#LCSM Transcript

Healthcare social media transcript of the #LCSM hashtag.
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See #LCSM Influencers/Analytics.

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Enlightening Results @GraceCordovano
Hi #lcsm! Grace, private cancer patient advocate, joining from NJ. Excited for an excellent topic this evening! https://t.co/HOrRQneBfZ
Thinklab Cancer @ThinklabCancer
RT @lcsmchat: TODAY! #LCSM Chat 8pm ET, 5pm PT. More here: https://t.co/Bwk7ZeMFHv… #bcsm #btsm #gyncsm #crcsm #hcsm #hcldr
Geri Massa @GeriGerim13
@JackWestMD @JohnLPender I'm here, missed the last #LCSM
H. Jack West, MD @JackWestMD
Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh Hashanah.
Janet Freeman-Daily @JFreemanDaily
Hi #LCSM Chat! Janet F-D using hotel internet in central Ohio tonight. Glad to be able to participate.
Danielle Pardue @Actorielle
RT @CUCancerCenter: Study finds breast cancer driver in 3 percent of lung cancers #LCSM #BCSM https://t.co/eBTK8y8Npf https://t.co/7oQ8iY2b…
H. Jack West, MD @JackWestMD
So glad you could make it! MT @JFreemanDaily: Hi #LCSM Chat! Janet F-D using hotel internet in central OH tonight. Glad to be here.
Geri Massa @GeriGerim13
@JohnLPender Hi John, #lcsm
Danielle Pardue @Actorielle
RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh…
Liz Cramer 🧬 @elisabethcramer
Liz checking in from DC. Looking forward to the discussion. Missed the last one. #lcsm
John from Alabama @JohnLPender
@GERI1365 @JackWestMD I had to sit the last chat out. Kids are a sore subject. #lcsm
H. Jack West, MD @JackWestMD
For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you. #lcsm
Danielle Pardue @Actorielle
Hey my friends! Sending so much love! Danielle here from NC. Full time caregiver for stage 4 NSCLC mama. 💚 #lcsm
Bob Steele @steele_bob
L'Shanah Tovah! #lcsm
Liz Cramer 🧬 @elisabethcramer
@GilliganTimothy Look forward to reading this. #lcsm
Janet Freeman-Daily @JFreemanDaily
No @LungCancerFaces on the chat this week--she's observing the Holy Days. #lcsm
Lung Cancer Halflung (K Latzka) @LungCancerHalfL
Aloha #LCSM. Can't stay but needed to say Hi ❤️
H. Jack West, MD @JackWestMD
Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tweet". #lcsm
Liz Cramer 🧬 @elisabethcramer
RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh…
Andrea Borondy Kitts @findlungcancer
Hi Folks, Andrea, retired engineer lost husband to #lungcancer, recovering from bi-lateral hip surgery #lcsm
Janet Freeman-Daily @JFreemanDaily
@LungCancerHawai Missing you! Hope you're settling into your new home and will be back with us soon. #lcsm
Liz Cramer 🧬 @elisabethcramer
RT @JackWestMD: For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you…
H. Jack West, MD @JackWestMD
Yes, tho many who would otherwise be here are in temple now (if following on phone may get in trouble) RT @steele_bob: L'Shanah Tovah! #lcsm
Andrea Borondy Kitts @findlungcancer
Hi K - hope all is well with move RT @LungCancerHawai: Aloha #LCSM. Can't stay but needed to say Hi ❤️ #lcsm
Liz Cramer 🧬 @elisabethcramer
RT @JackWestMD: Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tw…
Enlightening Results @GraceCordovano
@GilliganTimothy Thanks for sharing! So important to discuss difficult conversations & EoL in light of cancer. #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh…
#LCSM Chat @lcsmchat
RT @JackWestMD: Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tw…
H. Jack West, MD @JackWestMD
We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communication. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
Hi! Nate Pennell, thoracic oncologist from Cleveland here #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you…
ShereeseM, MS/MBA @ShereesePubHlth
I'm Shereese, healthcare strategist, here in Maryland #lcsm https://t.co/DV4QZ0Rj0J
H. Jack West, MD @JackWestMD
Thanks for hosting great @CancerGRACE pt forum last weekend! RT @n8pennell: Hi! Nate Pennell, thoracic oncologist from Cleveland here #lcsm
Bob Steele @steele_bob
RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic…
Danielle Pardue @Actorielle
RT @GilliganTimothy: Looking forward 2 the chat. This link is to my reflections on the experience of my family members with cancer https://…
#LCSM Chat @lcsmchat
RT @steele_bob: L'Shanah Tovah! #lcsm
Enlightening Results @GraceCordovano
@JFreemanDaily Hi Janet! Great to connect with you tonight! #lcsm
Ian Pereira @IanJPereira
Hi #lcsm. Glad to be here to learn about effective communication. Growing topic in oncology & all of healthcare here in Canada.
H. Jack West, MD @JackWestMD
We'll start w/first of several questions in just a few minutes, all on how to broadly achieve better pt/clinician communication. #lcsm
Timothy Gilligan @GilliganTimothy
Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills etc. #lcsm
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills e…
Andrea Borondy Kitts @findlungcancer
Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician communication. #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic…
#LCSM Chat @lcsmchat
RT @JackWestMD: Thanks for hosting great @CancerGRACE pt forum last weekend! RT @n8pennell: Hi! Nate Pennell, thoracic oncologist from Clev…
H. Jack West, MD @JackWestMD
RT @findlungcancer: Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician…
#LCSM Chat @lcsmchat
RT @JackWestMD: We'll start w/first of several questions in just a few minutes, all on how to broadly achieve better pt/clinician communica…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills e…
Tessa Sheldon @tessa_perrin
Tessa here. Caregiver to my mom. Stage 4 SCLC #LCSM
Janet Freeman-Daily @JFreemanDaily
Welcome @GilliganTimothy! Glad you could join us. #lcsm
Enlightening Results @GraceCordovano
@ShereesePubHlth Hi Shereese! Hope all is well. #lcsm
Deb Smith 🍀 @debsmithbeach
Deb in NH here. #LCSM
H. Jack West, MD @JackWestMD
When you answer, pls type T1, T2, etc at start to clarify what topic you're answering (easier for all to follow). T1 coming up now. #lcsm
Timothy Gilligan @GilliganTimothy
We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
H. Jack West, MD @JackWestMD
T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall short? #lcsm
Andrea Borondy Kitts @findlungcancer
TY it was not mentioned in methods MT @GilliganTimothy: We had one patient on our panel. #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
Danielle Pardue @Actorielle
RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor…
Frank Ingram, MD @Chucktowndoc
Ingram here. Pathologist from NC. Tardy as usual...🤣 #lcsm
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
@GraceCordovano Hey. How was your day? #LCSM https://t.co/fQf9gs0Dgw
Enlightening Results @GraceCordovano
@JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've seen yet. Framing & hanging in my office #lcsm #PtExp
John from Alabama @JohnLPender
t1 Not at all. #lcsm
Enlightening Results @GraceCordovano
@IJohnPereira Been looking forward to it since I heard about it! #lcsm
Andrea Borondy Kitts @findlungcancer
T1 depends on the individual doc/healthcare professional; some spend the time, others don't #lcsm
Nathan A. Pennell MD, PhD @n8pennell
T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc training #LCSM
Enlightening Results @GraceCordovano
@ShereesePubHlth Missing D.C.! Wish I had one more day there. #lcsm
H. Jack West, MD @JackWestMD
T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor of love. #lcsm
Danielle Pardue @Actorielle
T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make friendships. #lcsm
Danielle Pardue @Actorielle
RT @GraceCordovano: @JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've see…
H. Jack West, MD @JackWestMD
RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc…
Tessa Sheldon @tessa_perrin
T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM
Andrea Borondy Kitts @findlungcancer
T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm
Danielle Pardue @Actorielle
RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc…
Danielle Pardue @Actorielle
RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor…
Bob Steele @steele_bob
RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc…
#LCSM Chat @lcsmchat
RT @JackWestMD: When you answer, pls type T1, T2, etc at start to clarify what topic you're answering (easier for all to follow). T1 coming…
#LCSM Chat @lcsmchat
RT @findlungcancer: Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
H. Jack West, MD @JackWestMD
Often see the opposite. RT @tessa_perrin: T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor…
H. Jack West, MD @JackWestMD
RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm
Nathan A. Pennell MD, PhD @n8pennell
T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of support #LCSM
Enlightening Results @GraceCordovano
@GilliganTimothy Was meaning to email you about this as I couldn't find it specified in the guidelines. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've see…
Timothy Gilligan @GilliganTimothy
T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a relationship helps. #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
@GraceCordovano DC is great for meeting great ppl but I never miss the traffic. #LCSM
Enlightening Results @GraceCordovano
@findlungcancer @GilliganTimothy Curious why only 1 patient? #lcsm
Dr Riyaz Shah @DrRiyazShah
@JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not great #LCSM
Nathan A. Pennell MD, PhD @n8pennell
Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ
Andrea Borondy Kitts @findlungcancer
T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well as treatments #lcsm
H. Jack West, MD @JackWestMD
to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling short? #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel…
H. Jack West, MD @JackWestMD
RT @n8pennell: Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ
H. Jack West, MD @JackWestMD
RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not…
