Difficult Conversations -Lessons I learned as an ICU Physician
Dr. Anthony Orsini
Every critical moment in our lives starts and ends with a Difficult Conversation. As an intensive care physician, author, and frequent speaker on communication, Dr. Orsini has spent most of his career teaching key communication techniques that can help anyone navigate through the most difficult conversations. This podcast is about effective and compassionate communication. Each week our guests will tell their inspiring stories of triumph and tragedy and the role that communication played in the their lives. . Whether you are a doctor telling someone they have terminal cancer, a business leader who is trying to get the most out of his/her employees or an HR Professionals who is faced with separating an employee this is the podcast for you.
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Top 10 Difficult Conversations -Lessons I learned as an ICU Physician Episodes
Goodpods has curated a list of the 10 best Difficult Conversations -Lessons I learned as an ICU Physician episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Difficult Conversations -Lessons I learned as an ICU Physician for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Difficult Conversations -Lessons I learned as an ICU Physician episode by adding your comments to the episode page.
How Communication Improves the Patient Experience with Elizabeth Poret-Christ
Difficult Conversations -Lessons I learned as an ICU Physician
09/08/20 • 31 min
How Communication Improves the Patient Experience with Elizabeth Poret-Christ
Welcome to the Difficult Conversations – Lessons I Learned as an ICU Physician with Dr. Anthony Orsini. Our special guest today is Elizabeth Poret-Christ. Liz is a dear friend of Dr. Orsini and Director of Programming at The Orsini Way, where she’s involved in all aspects of marketing, scheduling, and teaching. As Dr. Orsini states “Without Liz, The Orsini Way would not exist”. Liz has several personal stories to share today, and what’s so amazing about Liz, is the way she took every one of her experiences, good and bad, and found a way to turn them into a positive. Dr. Orsini keeps his promise about two things, that you will be inspired, and you will learn communication techniques that will help you in your personal lives.
Liz shares with us how she became involved in the Parent Advisory Committee at her local teaching hospital that led her to meet Dr. Orsini. She tells us the story about when her husband was critically ill in an ICU in Florida, and the difficult conversations she had with some doctors. You will be shocked to hear about one particularly bad conversation she had with a surgeon when her husband was close to death. You will learn why Liz repeats to herself often, “How do I help the next person from not having to experience that kind of things that I went through?” Dr. Orsini believes that physicians, nurses, and healthcare professionals are especially compassionate, but sometimes it’s difficult to convey that compassion, and that’s what Liz and Dr. Orsini teach at The Orsini Way. When Liz and her husband got back home to NJ after 23 days in the hospital, they met with a surgeon that took over her husband’s case. Liz discusses his sharp contrast in communication skills compared to the first surgeon and how comforting he was to her husband. With just a few words, the surgeon said something so astounding to them that he made them instantly feel less afraid. Liz shares her experience with us about giving bad news, from the patient’s point of view. Having been on both sides of the conversation, she gives advice to the person who is receiving the tragic news and tips on what they should expect from the doctor, nurse or first responder. Dr. Orsini says, “This is why I love communication. It’s so powerful. By changing one word, by doing something just a little differently, you can make a real difference in people’s lives.” If you enjoyed this episode, please hit the subscribe button to find out more about what we do and how we teach communication. Go ahead and download this episode now!
Host:
Dr. Anthony Orsini
Guest:
Elizabeth Poret-Christ
For More Information:
Resources Mentioned:
Human Centered Approach to Leadership with Holly O'Driscoll
Difficult Conversations -Lessons I learned as an ICU Physician
11/16/20 • 50 min
Human Centered Approach to Leadership with Holly O'Driscoll
Welcome to Difficult Conversations - Lessons I Learned as an ICU Physician with Dr. Anthony Orsini. On today’s episode, my special guest is Holly O’Driscoll, an industry expert in the field of Design Thinking and human centered innovation. She is the former Global Design Thinking Leader at Proctor & Gamble and led more than 250 design thinking experiences, often at the request of C-suite executives. She has built a reputation as a master human centered innovation strategist, trainer, and facilitator. Her passions include problem solving, the organizational strategy, unleashing the diversity of people, leadership philosophy, and creating conditions that allow human creativity and curiosity to thrive. She is the founder and CEO of Ampersand Innovation, which is a Design Thinking and human centered innovation strategy consultancy. In addition, she is a globally sought after keynote speaker as well. As always, Dr. Orsini keeps his promise about two things, that you will feel inspired, and you will have learned valuable lessons to be a better and more compassionate communicator.
