SLIDE 1
Providing Safe Spaces for Providers that promote connection, empathy and wellbeing
Robbie Sherman MD Medical Director for the Patient Experience and Physician Development The Polyclinic
promote connection, empathy and wellbeing Robbie Sherman MD - - PowerPoint PPT Presentation
promote connection, empathy and wellbeing Robbie Sherman MD - - PowerPoint PPT Presentation
Providing Safe Spaces for Providers that promote connection, empathy and wellbeing Robbie Sherman MD Medical Director for the Patient Experience and Physician Development The Polyclinic Loss of Meaning Impoverished Relationships Increasing
SLIDE 2
SLIDE 3
Impoverished Relationships
SLIDE 4
Increasing Conflict
SLIDE 5
Demoralization
SLIDE 6
Emotional Distancing
SLIDE 7
Exhaustion
SLIDE 8
Reset
SLIDE 9
Balint Groups
SLIDE 10
Balint Groups are case based discussion groups for physicians, mental health providers, nurses, chaplains, social workers and others. The topic of discussion is the relationship. The emotional content of the case is central rather than the serum sodium or clinical facts.
SLIDE 11
“At the center of medicine there is always a human relationship between a patient and a doctor.”
- Michael Balint
SLIDE 12
Michael Balint
Born in 1896 in Budapest, son of a GP Psychoanalytic training in Berlin and
Budapest, emigrated to London, worked at the Tavistock Clinic
He and his wife, Enid, began the
training/research seminars for GPs after WW II
1957 “The Doctor, his Patient and the
Illness” published
SLIDE 13
What a Balint Group is Not
Psychotherapy Group Encounter Group Traditional Case Consultation Group Topic Discussion Group Personal and Professional Development Group Not prescriptive, didactic, advice giving
SLIDE 14
Characteristics of a Balint Group
Ideally fixed membership Two leaders Focus on doctor-patient relationship Power of the group Preference for an ongoing case Less conscious aspects of relationship
SLIDE 15
Confidentiality Avoid Advice Ownership Respect, Turn Taking
Ground Rules
SLIDE 16
The Group’s Job: Imagine Alternative Viewpoints
Problem- Solving
SLIDE 17
Cases
Presentations are spontaneous Patients we have ongoing
relationships with
Patients who we feel conflicted or
strongly about
Patients that leave us feeling
unfinished, who we lose sleep over
Patients that bubble up in the
moment
SLIDE 18
Leader Leader Presenter
A Case Arrives
Angela is a 79 yr old blind woman….
SLIDE 19
Leader Leader Presenter
Clarifying Questions
Are there any clarifying questions?
SLIDE 20
Leader Leader
The Presenter “Gets” to Listen
Why don’t we let the presenter just listen while we work the case
SLIDE 21
Leader Leader Presenter
The Group Starts Working
I imagine Angela to be…
SLIDE 22
Leader Leader Presenter
Imagining Patient and Doctor
If I were the doctor, I might feel…
SLIDE 23
Leader Leader Presenter
Group Exploration Continues
This image just popped into my mind of a…
SLIDE 24
Functions of a Balint Group
To provide a safe place for emotional
reflection on troubling cases
To help presenter consider other
understandings about the case
To look at blind spots, assumptions To help members feel less isolated, less
shame, more open to learn
To help members grow and develop
SLIDE 25
Benefits for Physicians
Explore difficult or troubling situations Refine crucially important patient-doctor
relationship skills
Hear and learn from others’ cases Connect with others Experience the power of a group Remember what matters about our work Avoid burnout, increase engagement
and resilience
SLIDE 26
Resilience
SLIDE 27
Cultural Competence
SLIDE 28
Remoralization
SLIDE 29
Find Out More About Balint Groups
The American Balint Society offers training and
experiences nationally www.americanbalintsociety.org
The Northwest Balint Circle is an association of local
medical and mental health professionals with Balint
- training. They offer presentations, demonstrations and
- ngoing groups. http://northwestbalintcircle.org/