Andrea Borondy Kitts @findlungcancer
I doubt you leave a mess RT @n8pennell: often clean up my mess on next visit for me #LCSM https://t.co/GXWAWGqVMV
Nathan A. Pennell MD, PhD @n8pennell
RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not…
Hossen Mahmud, MD @DrHMahmudMD
#LCSM https://t.co/dbVYRmz43g
Danielle Pardue @Actorielle
RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not…
Danielle Pardue @Actorielle
RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a…
Janet Freeman-Daily @JFreemanDaily
T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex communications. #lcsm
Timothy Gilligan @GilliganTimothy
@GraceCordovano @findlungcancer @GilliganTimothy Small panel. But I don't disagree with your reaction. #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T1 depends on the individual doc/healthcare professional; some spend the time, others don't #lcsm
#LCSM Chat @lcsmchat
RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc…
#LCSM Chat @lcsmchat
RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor…
Enlightening Results @GraceCordovano
T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying patients. #lcsm
Bob Steele @steele_bob
RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c…
H. Jack West, MD @JackWestMD
@DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed encounter. #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w/ certain groups #LCSM
Liz Cramer 🧬 @elisabethcramer
RT @DrHMahmud: #LCSM https://t.co/dbVYRmz43g
Danielle Pardue @Actorielle
RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c…
#LCSM Chat @lcsmchat
RT @Actorielle: T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make frie…
Ian Pereira @IanJPereira
@JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON. https://t.co/CO4EZ5Yn6Z #lcsm T1 https://t.co/AL5TQik3Ac
#LCSM Chat @lcsmchat
RT @tessa_perrin: T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm
#LCSM Chat @lcsmchat
RT @n8pennell: T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of su…
Bob Steele @steele_bob
RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en…
ShereeseM, MS/MBA @ShereesePubHlth
RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel…
Enlightening Results @GraceCordovano
@ShereesePubHlth Seemed like so many people were running, biking, walking. I was so impressed! I missed the traffic bc mesmerized by sights #lcsm
Danielle Pardue @Actorielle
RT @GraceCordovano: T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying…
#LCSM Chat @lcsmchat
RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not…
Danielle Pardue @Actorielle
RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en…
Nathan A. Pennell MD, PhD @n8pennell
T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
Danielle Pardue @Actorielle
RT @ShereesePubHlth: T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w…
#LCSM Chat @lcsmchat
RT @n8pennell: Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ
#LCSM Chat @lcsmchat
RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a…
Danielle Pardue @Actorielle
RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.…
#LCSM Chat @lcsmchat
RT @JackWestMD: to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling…
H. Jack West, MD @JackWestMD
T1 Interesting: I think many docs feel more constrained & dissatisfied w/challenges than pts. Would have thought more pts frustrated. #lcsm
Bob Steele @steele_bob
RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
Danielle Pardue @Actorielle
RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
H. Jack West, MD @JackWestMD
RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c…
Timothy Gilligan @GilliganTimothy
Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Leads to avoidance. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying…
ShereeseM, MS/MBA @ShereesePubHlth
@GraceCordovano Lots of walkers and bikers in DC. There are some great neighborhoods; great for meeting ppl #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en…
Frank Ingram, MD @Chucktowndoc
Related question... Is empathy something that can be taught to an adult? Or is it something you either have or lack? #lcsm
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w…
Danielle Pardue @Actorielle
RT @JackWestMD: T1 Interesting: I think many docs feel more constrained & dissatisfied w/challenges than pts. Would have thought more pts f…
#LCSM Chat @lcsmchat
RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.…
Deb Smith 🍀 @debsmithbeach
T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM
#LCSM Chat @lcsmchat
RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
Danielle Pardue @Actorielle
RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead…
H. Jack West, MD @JackWestMD
We'll turn to T2 in a minute... #lcsm
Andrea Borondy Kitts @findlungcancer
typically had 30-45min MT @n8pennell: T1: oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
Danielle Pardue @Actorielle
Question for the ages! https://t.co/tyUa21dBcQ
Timothy Gilligan @GilliganTimothy
@Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Need to fix that. #lcsm
Bob Steele @steele_bob
RT @debsmithbeach: T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM
Danielle Pardue @Actorielle
RT @debsmithbeach: T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM
Enlightening Results @GraceCordovano
@n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm
Janet Freeman-Daily @JFreemanDaily
@JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM
H. Jack West, MD @JackWestMD
I think experts say skills CAN be taught, not innate MT @Chucktowndoc: Related Q: Is empathy something that can be taught to an adult? #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead…
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne…
Andrea Borondy Kitts @findlungcancer
T1 also was able to communicate via e-mail with husband's onc -- this was critical to his care and our relationship #lcsm
H. Jack West, MD @JackWestMD
RT @JFreemanDaily: @JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure…
Dr Riyaz Shah @DrRiyazShah
@JackWestMD Very common in UK where the system is v different. Although many in denial about this. Need CNS in clinic. #LCSM
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead…
Enlightening Results @GraceCordovano
@Chucktowndoc IMHO, it can be fostered through example. #lcsm
Danielle Pardue @Actorielle
T1. I once asked desk staff for PA's email. They weren't allowed to give it. I went to the car, got my phone, got it on MyChart. Odd. #lcsm
Geri Massa @GeriGerim13
T1 I see my Dr's NP more than the Dr #lcsm
Andrea Borondy Kitts @findlungcancer
T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne…
Janet Freeman-Daily @JFreemanDaily
Reminder: Great that ppl connect during chat, but for sake of transcript, pls try to keep comments on topic and use T1, T2, etc. #lcsm
Danielle Pardue @Actorielle
RT @GraceCordovano: @n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm
Danielle Pardue @Actorielle
RT @n8pennell: T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM
#LCSM Chat @lcsmchat
RT @Chucktowndoc: Related question... Is empathy something that can be taught to an adult? Or is it something you either have or lack? #l
#LCSM Chat @lcsmchat
RT @JackWestMD: We'll turn to T2 in a minute... #lcsm
Bob Steele @steele_bob
RT @findlungcancer: T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: typically had 30-45min MT @n8pennell: T1: oncologists averaged 8 minutes per visit, not nearly enough time #LCSM
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne…
Enlightening Results @GraceCordovano
Is this due to the prestige of the facility & zip code? Why are there such stark contrasts in experiences? #lcsm https://t.co/3M8bW0NASn
H. Jack West, MD @JackWestMD
T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic? #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure…
Hossen Mahmud, MD @DrHMahmudMD
#LCSM @GilliganTimothy https://t.co/NUbwsOt8Uo
#LCSM Chat @lcsmchat
RT @n8pennell: T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM
Dr Riyaz Shah @DrRiyazShah
@JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with in the middle of a consult. #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: I think experts say skills CAN be taught, not innate MT @Chucktowndoc: Related Q: Is empathy something that can be taught t…
#LCSM Chat @lcsmchat
RT @findlungcancer: T1 also was able to communicate via e-mail with husband's onc -- this was critical to his care and our relationship #l
Timothy Gilligan @GilliganTimothy
It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be heard. #lcsm
Enlightening Results @GraceCordovano
This. #lcsm https://t.co/gyJmtFOWZU
#LCSM Chat @lcsmchat
RT @DrRiyazShah: @JackWestMD Very common in UK where the system is v different. Although many in denial about this. Need CNS in clinic. #LC
#LCSM Chat @lcsmchat
RT @Actorielle: T1. I once asked desk staff for PA's email. They weren't allowed to give it. I went to the car, got my phone, got it on MyC…
ShereeseM, MS/MBA @ShereesePubHlth
@GERI1365 The utilization of NPs and PAs in practices can help bridge communication gaps and its economical for practices #LCSM
#LCSM Chat @lcsmchat
RT @GERI1365: T1 I see my Dr's NP more than the Dr #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm
Bob Steele @steele_bob
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Andrea Borondy Kitts @findlungcancer
T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve outcomes & sat #lcsm
Danielle Pardue @Actorielle
RT @JackWestMD: T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic?…
Danielle Pardue @Actorielle
RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with…
Andrea Borondy Kitts @findlungcancer
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Laronica Conway @louisianagirl91
Late but here!! Great topic! #LCSM https://t.co/YPMAghl3xl
H. Jack West, MD @JackWestMD
<10 min far more typical MT @GraceCordovano: Due to prestige of facility? Why such variability in experiences? #lcsm https://t.co/pdagaxUr5K
😼LeyWimber @leywimber
