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Donna Zulman, Abraham Verghese, Sonoo Thadaney Israni, and Juliana Marie Baratta

Overview

Internet Enduring Material sponsored by Stanford University School of Medicine. Presented by Primary Care and Population Health at Stanford University School of Medicine.

Modern society has provided us with technological advantages but also barriers to connect with our patients in a meaningful way. This online module highlights the Stanford Presence 5 model, which is a framework for integrating humanism and effective communication as you interact with your patients.

Intended Audience

Specialties - All Specialties
Professions - Non-Physician, Physician

Read more

Overview

Internet Enduring Material sponsored by Stanford University School of Medicine. Presented by Primary Care and Population Health at Stanford University School of Medicine.

Modern society has provided us with technological advantages but also barriers to connect with our patients in a meaningful way. This online module highlights the Stanford Presence 5 model, which is a framework for integrating humanism and effective communication as you interact with your patients.

Intended Audience

Specialties - All Specialties
Professions - Non-Physician, Physician

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to earn CME credit from Stanford University School of Medicine for participating in this course, please review the information here prior to beginning the activity.

What you'll learn

  • Summarize strategies to “Prepare with Intention” including reviewing patient history and resetting before the visit
  • Discuss methods to “Listen Intently and Completely” including being thoughtful with body position and allowing your patient to finish their statements
  • Identify strategies to “Agree on What Matters Most” including making an agenda based on patient priorities and asking open ended questions
  • Engage using positive language for goals and asking about patient beliefs and attitudes by "Connecting to the Patient's Story"
  • Incorporate strategies to “Explore Emotional Cues” including validating patient emotions

What's inside

Learning objectives

  • Summarize strategies to “prepare with intention” including reviewing patient history and resetting before the visit
  • Discuss methods to “listen intently and completely” including being thoughtful with body position and allowing your patient to finish their statements
  • Identify strategies to “agree on what matters most” including making an agenda based on patient priorities and asking open ended questions
  • Engage using positive language for goals and asking about patient beliefs and attitudes by "connecting to the patient's story"
  • Incorporate strategies to “explore emotional cues” including validating patient emotions

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Teaches core medical communication skills which include: Preparing with Intention, Listening Intently and Completely, Agreeing on What Matters Most, Connecting to the Patient's Story, and Exploring Emotional Cues
Taught by professors and docs at Stanford School of Medicine, who are highly experienced medical communication experts
Addresses communication within a medical context, making it particularly relevant to medical students, physicians, and healthcare professionals
Introduces the Presence 5 Model, a framework developed and utilized by Stanford Medicine for enhancing patient-clinician communication
Provides Continuing Medical Education (CME) credit for physicians through Stanford University School of Medicine

