Clinical Communication

First Contact Practitioners/Physiotherapists have been an evolving role for over the past five years, with it becoming a role that more senior clinicians are going into. Yet with this new role comes new challenges; time limitations, more diagnostic uncertainty and different expectations from both patients and other clinicians.In this episode Ben is joined by Matt Wedderburn, First Contact Physiotherapist and creator of “Primary Care MSK” which provides musculoskeletal educational training to primary care services.In this episode they cover:(00:00) - Intro(01:05) - How should we explain to the patient what an FCP is?(03:30) - How should we explain to other medical professionals what the role of FCP is?(09:30) - How do we manage those 20 mins without the patient feeling rushed?(19:29) - How should we discuss uncertainty in primary care with the person in front of us?(21:42) – Reassurance in FCP(24:00) - What if they want to see a GP instead?(28:55) - Your hardest clinical conversation(36:40) - What is the future for FCPs? You can find Primary Care MSK on social media @PrimaryCareMSKTheir website is https://www.primarycaremsk.co.uk/Matt is on LinkedIn You can find Ben across social media @BWhybrowPhysio Do send in Questions, Stories & Suggestions toclinicalcommunication@outlook.com And please Share & Subscribe.

Many clinicians find discussing weight with the person infront of them daunting, and yet weight can have a significant impact on multiple conditions and outcomes. How do we raise the subject without offending them?What should we say (or not say)?In this episode Ben is joined by Ben Steele-Turner, Physiotherapist with an Msc in Human Nutrition and ongoing with a PhD into how Physiotherapists can better support weight management in people with osteoarthritis.In this episode they cover:(00:00:00) - Intro(00:02:26) - How do we raise the subject of weight management when patients don’t initiate it?(00:09:51) - Are there certain terms we should avoid when discussing weight management?(00:18:44) – Should we ask them about what foods they eat?(00:28:50) - How to respond when someone claims to be eating healthy but they are living with overweight?(00:36:39) - What to say when they ask “can’t I just have the weight loss injection?”(00:42:51) - How has Rory Sutherland influenced your practice & PhD?(00:45:36) - Lessons from Uber That We Can Apply To Healthcare(00:53:56) - The Doorman Fallacy & Cost Cutting(01:12:29) - Ben’s hardest conversation(01:17:31) – When Weight Management For Knee OA Goes RightThe study mentioned: Commitments, norms and custard creams – a social influence approach to reducing did not attends (DNAs): Martin, Bassi & Dunbar-Rees (2012).https://pmc.ncbi.nlm.nih.gov/articles/PMC3308641/ You can find Ben Steele-Turner on Instagram & LinkedIn: @physiutrition You can find host Ben Whybrow across social media: @BWhybrowPhysioGot questions, stories or suggestions? – Send them in to clinicalcommunication@outlook.comAnd finally, please do Share & Subscribe. 

Millions of people around the world regularly run for exercise and pleasure and become the identity of a runner. Yet when they need help from a healthcare clinician, some unique conversational challenges can occur with this patient group.On this episode Ben is joined by Matt Phillips, Sports Therapist and creator of Run Chat Live, where they discuss:(00:00) - Intro(00:51) - The Down Side Of Completing A Marathon (04:26) - Do Runners Have A Different Mentality?(08:54) - How To Support Someone To Reduce Their Running(12:86) – How To Encourage Other Forms Of Training(21:50) – Symptom Modification For Runners(24:44) – Myth Busting With Runners (And How Not To Do It)(33:59) – Not Everyone Wants To Be Involved In SharedDecision Making(39:51) – Matt’s Hardest Clinical Conversation(43:15) – One Of Matts Greatest Running Patient Achievements(46:59) – Run Chat Live, Sports Therapy Association Podcast& Matt’s Course You can find Matt across social media @runchatliveLink for “Gait Analysis for Runners” course:https://thestschool.co.uk/gait-analysis-course-dates/ You can find Ben across social media @BWhybrowPhysioSend in questions, stories or suggestions to clinicalcommunication@outlook.comAnd please subscribe & share 😊

Our biggest learning moments are not from our successes, but from our failures.Today I'm giving 3 examples of when my communication skills failed and I couldn't help the person in front of me. Plus, more importantly the important lesson I took from them, which had nothing to do with words, language or tone of voice.Whilst this podcast can tell you how to improve your clinical communication skills, we practice in reality and things don't always go to plan, however much experience you have.But hopefully next time you do face a difficult conversation, belief to manage or behaviour to change, it may go a bit easier after listening to this.For more, follow @BWhybrowPhysio on Social Media.Got questions, stories or episode suggestions to send in? Email clinicalcommunication@outlook.comAnd subscribe.