T1 On Nivo x 2 yrs w/few AEs. My doc lets me lead the convo cuz no real issues atm. He says we are learning together w new drug. #lcsm
Laronica Conway @louisianagirl91
RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic…
Mark Winter @mdwinterwv
My doc also ends each visit discussing anything me or my spouse need to discuss. He always asks if we want to talk. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
@GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #LCSM
Danielle Pardue @Actorielle
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead…
Laronica Conway @louisianagirl91
RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor…
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Ian Pereira @IanJPereira
@JackWestMD @lcsmchat @GilliganTimothy Welcome, @GilliganTimothy. Enjoyed reading your @ASCO guidelines on patient-clinician communication. https://t.co/pu1AOFWwyz #lcsm #RadOnc
Dr. David Tom Cooke @DavidCookeMD
Now that @louisianagirl91 is here, I can start chatting! Your friendly neighborhood thoracic surgeon. #LCSM
Janet Freeman-Daily @JFreemanDaily
T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm
Laronica Conway @louisianagirl91
RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor…
#LCSM Chat @lcsmchat
RT @GraceCordovano: Is this due to the prestige of the facility & zip code? Why are there such stark contrasts in experiences? #lcsm https:…
H. Jack West, MD @JackWestMD
RT @DavidCookeMD: Now that @louisianagirl91 is here, I can start chatting! Your friendly neighborhood thoracic surgeon. #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic?…
Laronica Conway @louisianagirl91
RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm
Enlightening Results @GraceCordovano
@GilliganTimothy What are changes that could be made, even small ones, to change the culture? #lcsm
#LCSM Chat @lcsmchat
RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with…
H. Jack West, MD @JackWestMD
RT @n8pennell: @GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #…
Ian Pereira @IanJPereira
@GilliganTimothy @lcsmchat Interested to hear your approaches to teaching communication! #MedEd #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Geri Massa @GeriGerim13
@louisianagirl91 Hi Laronica #lcsm
Laronica Conway @louisianagirl91
RT @JackWestMD: to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling…
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GERI1365 The utilization of NPs and PAs in practices can help bridge communication gaps and its economical for practi…
Mark Winter @mdwinterwv
Also I get test results via email so I have them prior to doctor visits so I can discuss. #lcsm
Andrea Borondy Kitts @findlungcancer
T2 - I came prepared to visit with background reading completed, summary of Dan's status and list of questions; facilitated discussion #lcsm
Timothy Gilligan @GilliganTimothy
One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at each visit. #lcsm
SOTS @sparkyontheseas
@n8pennell @ClevelandClinic @GilliganTimothy It shows as that is where my Dr spent his residency. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go down #LCSM
Bob Steele @steele_bob
RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at…
Liz Cramer 🧬 @elisabethcramer
RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with…
ShereeseM, MS/MBA @ShereesePubHlth
T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs orders (Stanford) #LCSM
Ian Pereira @IanJPereira
@findlungcancer @JackWestMD @GilliganTimothy Great question @findlungcancer. Important. Curious what appropriate compensation for patients on these studies would also look like. #lcsm
Liz Cramer 🧬 @elisabethcramer
RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with…
Deb Smith 🍀 @debsmithbeach
@JackWestMD @GraceCordovano T1 Typical visit is 30-40 min. I only know my experience. I've had frank conversations re: my status, prognosis, started by onc & me. #LCSM
Liz Cramer 🧬 @elisabethcramer
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Ian Pereira @IanJPereira
RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm
Timothy Gilligan @GilliganTimothy
T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Danielle Pardue @Actorielle
RT @GraceCordovano: @GilliganTimothy What are changes that could be made, even small ones, to change the culture? #lcsm
H. Jack West, MD @JackWestMD
RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go…
Enlightening Results @GraceCordovano
@JFreemanDaily We need communication to become recognized as critical, valuable, & reimbursable. #lcsm
Laronica Conway @louisianagirl91
I know it's just as hard for docs as it is for pts. #LCSM https://t.co/4NQjrH2FDP
Dr. David Tom Cooke @DavidCookeMD
A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if understand..." #LCSM
Andrea Borondy Kitts @findlungcancer
agree; patients/caregiver equal partner must prepare too MT @GilliganTimothy: come with a list of what's most important each visit. #lcsm
Liz Cramer 🧬 @elisabethcramer
RT @LeyWimber: T1 On Nivo x 2 yrs w/few AEs. My doc lets me lead the convo cuz no real issues atm. He says we are learning together w new d…
Geri Massa @GeriGerim13
@GilliganTimothy I bring a list of questions #LCSM
SOTS @sparkyontheseas
#LCSM
Janet Freeman-Daily @JFreemanDaily
@GraceCordovano We'll cover this soon in following topics (check list of questions at https://t.co/fKZaVdWBhy #lcsm
Laronica Conway @louisianagirl91
🙁 #LCSM https://t.co/5LMc6mDkV5
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at…
Enlightening Results @GraceCordovano
@GilliganTimothy And bring a care partner to advocate #lcsm
H. Jack West, MD @JackWestMD
T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside academia) #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve…
Dr. David Tom Cooke @DavidCookeMD
Bringing a list of questions is great, very helpful to me IMHO. #LCSM https://t.co/yNvhRh8gPT
Danielle Pardue @Actorielle
RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order…
#LCSM Chat @lcsmchat
RT @JackWestMD: <10 min far more typical MT @GraceCordovano: Due to prestige of facility? Why such variability in experiences? #lcsm https:…
Ian Pereira @IanJPereira
@GilliganTimothy @lcsmchat Interesting that there was patient-perspective on the panel. Any particular areas where the patient drove the most insights? #lcsm T1
Andrea Borondy Kitts @findlungcancer
yes bc ultimately it will save $'s & improve outcomes MT @GraceCordovano: @JFreemanDaily critical, valuable, & reimbursable. #lcsm
H. Jack West, MD @JackWestMD
RT @DavidCookeMD: A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if u…
#LCSM Chat @lcsmchat
RT @mdwinterwv: My doc also ends each visit discussing anything me or my spouse need to discuss. He always asks if we want to talk. #lcsm
#LCSM Chat @lcsmchat
RT @n8pennell: @GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #…
Liz Cramer 🧬 @elisabethcramer
RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm
Danielle Pardue @Actorielle
@ShereesePubHlth Not to mention times that orders that were given were inappropriate bc of HCPs who misunderstood pt's goals, stories, or PMH! #lcsm
H. Jack West, MD @JackWestMD
T2 Def like having pts convey their understanding -- great idea, but still need to remember (& make time) to do that. #lcsm
Dr. David Tom Cooke @DavidCookeMD
Hard to identify an outcome for communication to incentive. Patient satisfaction scores are unreliable. #LCSM https://t.co/d09RPQ7iY9
Andrea Borondy Kitts @findlungcancer
good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://t.co/Wgd5otI2sZ #lcsm
Nathan A. Pennell MD, PhD @n8pennell
Enough time is necessary but not sufficient! https://t.co/p4N2i2YKuu
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
#LCSM Chat @lcsmchat
RT @mdwinterwv: Also I get test results via email so I have them prior to doctor visits so I can discuss. #lcsm
Dr. David Tom Cooke @DavidCookeMD
RT @findlungcancer: good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://…
Bob Steele @steele_bob
RT @JFreemanDaily: T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm
H. Jack West, MD @JackWestMD
Another min or 2, then turning to T3... #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T2 - I came prepared to visit with background reading completed, summary of Dan's status and list of questions; facilit…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at…
Timothy Gilligan @GilliganTimothy
@GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (respectfully) #lcsm
#LCSM Chat @lcsmchat
RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go…
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order…
Ian Pereira @IanJPereira
@n8pennell @lcsmchat @ClevelandClinic @GilliganTimothy Do you use any particular communication guidelines/frameworks for #MedEd (e.g. #AAMC/#CanMeds)? #lcsm
#LCSM Chat @lcsmchat
RT @IJohnPereira: @findlungcancer @JackWestMD @GilliganTimothy Great question @findlungcancer. Important. Curious what appropriate c…
#LCSM Chat @lcsmchat
RT @debsmithbeach: @JackWestMD @GraceCordovano T1 Typical visit is 30-40 min. I only know my experience. I've had frank conversations…
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r…
Nathan A. Pennell MD, PhD @n8pennell
RT @JackWestMD: T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside ac…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
Liz Cramer 🧬 @elisabethcramer
@n8pennell Yikes. That's not enough. Did it differentiate btwn newly dx vs on-going pt or early stage vs metastatic dx? #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r…
#LCSM Chat @lcsmchat
RT @GraceCordovano: @JFreemanDaily We need communication to become recognized as critical, valuable, & reimbursable. #lcsm
Andrea Borondy Kitts @findlungcancer
agree, intangible MT @DavidCookeMD: Hard to identify an outcome for communication to incentive. #LCSM https://t.co/eTB4rvtall
Timothy Gilligan @GilliganTimothy
I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on. #lcsm
Deb Smith 🍀 @debsmithbeach
