Difficult Conversations

2019 AUPN Fall Chairs Session
(Held in conjunction with ANA Annual Meeting)

As Neurology Chairs, we frequently need to tell a faculty member, trainee, or staff member that their work is inadequate, that they have done something wrong, or that their services are no longer needed.  We are called on to investigate real or imagined infractions, or mediate between conflicting personnel.  These interactions are collectively known as “Difficult Conversations.” Despite years of medical and research training, we get no training in how to do manage these interactions effectively.  This session will provide guidance from Dr. Henry Kaminski, a senior Neurology chair who will share what he has learned about how to approach a difficult or contentious topic, how to mediate between warring parties, when to take sides, how to fire an employee, and other challenging topics. 

1. Discuss strategies for conveying unpleasant information without injuring the person or the relationship.
2. List several approaches to diffuse contentious situations, and describe why it is important to listen to all sides of an argument before making a judgment.
3. Discuss why honesty and integrity are the most important things you bring to a difficult conversation.

L. John Greenfield, Jr., MD, PhD; University of Connecticut School of Medicine/UConn Health

Henry Kaminski, MD; George Washington University 
Presentation Slides (AUPN Membership Required to view)

Difficult Conversations: How to Discuss What Matters Most by Douglas Stone et. al.
Crucial Conversations Tools for Talking When Stakes Are High by Kerry Patterson et al.

How to Talk So Teens Will Listen and Listen So Teens Will Talk by Adele Faber et. al.

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