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Reviews summary

Thought-provoking course on effective presence

Learners say that "Communicating with Presence" is a short, yet valuable course that provides practical tips for improving communication skills, especially for clinicians. Based on Stanford's "Presence 5," this course aims to help learners connect with their audience more effectively.
Can be completed in under an hour
"Communicating with Presence is a very short course. Even taking notes, I finished in under one hour."
Animations and dot points enhance the learning experience
"The content is ... well presented (animations and dot points)"
Actionable tips for improving communication
"The content is to-the-point and aimed at being practical and applicable."
Helps clinicians improve patient interactions
"As a clinician, it made me think about changing some of my practices ... to encourage a more meaningful, and healing connection with my clients."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Communicating with Presence with these activities:
Learn about Stanford Presence 5 Model
The Stanford Presence 5 Model is a framework for integrating humanism and effective communication. Understanding this model will give you a strong foundation for success in this course.
Show steps
  • Read articles and watch videos about the Stanford Presence 5 Model
  • Attend a webinar on the Stanford Presence 5 Model
Read 'Being Mortal' by Atul Gawande
This book explores the challenges and rewards of communicating with patients about end-of-life care. Reading it will give you a valuable perspective on the importance of effective communication in healthcare.
View Being Mortal on Amazon
Show steps
  • Purchase or borrow the book
  • Read the book
  • Reflect on the book's key messages
Learn about humanistic communication
Reviewing communication techniques, especially as they relate to interacting with patients, will help prepare you to successfully complete this course.
Browse courses on Communication Techniques
Show steps
  • Read about communication theory
  • Practice active listening
  • Attend a workshop on interpersonal skills
Five other activities
Expand to see all activities and additional details
Show all eight activities
Attend a Workshop on Effective Communication
Attending a workshop on effective communication will immerse you in the topic and provide you with opportunities to learn from experts and network with peers.
Browse courses on Communication Skills
Show steps
  • Research and identify a relevant workshop
  • Register for the workshop
  • Attend the workshop and actively participate
Practice Interviewing Skills
Interviewing skills are essential for healthcare professionals. Practicing with peers will help you develop the skills and confidence you need to succeed in this course.
Browse courses on Interviewing Techniques
Show steps
  • Role-play patient interviews with a partner
  • Provide feedback to your partner on their interviewing skills
Practice Empathy Techniques
Practice active listening, reflecting, and validation techniques to improve your communication skills with patients.
Show steps
  • Review the Stanford Presence 5 model
  • Find a partner or volunteer to practice with
  • Take turns role-playing patient and physician
  • Focus on applying the empathy techniques taught in the module
  • Provide feedback to your partner and seek feedback on your own performance
Develop a Communication Plan
Developing a communication plan for a patient will help you apply the concepts you learn in this course to a real-world scenario.
Browse courses on Communication Plan
Show steps
  • Identify the patient's communication needs
  • Develop a plan to meet those needs
  • Evaluate the effectiveness of the communication plan
Develop a Communication Intervention
Developing a communication intervention will challenge you to apply your knowledge of communication principles to a real-world problem. This is a great way to demonstrate your understanding and skills.
Browse courses on Patient Education
Show steps
  • Identify a communication problem
  • Develop an intervention to address the problem
  • Implement the intervention