T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM
Enlightening Results @GraceCordovano
@IJohnPereira @GilliganTimothy @lcsmchat Did the patient have a "good" communication experience? Bad? Or experience with both? #lcsm
Laronica Conway @louisianagirl91
Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT
#LCSM Chat @lcsmchat
RT @louisianagirl91: I know it's just as hard for docs as it is for pts. #LCSM https://t.co/4NQjrH2FDP
#LCSM Chat @lcsmchat
RT @DavidCookeMD: A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if u…
#LCSM Chat @lcsmchat
RT @findlungcancer: agree; patients/caregiver equal partner must prepare too MT @GilliganTimothy: come with a list of what's most importan…
#LCSM Chat @lcsmchat
RT @GERI1365: @GilliganTimothy I bring a list of questions #LCSM
Ian Pereira @IanJPereira
@JackWestMD What would an idea incentive look like that includes effective communication? #lcsm T1
Bob Steele @steele_bob
RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.…
Ian Pereira @IanJPereira
RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor…
ShereeseM, MS/MBA @ShereesePubHlth
@DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "care" #LCSM
Christen Gjeldum @GjeldumChristen
RT @louisianagirl91: Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy And bring a care partner to advocate #lcsm
Andrea Borondy Kitts @findlungcancer
will you be my doc? MT @GilliganTimothy: I find it very helpful when patients tell me how I could do better, what I need to work on. #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.…
Laronica Conway @louisianagirl91
RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go…
Jodi Bond @jodibon80232776
RT @lil_lytnin: CT open communication builds trust and lessens fears. #lcsm
Nima Sharifi @nimasharifimd
RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
Deb Smith 🍀 @debsmithbeach
RT @findlungcancer: T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve…
Andrea Borondy Kitts @findlungcancer
RT @ShereesePubHlth: @DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "car…
Andrea Borondy Kitts @findlungcancer
RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
H. Jack West, MD @JackWestMD
T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm
Nathan A. Pennell MD, PhD @n8pennell
RT @debsmithbeach: T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM
Christen Gjeldum @GjeldumChristen
#lcsm T2) Pt putting themselves in ONC's shoes and vise versa could help with patience in general
Enlightening Results @GraceCordovano
@GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside ac…
Danielle Pardue @Actorielle
RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm
#LCSM Chat @lcsmchat
RT @DavidCookeMD: Bringing a list of questions is great, very helpful to me IMHO. #LCSM https://t.co/yNvhRh8gPT
#LCSM Chat @lcsmchat
RT @IJohnPereira: @GilliganTimothy @lcsmchat Interesting that there was patient-perspective on the panel. Any particular areas where…
Timothy Gilligan @GilliganTimothy
@ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders caring. #lcsm
Deb Smith 🍀 @debsmithbeach
T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: yes bc ultimately it will save $'s & improve outcomes MT @GraceCordovano: @JFreemanDaily critical, valuable, & reimburs…
Andrea Borondy Kitts @findlungcancer
T3 hard to say if not already motivated by caring and empathy for the patient #lcsm
#LCSM Chat @lcsmchat
RT @Actorielle: @ShereesePubHlth Not to mention times that orders that were given were inappropriate bc of HCPs who misunderstood p…
#LCSM Chat @lcsmchat
RT @JackWestMD: T2 Def like having pts convey their understanding -- great idea, but still need to remember (& make time) to do that. #lcsm
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car…
#LCSM Chat @lcsmchat
RT @DavidCookeMD: Hard to identify an outcome for communication to incentive. Patient satisfaction scores are unreliable. #LCSM https://t.…
Danielle Pardue @Actorielle
RT @GraceCordovano: @GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm
Dr. David Tom Cooke @DavidCookeMD
T3 Find "experts" in efficient patient communication, acknowledging time constraints; create you tube videos, teach docs. #LCSM https://t.co/ZSyD1f9Z7m
Andrea Borondy Kitts @findlungcancer
RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car…
#LCSM Chat @lcsmchat
RT @findlungcancer: good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://…
Danielle Pardue @Actorielle
RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car…
Bob Steele @steele_bob
RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r…
H. Jack West, MD @JackWestMD
Sounds like a good onc. RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM
#LCSM Chat @lcsmchat
RT @IJohnPereira: @n8pennell @lcsmchat @ClevelandClinic @GilliganTimothy Do you use any particular communication guidelines/framework…
#LCSM Chat @lcsmchat
RT @elisabethcramer: @n8pennell Yikes. That's not enough. Did it differentiate btwn newly dx vs on-going pt or early stage vs metastatic dx…
Andrea Borondy Kitts @findlungcancer
T3 patients expressing thanks and gratitude I've been told by docs is a great motivator #lcsm
Enlightening Results @GraceCordovano
T3: Must go beyond doctors. Payers need to recognize the importance of conversation, patient education, & reimburse. Invaluable #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
@GraceCordovano @GilliganTimothy I have. When parents of chronically ill peds pts needed help w/ what was being told via Drs., I helped put things in simple language #LCSM
Timothy Gilligan @GilliganTimothy
@GraceCordovano @GilliganTimothy My colleagues and I all have experiences of being thanked for our candor. But must be empathic candor #lcsm
Laronica Conway @louisianagirl91
And not be afraid to speak up. Having a loved one/friend at the appt for support is vital. #LCSM https://t.co/zNoBzOf91x
Janet Freeman-Daily @JFreemanDaily
@JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm
Nathan A. Pennell MD, PhD @n8pennell
Patient getting bad news just today empathized with me for having to have these types of conversations, happens often #LCSM https://t.co/asaAFOJkoB
Laronica Conway @louisianagirl91
@DavidCookeMD Miss you too!! 😘 #LCSM
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car…
Andrea Borondy Kitts @findlungcancer
T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless of time #lcsm
Bob Steele @steele_bob
RT @JFreemanDaily: @JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm
Danielle Pardue @Actorielle
RT @n8pennell: Patient getting bad news just today empathized with me for having to have these types of conversations, happens oft…
Nathan A. Pennell MD, PhD @n8pennell
Whoops practice over gotta run! #LCSM
ShereeseM, MS/MBA @ShereesePubHlth
@GraceCordovano @GilliganTimothy One such parent wrote a yr after the death of her daughter to thank me for being honest/caring with them #LCSM
Laronica Conway @louisianagirl91
@GERI1365 Geri!!!!! Heyyyyyy!!! #lcsm
Janet Freeman-Daily @JFreemanDaily
T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least one thing. #lcsm
H. Jack West, MD @JackWestMD
RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on…
Dr. David Tom Cooke @DavidCookeMD
RT @louisianagirl91: @DavidCookeMD Miss you too!! 😘 #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: agree, intangible MT @DavidCookeMD: Hard to identify an outcome for communication to incentive. #LCSM https://t.co/eTB…
Timothy Gilligan @GilliganTimothy
T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our time better. #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.…
Mark Winter @mdwinterwv
T1 I found that after I established trust with my doc the number of questions went way down. Now I just listen and do what he says #LCSM
#LCSM Chat @lcsmchat
RT @debsmithbeach: T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM
Andrea Borondy Kitts @findlungcancer
T3 provide tools for docs to help with communication; vignettes and role play can be helpful #lcsm
Bob Steele @steele_bob
RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on…
#LCSM Chat @lcsmchat
RT @GraceCordovano: @IJohnPereira @GilliganTimothy @lcsmchat Did the patient have a "good" communication experience? Bad? Or experience wit…
Enlightening Results @GraceCordovano
@GilliganTimothy @ShereesePubHlth @DavidCookeMD Dr must be paid for spending time w/pt. Communication must be reimbursable. We aren't talking about a cold here. #lcsm
Danielle Pardue @Actorielle
T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has opened doors. #lcsm
Dr. David Tom Cooke @DavidCookeMD
T3 This is a good idea. Someone video taped me once on their iPhone. That was odd. #LCSM https://t.co/3sMhBZF9lg
Ian Pereira @IanJPereira
@Actorielle Interesting. We're taught that meeting norms is part of professionalism. If it becomes an expectation...#lcsm #MedEd https://t.co/BZCo5zFwA2 https://t.co/jmJ9mMLYyg
Ian Pereira @IanJPereira
RT @Actorielle: T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make frie…
Timothy Gilligan @GilliganTimothy
@mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm
Danielle Pardue @Actorielle
RT @findlungcancer: T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless…
Ian Pereira @IanJPereira
RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
@GilliganTimothy @DavidCookeMD True but incentives can't prevent burnout. Efficacy-based #workflow solutions do that #LCSM
Frank Ingram, MD @Chucktowndoc
T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm
H. Jack West, MD @JackWestMD
Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivial tasks. #lcsm
Danielle Pardue @Actorielle
RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on…
Janet Freeman-Daily @JFreemanDaily
T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm
Bob Steele @steele_bob
RT @Actorielle: T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has open…
Andrea Borondy Kitts @findlungcancer
I think first name basis with doc a good idea. Not many agree @Actorielle #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our…