Breaking Bad News to patients can be some of the most difficult conversations clinicians can have . It encompasses a lot more than just palliative care and cancer and is something many clinicians will have to do, regardless of their speciality.Yet there is little easily available guidance on how to go about it outside of basic medical training.There is a way we can have these conversations that can make it easier for both patient and clinician. Which is the topic of this episode. Book Mentioned:Breaking Bad News: A Ten Step Approach - Peter KayeYou can find Ben across social media @BWhybrowPhysioFind this useful? - Please share and subscribe.Got questions, stories to share or guest suggestions? - Send it in to clinicalcommunication@outlook.com

Everyday healthcare clinicians around the world set out to improve the health of their patients by suggesting habits that the patients can adopt to improve their wellbeing. And whilst it is important for the people we see to feel motivated to change, there a certain ways we can suggest these habits occur that will make them more likely to stick.This episode does not consider every aspect of habit formation, but areas covered include; location, timing, environment, routine, monitoring and rewards.Find this useful?Please do share & subscribe.You can also send in questions and stories to clinicalcommunication@outlook.comBen is on social media @BWhybrowPhysioReading suggested:Atomic Habits - James Clear

There is currently no general consensus on how to reassure the person in front of you.But from research so far, what do we know that can make reassurance more effective?In these situations knowing WHAT to say is particularly important, but as is knowing HOW & WHEN to say it.All of which is covered in this episode in just over 10 mins.Find this useful? Then please share it with others & subscribe.Got questions or stories to share?Send them in to clinicalcommunication@outlook.comFurther Reading:Reassurance for patients with non-specific conditions - Traeger et al (2017)https://pmc.ncbi.nlm.nih.gov/articles/PMC5537438/pdf/main.pdf Cognitive and affective reassurance and patient outcomes in primary care: a systematic reviewPincus et al (2013)https://pubmed.ncbi.nlm.nih.gov/23872104/

Helping those with persistent pain can be a very challenging but also very rewarding venture. And rather than trying to fix or solve their problem, it requires a different approach of working with them to help them take ownership of the situation and feel in control.On this episode of Clinical Communication Ben is joined by fellow Physiotherapist & Pain Coach Mathilde Kehler, where they discuss:(00:00) - Introduction(02:29) - How Do We Help Patients Understand What A Pain Coach Is?(13:08) - When Should We Ask About Goals?(18:28)- What To Do When Someone With Persistent Pain Comes In Wanting A “Fix”(35:04) - What To Do With Psychosocial Information We Receive(46:24) - What’s The Future Of Pain Coaching? You can find Mathilde on LinkedIn and on Instagram @smerteguidenHer website is:https://smerteguiden.dk/ Live Seminar with Clinical Physio on CBT & Motivational Interviewing:https://www.clinicalphysio.com/cbt-motivational-interviewing/You can find Ben across social media @BWhybrowPhysio Got questions or stories to share? You can send them in toclinicalcommunication@outlook.com

Various evidence exists showing the benefits of injuryprevention programmes for reducing the risk of injury to young athletes, yet uptake in them has not been 100%. So how can we increase the number of young athletes doingregular injury prevention programmes? And how can we influence coaches and organisations to ensure it is implemented?In this Ben is joined by Tom Jacbos, who is a Sports &Musculoskeletal Physiotherapist, and also a trustee for “Power Up To Play”. A charitable organisation aiming to increase young athlete welfare with injury prevention programmes. On this episode they discuss;(00:00:00) - Introduction(00:01:52) - What Made Tom So Interested In InjuryPrevention?(00:06:43) - Should We Still Call Them Injury PreventionProgrammes?(00:17:57) – How Do We Help Young Athletes Buy Into InjuryPrevention Programmes?(00:24:43) – How To Influence Coaches To Implement InjuryPrevention Programmes(00:35:57) – Do Parents Help or Hinder Buy-In To TheProgrammes?(00:38:44) – How Do We Influence Larger Organisations?(00:46:41) – Will Making These Programmes Mandatory Make An Impact?(00:50:16) – What To Say When Coaches Have Doubts About The Programme (00:55:00) – Do The Same Principles Apply To Adult Athletes?(01:02:30) – Tom’s Hardest Clinical Conversation(01:11:11) – What’s The Future For Injury Prevention Programmes?(01:14:23) – How To Find Out More About Power Up To Play You can find more about Power Up To Play here:https://poweruptoplay.org/ You can find Ben across social media @BWhybrowPhysio Got questions or stories to share? Contact clinicalcommunication@outlook.com

Andrew McCauley, a Specialist Physiotherapist & Athletic Development Coach, discusses the significance of influence and persuasion in healthcare communication. He highlights the importance of priming and offers insights into using principles from Cialdini’s work to improve patient outcomes. Topics include the ethics of utilizing scarcity, the power of social proof in building trust, and strategies for enhancing patient commitment. McCauley emphasizes that fostering a strong therapeutic relationship can transform clinical interactions and increase patient adherence.