Holly shares her story . She defines what “design thinking” is and explains the human centered approach focusing on five principles that were made famous by the Stanford University d. School: Empathy, Definition, Ideation, Prototyping, and Testing. Dr. Orsini talks about his technique in teaching empathy and connecting to a patient. Holly tells us the results of a bad leader, how to fix a bad culture, and how to get people excited about their job. We also learn why Holly would choose to first hire someone with integrity and why she believes leadership is something you can teach. Holly tells us about using the Empathy Map which is focused on sketching out what people are thinking, feeling, saying, and doing on the inside and outside. Find out why Holly prefers deep conversations versus a survey? She shares a story on being vulnerable and how to connect with people.. Holly talks about the “sceptic” in the room. She tells us how important it is to learn the names of people and to connect on a human level. Dr. Orsini shares a funny story when he was in and working as a substitute teacher. We hear inspiring stories from Dr. Orsini about communicating and building relationships and how his "It's All in the Delivery" training program does something called, “see something, say something” We end with Holly telling us the most difficult type of conversation that she’s had, and Dr. Orsini finishes by saying, “People trust people who are real people, not fake people. Be genuine, be real, build the trust, and be humble.” If you enjoyed this podcast, please hit the subscribe button to find out more about what we do and how we teach communication.
Host:
Dr. Anthony Orsini
Guest:
Holly O’Driscoll
For More Information:
Resources Mentioned:
Reaching Peak Performance In Medicine
Difficult Conversations -Lessons I learned as an ICU Physician
01/24/22 • 47 min
Welcome to Difficult Conversations with Dr. Anthony Orsini. On today’s episode we will be talking about High Performance Medicine. I have the pleasure of having as my guest, Brian Ferguson, who is the founder and CEO of Arena Labs, a company that has pioneered the field of High Performance Medicine. Before founding Arena Labs, Brian served in the military as a Navy SEAL Officer. Aside from his duties at the tactical level, he worked with senior leaders to understand the impact of accelerating technology on the modern battlefield. Brian spent his career working in high performance organizations, learning from leaders and decision makers in the U.S. national security, the military, and technology which helped him build Arena Labs. Brian and Arena Labs are on a mission to re-imagine healthcare, training doctors and nurses as elite performers by investigating clinicians with the same training tools and technology as Navy SEALS, Olympic athletes, and creative masters. Arena Labs believes hospitals can reduce burnout and provide healthcare teams with the ability to flourish in the face of a demanding stressful career.
We start out getting to know who Brian Ferguson is, how he became a Navy SEAL, the story behind Arena Labs, and the toolkit he developed to help physicians and nurses manage a stressful high consequence environment. He tells us about WHOOP, who they’ve partnered with to provide a wearable sensor and explains how they use it. We learn more about Arena Labs long-term goal and how Brian would love to see a world where healthcare sees them as a trusted, necessary partner for every clinician in the world, helping them understand their biomarkers, improve their sleep, and how to think about the tools for dealing with stress Dr. Orsini talks about the importance of data for hospitals with nurses and physicians. Brian explains how in special operations and pro sports, modern technology and data have made us smarter in understanding the human system. He uses an analogy of concussion protocols in pro sport and military. Arena Labs number one value is humility, and Brian elaborates how they can provide clinicians with the toolkit to feel more confident in the face of stress. Brian shares some valuable tips on how to get through a stressful situation, We end with Brian explaining what happened in the tale of two operating rooms, and he shares two difficult conversations he’s had and how he navigated through them. If you enjoyed this podcast, please go ahead and hit subscribe on your favorite podcast platform.