#LCSM Chat @lcsmchat
RT @louisianagirl91: Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT
Andrea Borondy Kitts @findlungcancer
RT @JFreemanDaily: T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm
#LCSM Chat @lcsmchat
RT @IJohnPereira: @JackWestMD What would an idea incentive look like that includes effective communication? #lcsm T1
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "car…
Nathan A. Pennell MD, PhD @n8pennell
RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi…
Laronica Conway @louisianagirl91
@drCarterHarris @findlungcancer Hi there! So glad you could make it! #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm
H. Jack West, MD @JackWestMD
T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical outcomes? #lcsm
Nathan A. Pennell MD, PhD @n8pennell
RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm
Andrea Borondy Kitts @findlungcancer
@JFreemanDaily YES metrics are key to showing benefits #lcsm
#LCSM Chat @lcsmchat
RT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes and vise versa could help with patience in general
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car…
Heather L Gornik @heatherlgornik
RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne…
#LCSM Chat @lcsmchat
RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: T3 hard to say if not already motivated by caring and empathy for the patient #lcsm
#LCSM Chat @lcsmchat
RT @DavidCookeMD: T3 Find "experts" in efficient patient communication, acknowledging time constraints; create you tube videos, teach…
Ian Pereira @IanJPereira
RT @n8pennell: T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of su…
#LCSM Chat @lcsmchat
RT @findlungcancer: T3 patients expressing thanks and gratitude I've been told by docs is a great motivator #lcsm
Timothy Gilligan @GilliganTimothy
@findlungcancer Like some many conversations that we all know we need to have but are scared to have. Skills help. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: T3: Must go beyond doctors. Payers need to recognize the importance of conversation, patient education, & reimburse. In…
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GraceCordovano @GilliganTimothy I have. When parents of chronically ill peds pts needed help w/ what was being tol…
Ian Pereira @IanJPereira
RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @GraceCordovano @GilliganTimothy My colleagues and I all have experiences of being thanked for our candor. But must be…
#LCSM Chat @lcsmchat
RT @louisianagirl91: And not be afraid to speak up. Having a loved one/friend at the appt for support is vital. #LCSM https://t.co/zNoBzOf9…
Enlightening Results @GraceCordovano
@n8pennell So important to recognize. Can't imagine how difficult it must be to deliver the diagnosis. Dr are humans too. Humans helping humans. #lcsm
Danielle Pardue @Actorielle
RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm
Andrea Borondy Kitts @findlungcancer
maybe a little role play both ways MT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes could help with patience in general
#LCSM Chat @lcsmchat
RT @n8pennell: Patient getting bad news just today empathized with me for having to have these types of conversations, happens oft…
#LCSM Chat @lcsmchat
RT @findlungcancer: T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless…
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GraceCordovano @GilliganTimothy One such parent wrote a yr after the death of her daughter to thank me for being h…
Danielle Pardue @Actorielle
RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical…
Bryant Furlow @BryantFurlow
RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on…
Bob Steele @steele_bob
RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our…
#LCSM Chat @lcsmchat
RT @mdwinterwv: T1 I found that after I established trust with my doc the number of questions went way down. Now I just listen and do what…
#LCSM Chat @lcsmchat
RT @findlungcancer: T3 provide tools for docs to help with communication; vignettes and role play can be helpful #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy @ShereesePubHlth @DavidCookeMD Dr must be paid for spending time w/pt. Communication must be reimb…
Mark Winter @mdwinterwv
Have to say the entire staff at #wvumedicine do a fantastic job. The doc and nurses go out of the way to discuss any topic of care #LCSM
Danielle Pardue @Actorielle
T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm
#LCSM Chat @lcsmchat
RT @Actorielle: T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has open…
#LCSM Chat @lcsmchat
RT @DavidCookeMD: T3 This is a good idea. Someone video taped me once on their iPhone. That was odd. #LCSM https://t.co/3sMhBZF9lg
Dr. David Tom Cooke @DavidCookeMD
This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH
#LCSM Chat @lcsmchat
RT @IJohnPereira: @Actorielle Interesting. We're taught that meeting norms is part of professionalism. If it becomes an expectation..…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GilliganTimothy @DavidCookeMD True but incentives can't prevent burnout. Efficacy-based #workflow solutions do that #…
Christen Gjeldum @GjeldumChristen
RT @Actorielle: T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm
#LCSM Chat @lcsmchat
RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm
Enlightening Results @GraceCordovano
RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical…
#LCSM Chat @lcsmchat
RT @findlungcancer: I think first name basis with doc a good idea. Not many agree @Actorielle #lcsm
Andrea Borondy Kitts @findlungcancer
use technology -- e-mail, texts, telehealth, SoMe RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical…
Geri Massa @GeriGerim13
@GraceCordovano @n8pennell I agree, I can't imagine being in the Dr shoes #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: @JFreemanDaily YES metrics are key to showing benefits #lcsm
#LCSM Chat @lcsmchat
RT @GilliganTimothy: @findlungcancer Like some many conversations that we all know we need to have but are scared to have. Skills help. #lc
#LCSM Chat @lcsmchat
RT @GraceCordovano: @n8pennell So important to recognize. Can't imagine how difficult it must be to deliver the diagnosis. Dr are human…
#LCSM Chat @lcsmchat
RT @findlungcancer: maybe a little role play both ways MT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes could help with…
#LCSM Chat @lcsmchat
RT @mdwinterwv: Have to say the entire staff at #wvumedicine do a fantastic job. The doc and nurses go out of the way to discuss any topic…
Enlightening Results @GraceCordovano
@GERI1365 @n8pennell I can empathize both ways. #lcsm
Andrea Borondy Kitts @findlungcancer
T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm
Laronica Conway @louisianagirl91
But I bet they remembered next steps. Whatever it takes! Mama made her docs CLEARLY write reminders in her notebooks! 😂 #LCSM https://t.co/A3yn4crLWc
Timothy Gilligan @GilliganTimothy
T4) This question needs input from patients. What qualifies as excellent communication? What should we value & prioritize? Not obvious #lcsm
Janet Freeman-Daily @JFreemanDaily
T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm
#LCSM Chat @lcsmchat
RT @Actorielle: T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm
Enlightening Results @GraceCordovano
These are the best retweets #lcsm https://t.co/d2BXwDnrKr
#LCSM Chat @lcsmchat
RT @DavidCookeMD: This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH
Danielle Pardue @Actorielle
T4 It is incredibly painful (and dangerous) to be dismissed without having been heard. "I hear you" can change lives, move mountains #lcsm
H. Jack West, MD @JackWestMD
Honestly, don't know. Not for lack of thought on it. RT @IJohnPereira: What wld ideal incentive be that includes good communicat'n? #lcsm T1
Bob Steele @steele_bob
RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit…
Navneet Majhail, MD @BldCancerDoc
RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm
Laronica Conway @louisianagirl91
RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm
Danielle Pardue @Actorielle
RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit…
Navneet Majhail, MD @BldCancerDoc
RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi…
Danielle Pardue @Actorielle
RT @JFreemanDaily: T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm
Christen Gjeldum @GjeldumChristen
T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the lines. #lcsm
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit…
Dr Riyaz Shah @DrRiyazShah
@GERI1365 @JackWestMD Not to mention >100 emails! #LCSM
Andrea Borondy Kitts @findlungcancer
T4 open notes would be a start - patient could review & ask clarification questions #lcsm
Laronica Conway @louisianagirl91
RT @DavidCookeMD: This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH
Danielle Pardue @Actorielle
RT @GjeldumChristen: T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the…
Bob Steele @steele_bob
RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm
Danielle Pardue @Actorielle
RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm
Janet Freeman-Daily @JFreemanDaily
@GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients and healthcare IT peeps. #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: use technology -- e-mail, texts, telehealth, SoMe RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement #l
#LCSM Chat @lcsmchat
RT @findlungcancer: T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm
Laronica Conway @louisianagirl91
And you mean well. Otherwise you wouldn't be doing it, right? #LCSM https://t.co/5rTOG7mDup
#LCSM Chat @lcsmchat
RT @louisianagirl91: But I bet they remembered next steps. Whatever it takes! Mama made her docs CLEARLY write reminders in her notebook…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit…
Andrea Borondy Kitts @findlungcancer
T4 need pause time to allow patient to assimilate & ask follow-up questions. Too many docs run out as they answer the last question #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm
