Earlier this month, I participated in a Choosing Wisely Canada Talks webinar. Drs Kimberly Wintemute and Anthony Train shared insights around a clinician's professional obligations and led a discussion around practical tips for having conversations with patients in these scenarios. You can see their talk and others in the Choosing Wisely Canada Talks series online.
This primary care discussion was incredibly relevant, and we covered a few tough topics including:
- A healthy patient requesting non-indicated screening blood work
- A patient requesting unnecessary imaging eg. MRI for lower back pain
- When a naturopath has told patient to ask MD to order a series of blood work
- A patient with a viral infection insisting on antibiotics
- Chronic use of sedatives/hypnotics including benzodiazepines in an older patient
It was great to have a mixture of people, including a patient voice, in the webinar. Some of the themes that emerged were around building a trusting relationship, exploring the patient's fears or goals and addressing those, having a discussion about risks vs benefits, using analogies/humour to convey a message, and using physical exam and other techniques to reassure patients.
"Choosing Wisely Talks take place on the 1st Thursday of every month from 12pm-1pm ET. Each workshop is led by an inspiring guest speaker, usually someone who has made significant gains in implementing the Choosing Wisely recommendations. Through a webinar format, participants tune-in to a live presentation by the guest speaker, followed by an interactive Q&A discussion. Participants usually leave each workshop with:
- A greater appreciation for the impact of overuse
- Ideas and inspiration for their own Choosing Wisely implementation project
- A better grasp on potential barriers and opportunities to successful implementation"
Go to the website and use the right-hand menu to add these valuable events to your calendar or sign up for the newsletter. The next session is November 3rd from 12-1PM Eastern Time.