Host:
Dr. Anthony Orsini
Guest:
Brian Ferguson
For More Information:
Difficult Conversations I Learned as an ICU Physician Podcast Episodes
Resources
Reduce Anxiety & Stress with the Physiological Sigh with Dr. Andrew Huberman (YouTube
Burning Shield - The Story of Jason Schechterle
Difficult Conversations -Lessons I learned as an ICU Physician
05/24/21 • 51 min
Hello and welcome to Difficult Conversations with Dr. Anthony Orsini. Doing this podcast is one of the best decisions that I ever made because every week I get to interview some of the most incredible people in the world, leaders in healthcare and in business who have taught me so much. Every week I feel inspired and it has given me a new appreciation for the good in people and the unbreakable human spirit. The man you will meet today is going to inspire you more than ever! I met retired Phoenix police officer, Jason Schechterle, when we were both presenters recently at a TEDx Talk. When you meet Jason, you can’t help but be impressed and inspired. Jason’s journey chronicles his fight for life, his triumph over tragedy, and the inspiration that enables him to continue to overcome unimaginable adversity. His personal narrative exemplifies that the power of the human spirit can never be underestimated or extinguished. Jason is the subject of the book, Burning Shield:, which we’ll talk about today, as Jason tells us his story of why he’s the luckiest person alive.
Jason tells us the incredible story of his journey to becoming a police officer and the day that changed his life forever. We learn how he suffered burns to 43% of his body, with his neck, head and face being the worst, spent two and a half months in a coma, and was not expected to survive. Jason tells us about the doctor that he called, “One of the greatest healers and lifesavers this world has ever known,” and how this doctor questioned his own reasoning behind doing the surgery. Jason had fifty-six surgeries in seven years, and he shares experiences he had with some of the doctors and nurses in the burn center, being vulnerable, and the importance of surrounding yourself with people who are willing to help. Amazingly, not only does Jason survive, but he ends up going back to work as a homicide detective and playing golf. He explains how in his recovery process, it was so important to tell other people that there’s nothing as powerful as a made-up mind. Throughout this process, Jason’s wife was so dedicated and the love they have for each other really showed, but there was another person in his life that really represented the friendship and camaraderie between two police officers. Learn about Brian and what he did for his family. Jason ends up sharing his story of how he worked hard to fight agains Ford Motor Company to discontinue a defective and dangerous car thereby helping and probably saving the lives of other police officers We end with Jason telling us the toughest conversations he’s had, which he credits his wife, and he shares inspirational advice with us that you really have to hear! If you enjoyed this podcast, please hit follow, and download all the previous episodes to find out more about what we do and how we teach communication.
Host:
Dr. Anthony Orsini
Guest:
Jason Schechterle
For More Information:
Resources Mentioned:
Burning Shield: The Jason Schechterle Story by Landon J. Napoleon
Conversations about Second Victim Syndrome
Difficult Conversations -Lessons I learned as an ICU Physician
02/08/21 • 44 min
Conversations About Second Victim Syndrome with Dr. Susan Wilson
Welcome to Difficult Conversations with Dr. Anthony Orsini. My special guest today is Dr. Susan Wilson. After 15 years of practicing Emergency Medicine, she retired from clinical practice, completed her coursework in coaching and formed SJW Professional Coaching Services, LLC with the goal of providing guidance and support to healthcare professionals. Over the past 25 years, Dr. Wilson has seen the evolution of medical practice, witnessing first-hand how the changes in healthcare have impacted her colleagues. She sees professional coaching as an important tool to addressing issues of burnout among healthcare providers. Dr. Wilson is particularly passionate about Second Victim Syndrome, an extremely important topic that most healthcare providers are not aware of but should know about.
Dr. Wilson talks about physician burnout and suicide rates, and discusses a JAMA article about the relationship between resiliency and burnout in physicians. Dr. Orsini and Dr. Wilson discuss Second Victim Syndrome (SVS), why it’s such a problem, and how it affects both providers and patients. We learn about the stages of grief that occur with SVS and the final stage which is moving on, in which people will either thrive, survive, or drop out. If someone needs help, Susan lets us know the best resources on how to get it. She talks about the staggering statistics of physician burnout and Second Victim Syndrome and how many healthcare professionals are actually seeking help. We find out how Susan coaches people through EAP on their journey of feeling better. Since Dr. Orsini and Susan both do a lot of coaching, they share why it is so important to them to help others. We end with Susan telling us the one conversation that is the most difficult and how she approaches it. Also, she gives advice on how to approach that person you care about that may need help, from either physician burnout or SVS If you enjoyed this podcast, please hit the subscribe button to find out more about what we do and how we teach communication. Go ahead and download this episode now!