Enlightening Results @GraceCordovano
@GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to ask, afraid to interrupt. #lcsm
Ian Pereira @IanJPereira
RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a…
#LCSM Chat @lcsmchat
RT @Actorielle: T4 It is incredibly painful (and dangerous) to be dismissed without having been heard. "I hear you" can change lives, move…
Danielle Pardue @Actorielle
@findlungcancer T4 We will never progress until a pt is the full owner of his own chart, w unchallenged access. Ppl turn white when I ask to read. #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: Honestly, don't know. Not for lack of thought on it. RT @IJohnPereira: What wld ideal incentive be that includes good commu…
#LCSM Chat @lcsmchat
RT @GjeldumChristen: T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the…
Danielle Pardue @Actorielle
RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients…
Danielle Pardue @Actorielle
RT @GraceCordovano: @GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to a…
ShereeseM, MS/MBA @ShereesePubHlth
T4 This is where @myopennotes could be a great resource. Sharing the narrative encourages communication & stimulates clarification #LCSM
Deb Smith 🍀 @debsmithbeach
@louisianagirl91 Over time, I've found I prefer going alone. Sometime need a ride bc of long day, late appts, but like to see Dr alone. #LCSM
Mark Winter @mdwinterwv
T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also. #LCSM
Christen Gjeldum @GjeldumChristen
T4 I can't imagine how hard it is on ONC's on other hand.Having to remain hopeful for the patient, while often having 2 give bad news. #lcsm
Andrea Borondy Kitts @findlungcancer
T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm
Janet Freeman-Daily @JFreemanDaily
T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm
Enlightening Results @GraceCordovano
@GjeldumChristen Don't assume anything. Ask the patient clear questions. #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients…
#LCSM Chat @lcsmchat
RT @louisianagirl91: And you mean well. Otherwise you wouldn't be doing it, right? #LCSM https://t.co/5rTOG7mDup
#LCSM Chat @lcsmchat
RT @findlungcancer: T4 need pause time to allow patient to assimilate & ask follow-up questions. Too many docs run out as they answer the l…
Andrea Borondy Kitts @findlungcancer
RT @JFreemanDaily: T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to a…
H. Jack West, MD @JackWestMD
RT @findlungcancer: T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm
Christen Gjeldum @GjeldumChristen
RT @mdwinterwv: T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also.…
Geri Massa @GeriGerim13
@ShereesePubHlth @myopennotes Never heard of opennotes, will chi out TY #LCSM
H. Jack West, MD @JackWestMD
turning to last topic in another minute. #lcsm
Laronica Conway @louisianagirl91
@debsmithbeach I could see that also. Sometimes it's easier to process alone and share info later. #LCSM
Andrea Borondy Kitts @findlungcancer
T4 yes patients sometimes embarrassed to admit they don't understand; finding a way to check is key @JFreemanDaily #lcsm
Timothy Gilligan @GilliganTimothy
I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partner in care. #lcsm
Janet Freeman-Daily @JFreemanDaily
T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What matters most?" #lcsm
Bob Steele @steele_bob
RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn…
#LCSM Chat @lcsmchat
RT @Actorielle: @findlungcancer T4 We will never progress until a pt is the full owner of his own chart, w unchallenged access. Ppl…
Mark Winter @mdwinterwv
T4) my better half has more questions than me. I have accepted I have cancer and pretty much let doc tell me what needs done. She asks #LCSM
Deb Smith 🍀 @debsmithbeach
@Actorielle T3 Me too! We check in on kids, vacations, books, etc. After 6 yrs, I feel like I'm visiting friends when I go to @DanaFarber. #LCSM
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: T4 This is where @myopennotes could be a great resource. Sharing the narrative encourages communication & stimulates c…
Dr Riyaz Shah @DrRiyazShah
@JFreemanDaily T3: I love it when patients do this. It's excellent. Whole family can review and witness. No letter can ever give that #LCSM
Ian Pereira @IanJPereira
@findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen #lcsm https://t.co/id8x6FXX71
#LCSM Chat @lcsmchat
RT @debsmithbeach: @louisianagirl91 Over time, I've found I prefer going alone. Sometime need a ride bc of long day, late appts, but l…
ShereeseM, MS/MBA @ShereesePubHlth
@GERI1365 @myopennotes @myopennotes promotes sharing of clinical documentation. No promo, just a good idea IMHO #LCSM
H. Jack West, MD @JackWestMD
T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance really bliss? #lcsm
#LCSM Chat @lcsmchat
RT @mdwinterwv: T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also.…
Timothy Gilligan @GilliganTimothy
RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat…
#LCSM Chat @lcsmchat
RT @GjeldumChristen: T4 I can't imagine how hard it is on ONC's on other hand.Having to remain hopeful for the patient, while often having…
#LCSM Chat @lcsmchat
RT @findlungcancer: T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm
Andrea Borondy Kitts @findlungcancer
@GERI1365 @ShereesePubHlth @myopennotes https://t.co/KMRXTo2yJ7 #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GjeldumChristen Don't assume anything. Ask the patient clear questions. #lcsm
Danielle Pardue @Actorielle
THIS! #lcsm https://t.co/dcvXYFOUjj
#LCSM Chat @lcsmchat
RT @louisianagirl91: @debsmithbeach I could see that also. Sometimes it's easier to process alone and share info later. #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: T4 yes patients sometimes embarrassed to admit they don't understand; finding a way to check is key @JFreemanDaily #lc
#LCSM Chat @lcsmchat
RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn…
Enlightening Results @GraceCordovano
RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat…
Deb Smith 🍀 @debsmithbeach
@louisianagirl91 Yes, that's what's ended up working for me. Diff in early days, but I'm 6 yrs in now. #LCSM
#LCSM Chat @lcsmchat
RT @mdwinterwv: T4) my better half has more questions than me. I have accepted I have cancer and pretty much let doc tell me what needs don…
H. Jack West, MD @JackWestMD
T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believable? #lcsm
#LCSM Chat @lcsmchat
RT @debsmithbeach: @Actorielle T3 Me too! We check in on kids, vacations, books, etc. After 6 yrs, I feel like I'm visiting friends wh…
Danielle Pardue @Actorielle
RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall…
#LCSM Chat @lcsmchat
RT @DrRiyazShah: @JFreemanDaily T3: I love it when patients do this. It's excellent. Whole family can review and witness. No letter can eve…
Enlightening Results @GraceCordovano
@GilliganTimothy Shared-decision making all the way! #lcsm
#LCSM Chat @lcsmchat
RT @IJohnPereira: @findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GERI1365 @myopennotes @myopennotes promotes sharing of clinical documentation. No promo, just a good idea IMHO #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall…
Andrea Borondy Kitts @findlungcancer
T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want to know #lcsm
Enlightening Results @GraceCordovano
There is hope! #lcsm https://t.co/ZpBnRKuGSq
Ian Pereira @IanJPereira
@GilliganTimothy @lcsmchat Not the best coping strategy. I've also seen this manifest as redirection/blame. #lcsm
Bob Steele @steele_bob
RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want…
Dr Riyaz Shah @DrRiyazShah
@findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both v important #LCSM
Ian Pereira @IanJPereira
RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne…
Janet Freeman-Daily @JFreemanDaily
T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm
Danielle Pardue @Actorielle
T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particular prognosis #lcsm
Timothy Gilligan @GilliganTimothy
T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and understanding. #lcsm
Danielle Pardue @Actorielle
RT @JackWestMD: T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believa…
Danielle Pardue @Actorielle
RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want…
Andrea Borondy Kitts @findlungcancer
T5 sometimes patients want to ignore reality, my mom had throat cancer - she never went for Tx; insisted she had mumps (mass on neck) #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believa…
Bob Steele @steele_bob
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
Danielle Pardue @Actorielle
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
Andrea Borondy Kitts @findlungcancer
most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm
Janet Freeman-Daily @JFreemanDaily
@JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to deliver bad news. #lcsm
Enlightening Results @GraceCordovano
@findlungcancer Many patients do want information, many do want to know, many want to participate in decision making. Different for everyone. #lcsm
Christen Gjeldum @GjeldumChristen
#lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some care...
ShereeseM, MS/MBA @ShereesePubHlth
@GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM
H. Jack West, MD @JackWestMD
RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive…
Christen Gjeldum @GjeldumChristen
#lcsm T5 , ...then the straight answer is appreciated.
Bob Steele @steele_bob
RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive…
Andrea Borondy Kitts @findlungcancer
T5 patient & caregiver have to be ready to receive the news; may take several visits, continuity hard to plan for busy oncs #lcsm
Danielle Pardue @Actorielle
RT @GjeldumChristen: #lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some c…
Danielle Pardue @Actorielle
RT @GjeldumChristen: #lcsm T5 , ...then the straight answer is appreciated.
