Breaking up is hard to do: Navigating the end of the patient-physician relationship

This season, we explore how improv techniques can be used by physicians to enhance conversations and relationships with patients, colleagues, and staff members. (33:59)

In episode two, we discuss how to deal with difficult patients, including setting boundaries, reflecting positive intent, and using such improv techniques as “blending." (33:48)

In episode three of this series, Shana Merlin discusses how to use improv techniques to build rapport, help patients understand treatment goals, and break the “curse of knowledge.” (45:12)

In this series “extra,” trainer Shana Merlin describes how to use “signposting” techniques in your conversations to help patients more clearly understand your meaning and overall messaging. (4:33)

Two ways de-escalation can work in your practice

Help patients move from cross to calm with these de-escalating phrases

While both the physician and patient have the right to terminate the relationship, the requirements for ending the relationship are more complicated for physicians.

Sample letters for termination of the physician-patient relationship

Recommendations to help minimize the risk of lawsuits related to patient refusals.

Physicians must balance parental rights, a minor’s autonomy, and the law.

Best practices for providing reasonable accommodations for disabled patients

An “Advance directive” is a legal document designed to help patients communicate their wishes about medical treatment if they become unable to make their wishes known because of illness or injury.