u2019s our job! And physicians may not be trained in therapy, but many social workers and chaplains are, and certainly psychologists). A SPACE pneumonic for addressing clinician conflict developed by Sara Johnson, Anne Kelly and others. They presented this at a recent AAHPM\/HPNA meeting. See below for what SPACE stands for. We referenced a prior episode on therapeutic presence and creating a holding space with Kerri Brenner and Dani Chammas, and this article by Kerri.  We talked about the role of the consultant, including this classic paper on consultation etiquette by Diane Meier and Larry Beresford. Enjoy! -Alex Smith   SPACE: Navigating Conflict with Colleagues "Between stimulus and response there is a space. In that space is our power to choose our response.\u201d   -Viktor E. Frankl SPACE: Conflict Navigation Toolkit Self-awareness: Pause & Notice Before Responding What am I feeling?  Take own temperature. Where am I coming from?  What do I need? Perspective-Taking: Ask-Tell-Ask Where are they coming from? Check your understanding with them. \u201cTell me how you\u2019re thinking about this?\u201d \u201cI hear you are concerned about\u2026is that right?\u201d Agenda: Yours and theirs, then focus on common ground Where are we going together? \u201cIt seems like we both want\u2026\u201d Curiosity: Reframe and explore to understand Am I missing anything? Why is this kind, smart & hard-working colleague thinking differently than I am? \u201cTo help me better understand, what is your biggest concern about\u2026?\u201d  Empathy: For others: Empathic statements around the situation & silence For self: Your feelings are valid, reflect on it later.  You will misstep in tense moments: apologize, learn from it. Eating helps. Authors:  Ethan Silverman MD University of Pittsburgh Anne Kelly LCSW San Francisco VA Health Care System Jasmine Hudnall DO Gundersen Health System Cassie Shumway MS, RN, OCN, CHPN UW Health Hospitals & Clinics Andrew O\u2019Donnell RN University of Wisconsin Sara K. Johnson MD University of Wisconsin   ","author_name":"GeriPal - A Geriatrics and Palliative Medicine Podcast","author_url":"http:\/\/www.geripal.org","html":"