Laronica Conway @louisianagirl91
RT @debsmithbeach: @louisianagirl91 Yes, that's what's ended up working for me. Diff in early days, but I'm 6 yrs in now. #LCSM
Enlightening Results @GraceCordovano
@GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single time. #lcsm
Andrea Borondy Kitts @findlungcancer
RT @ShereesePubHlth: @GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM
Timothy Gilligan @GilliganTimothy
Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who we are with. #lcsm
Baricorcho @Baricorcho
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
H. Jack West, MD @JackWestMD
@JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredient. #lcsm
Bob Steele @steele_bob
RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti…
Laronica Conway @louisianagirl91
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Danielle Pardue @Actorielle
RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti…
Andrea Borondy Kitts @findlungcancer
RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien…
Danielle Pardue @Actorielle
RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who…
Danielle Pardue @Actorielle
RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien…
H. Jack West, MD @JackWestMD
RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who…
Enlightening Results @GraceCordovano
@findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process requires time to digest. #lcsm
Janet Freeman-Daily @JFreemanDaily
T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer options #LCSM https://t.co/LNGzyhWEus
ShereeseM, MS/MBA @ShereesePubHlth
RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer…
Frank Ingram, MD @Chucktowndoc
T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Janet Freeman-Daily @JFreemanDaily
RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both…
Danielle Pardue @Actorielle
RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer…
H. Jack West, MD @JackWestMD
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Bob Steele @steele_bob
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Janet Freeman-Daily @JFreemanDaily
RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien…
Enlightening Results @GraceCordovano
@ShereesePubHlth @GilliganTimothy Can you explain it to a child? If not, you are doing it wrong. #lcsm
Elecktra B Ing @elecktra_b_ing
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Christen Gjeldum @GjeldumChristen
#lcsm T5 there r tests out there that aren't talked about i.e. foundation 1 blood test may not b offered @ ur hospital, but u could get it
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want…
Navneet Majhail, MD @BldCancerDoc
RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who…
#LCSM Chat @lcsmchat
RT @GraceCordovano: There is hope! #lcsm https://t.co/ZpBnRKuGSq
Laronica Conway @louisianagirl91
Gotta be frustrating! Less eye contact & pt feels ignored; like what's on screen is more important. *sigh* #LCSM https://t.co/vt1F5WWDBK
#LCSM Chat @lcsmchat
RT @IJohnPereira: @GilliganTimothy @lcsmchat Not the best coping strategy. I've also seen this manifest as redirection/blame. #lcsm
Danielle Pardue @Actorielle
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
#LCSM Chat @lcsmchat
RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both…
Andrea Borondy Kitts @findlungcancer
YES!!! T5 RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm
#LCSM Chat @lcsmchat
RT @Actorielle: T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particula…
Navneet Majhail, MD @BldCancerDoc
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
#LCSM Chat @lcsmchat
RT @findlungcancer: T5 sometimes patients want to ignore reality, my mom had throat cancer - she never went for Tx; insisted she had mumps…
#LCSM Chat @lcsmchat
RT @findlungcancer: most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive…
Danielle Pardue @Actorielle
RT @GjeldumChristen: #lcsm T5 there r tests out there that aren't talked about i.e. foundation 1 blood test may not b offered @ ur hospital…
#LCSM Chat @lcsmchat
RT @GraceCordovano: @findlungcancer Many patients do want information, many do want to know, many want to participate in decision makin…
Andrea Borondy Kitts @findlungcancer
RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm
Ian Pereira @IanJPereira
@JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :) https://t.co/vIWp73YIVe v @ClevelandClinic T5 #lcsm
OpenNotes @myopennotes
@GERI1365 @ShereesePubHlth Did someone say #OpenNotes? 🤓 #lcsm https://t.co/XgnzGMxwFm
#LCSM Chat @lcsmchat
RT @GjeldumChristen: #lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some c…
#LCSM Chat @lcsmchat
RT @ShereesePubHlth: @GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM
#LCSM Chat @lcsmchat
RT @GjeldumChristen: #lcsm T5 , ...then the straight answer is appreciated.
#LCSM Chat @lcsmchat
RT @findlungcancer: T5 patient & caregiver have to be ready to receive the news; may take several visits, continuity hard to plan for busy…
#LCSM Chat @lcsmchat
RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who…
Mark Winter @mdwinterwv
T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine #LCSM
#LCSM Chat @lcsmchat
RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien…
#LCSM Chat @lcsmchat
RT @GraceCordovano: @findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process re…
H. Jack West, MD @JackWestMD
RT @findlungcancer: most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer…
#LCSM Chat @lcsmchat
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Ian Pereira @IanJPereira
RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: @ShereesePubHlth @GilliganTimothy Can you explain it to a child? If not, you are doing it wrong. #lcsm
Dr. David Tom Cooke @DavidCookeMD
I don't know if this is a bot, but if not, this is the best trolling effort in the history of @Twitter #LCSM https://t.co/c6e0d20BNb
#LCSM Chat @lcsmchat
RT @louisianagirl91: Gotta be frustrating! Less eye contact & pt feels ignored; like what's on screen is more important. *sigh* #LCSM https…
Frank Ingram, MD @Chucktowndoc
T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate effectively #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: YES!!! T5 RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm
#LCSM Chat @lcsmchat
RT @findlungcancer: RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lc
Ian Pereira @IanJPereira
RT @Actorielle: T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particula…
#LCSM Chat @lcsmchat
RT @myopennotes: @GERI1365 @ShereesePubHlth Did someone say #OpenNotes? 🤓 #lcsm https://t.co/XgnzGMxwFm
Ian Pereira @IanJPereira
RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und…
#LCSM Chat @lcsmchat
RT @IJohnPereira: @JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :)…
Laronica Conway @louisianagirl91
One of my friends who's a doc said the same when I complained about my mom's doc. 😔#LCSM @drclbm2001 https://t.co/8Ci5cgUKy6
OpenNotes @myopennotes
@GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lcsm
#LCSM Chat @lcsmchat
RT @mdwinterwv: T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine
Let's Cure ALK+ Lung Cancer! @VirginiaMByrne
RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn…
Christen Gjeldum @GjeldumChristen
#lcsm T 1-5) patients most importantly don't want to feel like a number.
Danielle Pardue @Actorielle
RT @Chucktowndoc: T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate…
Deb Smith 🍀 @debsmithbeach
RT @findlungcancer: T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm
H. Jack West, MD @JackWestMD
Last few min of a great chat. Time for closing thoughts. What's at top of your wish list for better pt/clinician communication? #lcsm
Navneet Majhail, MD @BldCancerDoc
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Laronica Conway @louisianagirl91
RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who…
#LCSM Chat @lcsmchat
RT @Chucktowndoc: T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate…
Danielle Pardue @Actorielle
RT @GjeldumChristen: #lcsm T 1-5) patients most importantly don't want to feel like a number.
#LCSM Chat @lcsmchat
RT @louisianagirl91: One of my friends who's a doc said the same when I complained about my mom's doc. 😔#LCSM @drclbm2001 https://t.co/8Ci5…
OpenNotes @myopennotes
@GERI1365 @ShereesePubHlth And if you WANT your notes, email your doc to get the convo started. We drafted an email for you: https://t.co/ls1j3kQxZG #LCSM
Let's Cure ALK+ Lung Cancer! @VirginiaMByrne
Memorial Sloan-Kettering makes it very difficult to get your chart. https://t.co/3TSLQvZiqn
#LCSM Chat @lcsmchat
RT @myopennotes: @GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lc
ShereeseM, MS/MBA @ShereesePubHlth
@DavidCookeMD @Twitter No bot; no trolling I mentioned @myopennotes as a good resource to encourage communication between Pt/provider (no COI/compensation) #LCSM
Laronica Conway @louisianagirl91
RT @mdwinterwv: T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine
Laronica Conway @louisianagirl91
RT @IJohnPereira: @JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :)…
Geri Massa @GeriGerim13
@GjeldumChristen #lcsm T 1-5 I agree
OpenNotes @myopennotes
RT @DavidCookeMD: I don't know if this is a bot, but if not, this is the best trolling effort in the history of @Twitter #LCSM https://t.co…
Christen Gjeldum @GjeldumChristen
#lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront and have backup plans
Andrea Borondy Kitts @findlungcancer
T5 one helpful question is asking doc if they do shared decision making; if they say "what is that?" may not be the doc for you #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
RT @myopennotes: @GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lc
Janet Freeman-Daily @JFreemanDaily
CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patients. #lcsm
Dr. David Tom Cooke @DavidCookeMD
Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with recent legislation.