Host:
Dr. Anthony Orsini
Guest:
Dr. Susan Wilson
Sponsor:
For More Information:
Resources Mentioned:
SJW Professional Coaching Services, LLC
[email protected]
JAMA Network- “Addressing Burnout-Focus on Systems, Not Resilience”-by Allan H. Goroll, MD
The Orsini Way-Podcast- Episode 109-Dr. Helen Riess
The Busy Leader’s Handbook: How to Lead People and Places That Thrive by Quint Studer
Communicating to Be the Most Powerful You with Kathy Caprino
Difficult Conversations -Lessons I learned as an ICU Physician
08/04/20 • 41 min
Difficult Conversations with Dr. Anthony Orsini-Episode 3
Welcome to the Difficult Conversations with Dr. Anthony Orsini. Today we are lucky to have special guest, Kathy Caprino with us. She is an internationally recognized career and leadership coach, writer, speaker, educator dedicated to the advancement of women in business, a former corporate vice president, now a trained marriage and family therapist, a seasoned executive coach, senior Forbes contributor, and author of two books, and her podcast is called Finding Brave.
Kathy tells us her personal journey, facing sexual harassment, gender discrimination, toxic colleagues, and narcissistic bosses. She had a breakthrough moment and finally had enough. She then became a marriage and family therapist which was life changing, which is how she learned so much about empathy and communication and how you really match with someone. Kathy tells us a story and things you should never say to someone in a difficult conversation. Dr. Orsini has a great story to share as well as key advice when he teaches communication.
Physician burnout is an epidemic right now and Dr. Orsini touches on that and Kathy addresses the issue with some great advice. Kathy tells us how she coaches women to stand up for themselves. She shares a story with coaching clients and tells us some key advice to stay compassionate, stay understanding, but be very clear what you will and will not accept. Also, learn here what you should expect when you read her new book and how is it different from her first book. Please hit the subscribe button to find out more about what we do and how we teach communication and download this episode now!
Host:
Dr. Anthony Orsini
Guest:
Kathy Caprino
For More Information:
Resources Mentioned:
The Most Powerful You: 7 Bravery-Boosting Paths to Career Blissby Kathy Caprino
Recognizing Fear
Difficult Conversations -Lessons I learned as an ICU Physician
12/05/22 • 34 min
Welcome to Difficult Conversations. Today, we have Liz Poret-Christ hosting along with Dr. Orsini. A few weeks ago, when Liz was scrolling through Facebook, she came across the PELOTON Cancer Warriors page and saw a post by Gina Jacobson. Her thoughts about battling cancer, mixed with a bit of dark humor, and a lot of honesty made Liz realize that she would be a great guest on this podcast. So, joining us today is Gina Jacobson. For the past twenty-seven years, Gina has worked in a broad range of roles with the Publicis Group, including overseeing media at Starcom and creative development at Leo Burnett. Her official title at Starcom is Chief Growth Officer, but she thinks of herself as a “Chief Potential Officer.” She’s known for her critical strategic thinking, digging into her client’s businesses, and has a passion for building and nurturing teams who deliver engaging, strategic work. Gina was diagnosed with stage IV colon cancer in 2018, and has outlived her prognosis by several years, and intends to keep living a joyful and purposeful life, helping others realize their full potential. Get ready to hear Gina’s story and be inspired!
Gina shares her background story and how she got to where she is today with her career. We learn how her leadership style and philosophy of “recognizing fear” started, and she goes in depth how her philosophy deepened after her cancer diagnosis. Gina tells us about the breakdown she had at a conference in front of her whole leadership team and reveals how having cancer changed her philosophy of leadership, how she views the world, her job, and how being more vulnerable helped her and her co-workers. We hear the story about the four oncologists Gina interviewed and how their communication affected her ability to envision a successful path forward. She explains how each of the conversations went, and how she ultimately chose the one that communicated with her in a way that she felt this physician was her advocate and one that she could trust. With the great connection she had with this physician, she makes a point that the positive attitude certainly made for an easier journey and a more tolerable journey. Gina describes her cancer journey as a “masterclass in fear” and shares her message to everyone. We hear about her blog and a post she wrote about telling the kids, and specifically one with her son, and his response that felt like a knife in the gut for a mother to hear. We end with Gina telling us the type of conversation she finds most challenging and the strategies she’s developed to get better at having those difficult conversations. If you enjoyed this podcast, please hit the subscribe on your favorite podcast platform.
