Laurence Biro's reflections on Life, Universe and Everything

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Protected: The impact of dual relationships on those without dual relationships

October 1, 2015 laurencebiro

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42 what else?

  • Welcome to the best good enough portfolio ever
  • Reflecting 101
  • Communication Skills
    • 1. Initiating the Interview
      • 1.1. Establishing the Initial Rapport
        • 1.1.1. Greets patient and obtains patient’s name
        • 1.1.2. Introduces self, role and scope of the interview
        • 1.1.3. Demonstrates respect and interest
      • 1.2. Identifying the Reasons for the Consultation
        • 1.2.1. Identifies the patient’s problems with appropriate opening question
        • 1.2.2. Listens Attentively to Patient’s Opening Statement
        • 1.2.3. Confirms Problem List and Screens for Further Problems
        • 1.2.4. Negotiates Agenda
    • 2. Gathering Information
      • 2.1. Exploration of the Patient’s Problem
        • 2.1.1. Encourage your patient to tell their narrative
        • 2.1.2. Use open and closed questioning techniques
        • 2.1.3. Listen attentively
        • 2.1.4. Facilitates patients’ responses
        • 2.1.5. Pick up on your patient’s cues
        • 2.1.6. Clarify vague patient statements
        • 2.1.7. Internal Summary
        • 2.1.8. Uses concise, easily understood questions and comments
        • 2.1.9. Establishes dates and sequence of events
      • 2.2. Additional Skills for Understanding the Patient’s Perspective
        • 2.2.1. Actively explores ideas, concerns, expectations, effects
        • 2.2.2. Encourages patients to express feelings
    • 3. Providing Structure to the Interview
      • 3.1. Making Organization Overt
        • 3.1.1. Internal Summarizing
        • 3.1.2. Signposting
      • 3.2. Attending to Flow
        • 3.2.1. Sequencing
        • 3.2.2. Timing
    • 4. BUILDING THE RELATIONSHIP
      • 4.1. Use appropriate Non-Verbal Communication
        • 4.1.1. Demonstrate appropriate non-verbal behavior & acknowledge your patient’s non-verbal cues
        • 4.1.2. Use of Notes
      • 4.2. Developing Rapport
        • 4.2.1. Acceptance
        • 4.2.2. Empathy
        • 4.2.3. Support & Sensitivity
      • 4.3. Involving your patient
        • 4.3.1. Sharing of Thoughts
        • 4.3.2 Providing Rationale
    • 5. Explanation and Planning
      • 5.1 Providing the correct amount and type of information
      • 5.2 Aiding accurate recall and understanding
      • 5.3 Achieving a shared understanding: incorporating your patient’s perspective
      • 5.4 Planning: shared decision-making
      • 5.5 Options for explanation and planning
    • 6. Closing the Session
      • 6.1. Forward Planning
        • 6.1.1. Contracting
        • 6.1.2. Safety-Netting
      • 6.2. Ensuring Appropriate Point of Closure
  • Clinical Approaches
    • Headache
      • Tension Headache
      • Migraine
      • Cluster Headache
      • Brain Tumor
      • Subarachnoid Hemorrhage
      • Polymyalgia Rheumatica and Giant Cell Arteritis
    • Vertigo
    • Neurological Weakness
      • Stroke
      • Bell’s Palsy
      • Peripheral Nerve Entrapment (upper limb)
      • Multiple Sclerosis
      • Guillain-Barré Syndrome
    • Neck Masses
      • Hypothyroidism
      • Hyperthyroidism
      • Hodgkin Lymphoma
    • Hemoptysis
      • Tuberculosis
      • Lung Cancer
      • DVT/PE
      • Community Acquired Pneumonia
    • Dyspnea
      • Heart failure
      • COPD
      • Asthma
      • DVT/PE
      • Community Acquired Pneumonia
      • Influenza
    • Chest Pain
      • Coronary Artery Disease
      • Pericarditis
      • Cardiac Tamponade
      • Atrial Fibrillation
      • Thoracic Aortic Dissection
      • DVT/PE
      • Gastroesophageal Reflux Disease
      • Costochondritis
    • Palpitations
      • Atrial Fibrillation
      • Hyperthyroidism
    • Breast Lump
      • Breast Cancer Screening
      • Mastitis
    • Abdominal Pain
      • Appendicitis
      • Gallbladder Disease
      • Peptic Ulcer Disease
      • Bowel Obstruction
      • Ectopic Pregnancy
      • Pelvic Inflammatory Disease
    • Gastrointestinal Bleeding
    • Diarrhea
      • Traveler’s Diarrhea
      • Food Poisoning
      • Clostridium difficile
      • Ulcerative Colitis
      • Crohn’s Disease
      • Irritable Bowel Syndrome
    • Back Pain
      • Lumbar Disc Disease
      • Spinal Stenosis
      • Cauda Equina Syndrome
      • Peripheral Vascular Disease
    • Abnormal Uterine Bleeding
      • Endometrial Cancer
      • Ovarian Cancer
      • Cervical Cancer
      • Endometriosis
      • Leiomyoma
      • Premenstrual Syndrome
    • Pregnancy
      • Pregnancy Prevention in Adolescents
      • First Trimester Bleeding
      • Second Trimester Pregnancy Loss
      • Late Pregnancy Bleeding
      • Postpartum Hemorrhage
      • Nausea and Vomiting of Pregnancy
    • Urological Complaints
      • Prostate Cancer
      • Benign Prostatic Hyperplasia
      • Epididymitis
      • Testicular Torsion
      • Erectile Dysfunction
      • Renal Colic
    • Leg Pain
      • Peripheral Vascular Disease
      • Acute Limb Ischemia
      • Venous ulcers
      • DVT/PE
      • Compartment Syndrome
      • Spinal Stenosis
      • Lumbar Disc Disease
    • Joint Pain
      • Septic Arthritis
      • Osteoarthritis
      • Rheumatoid Arthritis
      • Gout
      • Meniscus Tear
      • Lyme Disease
      • Seronegative Arthropathies
      • Lupus
  • INTAPT Reflections
    • Introduction and Teaching Philosphy
    • Reflection on Learning Contract
      • Learning Contract
    • Reflection on Teaching Logs
      • Cholecystectomies and Stuff
      • Another night in the OR
      • ASCM1 – Communication & History #4
      • ASCM1 – Occupational Health / Portfolio
      • School visit presentations!
      • Portfolio – Communicator Role
    • Reflection on Teaching Feedback
    • Reflection on Video Clip Teachng Session
      • Video Clip Feedback
    • Reflection on Seminar Group Work and Charter
      • Team Charter
    • Reflection on Seminar Process and Feedback
      • First Draft Workshop Design
      • Updated Outline
      • Seminar Abstract
      • Interprofesssional Skit
      • Interprofessional Teaching Seminar Feedback
    • Reflection of Workshop Assessment Tool and Participants Learning Outcomes
      • Workshop Participants Learning Assessments
    • Reflection on Book Reviews
      • The Reflective Practitioner, How Professionals Think in Action
      • Educating the Reflective Practitioner
      • Patient-Centred Medicine Transforming the Clinicial Method (Third Edition)
    • Concluding Remarks on the Academic Year
  • Physician Assisted Dying Policy Overview
  • OR Schedule 2019-2020
  • Colleague’s Resources

About Me

Hi there! I am a clinician teacher based out of the Mississauga Academy of Medicine. I have recently completed a Master of Community Health: Health Practitioner Educator through the Dalla Lana School of Public Health at the University of Toronto.

My academic interests include teaching, clinical skills, reflection, and SGM & rural health

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