Career center

Learners who complete Communicating with Presence will develop knowledge and skills that may be useful to these careers:
Psychotherapist
A Psychotherapist treats mental, emotional, and behavioral problems. A Psychotherapist who seeks to elicit meaningful responses from patients may find this course particularly helpful for the 'Listen Intently and Completely', 'Agree on What Matters Most', and 'Explore Emotional Cues' sections, as these can inform how a Psychotherapist listens to, validates, and interacts with patients.
Patient Advocate
A Patient Advocate represents and supports the rights of patients in healthcare settings. A Patient Advocate who seeks to effectively communicate with patients and healthcare providers may find this course particularly helpful for the 'Listen Intently and Completely', 'Agree on What Matters Most', and 'Explore Emotional Cues' sections, as these can inform how a Patient Advocate listens to, validates, and interacts with patients.
Physician Assistant
A Physician Assistant provides medical care to patients under the supervision of a physician. A Physician Assistant who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Physician Assistant plans for and interacts with patients.
Physician
A Physician counsels patients on health issues, diagnoses illnesses and injuries, and prescribes medications. A Physician who seeks to build a strong bond with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Physician plans for a patient visit and interacts with the patient.
Registered Nurse
A Registered Nurse provides and coordinates patient care, educates patients and the public about various health conditions, and provides emotional support to patients and their families. A Registered Nurse who seeks to build a strong relationship with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Registered Nurse plans for and interacts with patients.
Medical Social Worker
A Medical Social Worker helps patients and their families cope with the social, emotional, and financial challenges of illness and disability. A Medical Social Worker who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Medical Social Worker plans for and interacts with patients.
Speech-Language Pathologist
A Speech-Language Pathologist assesses, diagnoses, and treats speech, language, and swallowing disorders. A Speech-Language Pathologist who seeks to foster patient-client rapport may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Speech-Language Pathologist prepares for and interacts with patients.
Health Educator
A Health Educator develops, implements, and evaluates health education programs. A Health Educator who seeks to effectively communicate with clients and communities may find this course particularly helpful for the 'Prepare with Intention', 'Listen Intently and Completely', and 'Agree on What Matters Most' sections, as these can inform how a Health Educator plans for, listens to, and interacts with clients.
Pharmacist
A Pharmacist dispenses medications and provides information about their use. A Pharmacist who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Pharmacist plans for and interacts with patients.
Chiropractor
A Chiropractor diagnoses and treats neuromusculoskeletal conditions. A Chiropractor who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Chiropractor plans for and interacts with patients.
Veterinarian
A Veterinarian cares for the health of animals. A Veterinarian who seeks to build strong relationships with clients and their pets may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Veterinarian plans for and interacts with clients and their pets.
Dentist
A Dentist diagnoses and treats diseases of the teeth and gums. A Dentist who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a Dentist plans for and interacts with patients.
Licensed Practical Nurse
A Licensed Practical Nurse provides basic nursing care to patients under the supervision of a registered nurse or physician. An LPN who seeks to develop strong communication skills may find this course particularly helpful for the 'Listen Intently and Completely' and 'Agree on What Matters Most' sections, as these can inform how an LPN listens to and interacts with patients.
Certified Nursing Assistant
A Certified Nursing Assistant provides basic care to patients in a variety of settings, including hospitals, nursing homes, and assisted living facilities. A CNA who seeks to build strong relationships with patients may find this course particularly helpful for the 'Prepare with Intention' and 'Listen Intently and Completely' sections, as these can inform how a CNA plans for and interacts with patients.
Healthcare Administrator
A Healthcare Administrator plans, directs, and coordinates healthcare services. A Healthcare Administrator who seeks to effectively communicate with staff, patients, and families may find this course particularly helpful for the 'Listen Intently and Completely', 'Agree on What Matters Most', and 'Explore Emotional Cues' sections, as these can inform how a Healthcare Administrator listens to, validates, and interacts with others.

Reading list

We've selected 13 books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Communicating with Presence.
Provides a theoretical and research-based understanding of nonverbal communication, which is an important aspect of effective patient communication.
Offers practical strategies for having difficult conversations, which are often necessary in healthcare settings.
Practical guide to effective medical communication. It covers topics such as how to communicate with patients from different backgrounds, how to deal with difficult patients, and how to use technology to improve communication.
Comprehensive guide to communication skills. It covers topics such as active listening, nonverbal communication, and conflict resolution. While it is not specifically tailored to healthcare, it provides valuable information for healthcare professionals who want to improve their communication skills.
Guide to nonverbal communication. It covers topics such as how to read body language, how to use nonverbal communication to your advantage, and how to avoid nonverbal communication mistakes.
Classic on emotional intelligence. It covers topics such as what emotional intelligence is, how to develop emotional intelligence, and how to use emotional intelligence to succeed in life.
Guide to presence. It covers topics such as what presence is, how to develop presence, and how to use presence to achieve your goals.
Guide to charisma. It covers topics such as what charisma is, how to develop charisma, and how to use charisma to make a positive impact on others.
Classic on personal development. It covers topics such as how to be more effective, how to set goals, and how to live a more fulfilling life.
Memoir about the author's experience learning to ask for help. It covers topics such as the importance of asking for help, how to overcome the fear of rejection, and how to build a support system.
Celebration of introverts. It covers topics such as why introverts are often misunderstood, how introverts can use their strengths to their advantage, and how to create a more inclusive world for introverts.
Guide for introverts on how to succeed in an extroverted world. It covers topics such as how to deal with social anxiety, how to network effectively, and how to find your strengths as an introvert.
Provides an overview of emotional intelligence and its importance in various aspects of life, including healthcare communication.

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