Core IM | Internal Medicine Podcast #142 Managing Conflict: At the Bedside Segment
Dec 27, 2023
Dr. Autumn Feaster discusses managing conflict and communication in healthcare, emphasizing the need for conflict mediation. The podcast explores the impact of COVID-19 on difficult patients and challenging behaviors, the perpetuation of inequities in medicine, and the importance of understanding perspectives. It also delves into distinguishing positions from interests, understanding the emotion of anger, and finding the speaker's truth in conflict.
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Residency Conflict Anecdote
- During residency, a goals of care discussion with a dying man's family became heated when dialysis was not offered.
- The family accused the clinician of having the patient's blood on their hands, illustrating intense conflict scenarios clinicians face.
Difficult Patients Reflect Interactions
- "Difficult patients" are typically a reflection of challenging interactions, not individuals.
- Clinicians label difficulty based on how interactions feel to them, ranging from non-compliance to rudeness or worse.
Situational Causes of Difficult Behavior
- Most difficult patient behaviors arise from situational stress, not psychiatric illness.
- Normal people with typical moral character behave maladaptively when overwhelmed by their situation.