Laronica Conway @louisianagirl91
RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall…
#LCSM Chat @lcsmchat
RT @GjeldumChristen: #lcsm T 1-5) patients most importantly don't want to feel like a number.
#LCSM Chat @lcsmchat
RT @JackWestMD: Last few min of a great chat. Time for closing thoughts. What's at top of your wish list for better pt/clinician communicat…
Danielle Pardue @Actorielle
RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an…
Laronica Conway @louisianagirl91
RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an…
Andrea Borondy Kitts @findlungcancer
T5 patients need training in how to communicate too - maybe a joint doc patient training session with role play #lcsm
Danielle Pardue @Actorielle
RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie…
#LCSM Chat @lcsmchat
RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an…
Danielle Pardue @Actorielle
RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r…
Bob Steele @steele_bob
RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r…
Danielle Pardue @Actorielle
CT: communicate w the pt the way you'd want your loved one addressed in the same situation. #lcsm
JAMA Oncology @JAMAOnc
Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC. https://t.co/ZW8gyVAyOM #LCSM https://t.co/Iph4vKXhEk
Enlightening Results @GraceCordovano
CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. Ask about values #lcsm
Janet Freeman-Daily @JFreemanDaily
CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about their case. #lcsm
Mark Winter @mdwinterwv
Good nite all #LCSM
#LCSM Chat @lcsmchat
RT @findlungcancer: T5 one helpful question is asking doc if they do shared decision making; if they say "what is that?" may not be the doc…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie…
Timothy Gilligan @GilliganTimothy
Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm
Christen Gjeldum @GjeldumChristen
#lcsm thank you!! goodnight and God bless
#LCSM Chat @lcsmchat
RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r…
#LCSM Chat @lcsmchat
RT @findlungcancer: T5 patients need training in how to communicate too - maybe a joint doc patient training session with role play #lcsm
Danielle Pardue @Actorielle
RT @JAMAOnc: Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC.…
Danielle Pardue @Actorielle
RT @GraceCordovano: CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. A…
Danielle Pardue @Actorielle
RT @JFreemanDaily: CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about…
H. Jack West, MD @JackWestMD
Thanks to everyone for great conversation, w/special thanks to @gilligantimothy for your insight and expertise. Good night! #lcsm
Geri Massa @GeriGerim13
@DavidCookeMD @JackWestMD #lcsm , what'she most recent legislation?
Danielle Pardue @Actorielle
RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm
Laronica Conway @louisianagirl91
Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ecSxJXvyU
Andrea Borondy Kitts @findlungcancer
CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx preferences 1/2 #lcsm
ShereeseM, MS/MBA @ShereesePubHlth
Thanks for the invite. Great chat. take care all #LCSM https://t.co/b93q2z6hQ9
Janet Freeman-Daily @JFreemanDaily
Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See y'all in 2 weeks.
Bob Steele @steele_bob
Great chat session. Good food for thought as always! Good night all. See you in two weeks. #lcsm
Danielle Pardue @Actorielle
RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec…
#LCSM Chat @lcsmchat
RT @Actorielle: CT: communicate w the pt the way you'd want your loved one addressed in the same situation. #lcsm
#LCSM Chat @lcsmchat
RT @GraceCordovano: CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. A…
Andrea Borondy Kitts @findlungcancer
CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #lcsm
#LCSM Chat @lcsmchat
RT @JFreemanDaily: CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about…
#LCSM Chat @lcsmchat
RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm
#LCSM Chat @lcsmchat
RT @JackWestMD: Thanks to everyone for great conversation, w/special thanks to @gilligantimothy for your insight and expertise. Good night!…
Enlightening Results @GraceCordovano
@JackWestMD @GilliganTimothy Amazing discussion! Thanks for organizing and leading a great hour! Til next time #lcsm
Navneet Majhail, MD @BldCancerDoc
RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm
#LCSM Chat @lcsmchat
RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec…
#LCSM Chat @lcsmchat
RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere…
#LCSM Chat @lcsmchat
RT @JFreemanDaily: Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See…
Andrea Borondy Kitts @findlungcancer
Great topic & great moderation @jackwestMD Thank you! #lcsm
Laronica Conway @louisianagirl91
RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie…
Nathan A. Pennell MD, PhD @n8pennell
RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec…
Laronica Conway @louisianagirl91
RT @findlungcancer: CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #l
Enlightening Results @GraceCordovano
@JFreemanDaily @JackWestMD @GilliganTimothy This was excellent Janet!! Thanks for a great hour #lcsm
Laronica Conway @louisianagirl91
RT @JFreemanDaily: Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See…
Laronica Conway @louisianagirl91
RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere…
ShereeseM, MS/MBA @ShereesePubHlth
Example #lcsm https://t.co/oQ224mtsVo
Geri Massa @GeriGerim13
Thank Y'all for a great chat, always learning 👍 Thoughts & prayers please, I have a Dr appt, scan results. #LCSM
Andrea Borondy Kitts @findlungcancer
And thank you @GillianTimothy for the guidelines and your insight on this topic #lcsm
Deb Smith 🍀 @debsmithbeach
@JackWestMD @Actorielle T5 Some friends don't want to know much. I want to know everything! #LCSM
Navneet Majhail, MD @BldCancerDoc
RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec…
Frank Ingram, MD @Chucktowndoc
CT: communication is a two way street. When it goes well or badly, probably both sides should share the acclaim/blame #lcsm
Andrea Borondy Kitts @findlungcancer
RT @Chucktowndoc: CT: communication is a two way street. When it goes well or badly, probably both sides should share the acclaim/blame #…
Janet Freeman-Daily @JFreemanDaily
@GraceCordovano @JackWestMD @GilliganTimothy Glad you could join us! #LCSM
Ian Pereira @IanJPereira
@findlungcancer @lcsmchat Denial thoughts are common (may be up to 50%). Different approaches to management seem outcome-focused https://t.co/4NL318O6BE #lcsm T5
Mark Winter @mdwinterwv
@GERI1365 Good luck. You will be in my prayers #lcsm
Laronica Conway @louisianagirl91
Hugs and positive thoughts coming your way!! 💕💕💕💕 😘 #LCSM https://t.co/mtu6o9ZmXp
Andrea Borondy Kitts @findlungcancer
1000x AGREE need patient to own medical record; one patient; one record -full disclosure I am working this as COO of a startup company #lcsm https://t.co/Y6KclQnjnC
Victoria.Saccenti @victoriasauthor
RT @ShereesePubHlth: Thanks for the invite. Great chat. take care all #LCSM https://t.co/b93q2z6hQ9
Victoria.Saccenti @victoriasauthor
RT @ShereesePubHlth: Example #lcsm https://t.co/oQ224mtsVo
Dr. David Tom Cooke @DavidCookeMD
#GrahamCassidyNO https://t.co/oonXOZhSSs
Andrea Borondy Kitts @findlungcancer
RT @GraceCordovano: @findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process re…
Andrea Borondy Kitts @findlungcancer
RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both…
Ian Pereira @IanJPereira
@findlungcancer @GilliganTimothy and how much? Part of the "Invitation" piece of the SPIKES framework for bad news is assessing this https://t.co/q9znOzHQLa #lcsm T5
Andrea Borondy Kitts @findlungcancer
RT @IJohnPereira: @findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen
Enlightening Results @GraceCordovano
@louisianagirl91 #PtExp from the eyes of a child. Dr has back to the child (patient). What message are we sending to next generation! #lcsm https://t.co/I7qiVK2bdV
Ian Pereira @IanJPereira
RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be…
Andrea Borondy Kitts @findlungcancer
RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients…
Daniel Flora MD, PharmD @dbfloramd
RT @JAMAOnc: Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC.…
Ian Pereira @IanJPereira
RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere…
Ian Pereira @IanJPereira
RT @findlungcancer: CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #l
Dr Riyaz Shah @DrRiyazShah
@JackWestMD T5 Have certainly met pts who have not connected with their onc & closer inspection all the onc did was tell the truth when asked #LCSM
Dr Riyaz Shah @DrRiyazShah
RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm
Rare Cancer Aware @rarecanceraware
Possible silver lining to those #immunotherapy side effects: it may be a sign that it's working https://t.co/SDUUAJSXu9
Ian Pereira @IanJPereira
@JackWestMD CT: alignment of patients, providers, & payers including communication - part of what makes us human? #lcsm
Deb Smith 🍀 @debsmithbeach
RT @findlungcancer: Great topic & great moderation @jackwestMD Thank you! #lcsm
Andrea Borondy Kitts @findlungcancer
RT @GraceCordovano: @louisianagirl91 #PtExp from the eyes of a child. Dr has back to the child (patient). What message are we sending t…
Dr Riyaz Shah @DrRiyazShah
@GraceCordovano @lcsmchat @findlungcancer T5 agree; and it is a skill to be able to decipher and deliver each patients needs in an individualised manner. #lcsm
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