Hosts:
Liz Poret-Christ
Dr. Anthony Orsini
Guest:
Gina Jacobson
For More Information:
Difficult Conversations Podcast
Resources
The Impact of Child Abuse with Chris Newlin
Difficult Conversations -Lessons I learned as an ICU Physician
09/11/23 • 40 min
In this episode of Difficult Conversations, Dr. Orsini is joined by Chris Newlin, Executive Director of the National Children’s Advocacy Center (NCAC) in Alabama, where he’s responsible for providing leadership and management, as well as participating in national and international training programs for the protection of children. He has more than 25 years of experience working as a Forensic Interviewer, Victim Advocate, Therapist, and other leadership roles in child advocacy. Today, Dr. Orsini and Chris delve into the complex world of child advocacy. Chris sheds light on the emotional challenges faced by professionals striving to protect vulnerable children. We’ll hear about his background, tracing his journey from being an army kid to finding his passion for safeguarding children’s well-being. The episode explores the history and evolution of Children’s Advocacy Centers, highlighting their global impact in providing safe spaces for children to share their experiences.
The conversation shifts towards the vital role of forensic interviewers in child advocacy work. These professionals who interact with children and faced traumatic events like child sexual abuse, are discussed in detail. The challenges they encounter in building rapport, extracting accurate information, and creating a supportive environment are examined. Dr. Orsini shares his own experience working with forensic interviewers and child advocates through The Orsini Way and highlights their dedication to improvement. Chris talks about his TEDx Talk focusing on child abuse, the staggering economic costs of child abuse on a national scale, and he cites research on Adverse Childhood Experiences (ACEs) and their impact on health, productivity, and substance abuse throughout adulthood. Dr. Orsini and Chris Newlin discuss strategies for preventing burnout among child advocates, emphasizing the significance of self-care, staying genuine, and maintaining emotional engagement. We end with Chris sharing a personal experience of a difficult conversation with a family member facing a serious medical diagnosis and how he navigated through it. He emphasizes the importance of being patient, providing evidence, and allowing time for individuals to process challenging news.
If you enjoyed this podcast, please hit the subscribe button on your favorite podcast platform and download this episode to hear more!
Host:
Dr. Anthony Orsini
Guest:
Chris Newlin
For More Information:
Difficult Conversations Podcast
Resources Mentioned:
National Children’s Advocacy Center
TEDx Talks: Financial Impact of Child Abuse with Chris Newlin (YouTube)
Difficult Conversations Podcast-Conversations About Child Advocacy with Anthony DeVincenzo
Physician Coaching and Patient Experience
Difficult Conversations -Lessons I learned as an ICU Physician
05/02/22 • 36 min
Welcome to Difficult Conversations with Dr. Anthony Orsini. Today, we have another incredible guest, Joshua Washington, who is the President of Lee Malveaux People, Strategy & Solutions. As an organizational psychologist, Joshua has helped over 200 medical facilities with people, strategy, and performance. He’s also trained over a thousand executive leaders and developed a one-to-one physician coaching program helping doctors reach the top percentile nationally in patient experience. His passion for people development shines through his work and serves as the foundation of his success. He has a new book out called, The Mentality of Success, which he’ll tell us more about, As always, Dr. Orsini keeps his promise about two things, that you will feel inspired, and you will have learned valuable lessons to be a better and more compassionate communicator.
Joshua shares his background and journey, which is centered around communication and impacting the value of people. We learn how Joshua got started coaching doctors. Dr. Orsini and Joshua chat about the lack of money spent on teaching communication to doctors. Joshua makes a point about physicians being one of the main professions that are constantly learning and constantly growing, which is why administrators should invest more into training. We find out Joshua’s approach to communicating with physicians as well as why the communication skill set should be a culture within your physician group. Joshua details his four-step process. He explains why data is critical, getting to know each doctor on a personal level, and how long the coaching/physician relationship typically lasts. Dr. Orsini talks about the training he does, which like Joshua’s approach, has a beginning, middle, and an end. We hear about the greatest aha moments that Joshua sees in physicians’ eyes when they talk about the personal versus the practical. Dr. Orsini shares with us how many physicians he thinks are fighting to hold on to their love for medicine , and why it’s okay to ask for coaching. We hear more about Joshua’s new book, The Mentality of Success, how it’s more of a personal development book. If you enjoyed this podcast, please go ahead and hit subscribe on your favorite podcast platform. Go ahead and download this episode now!
Host:
Dr. Anthony Orsini
Guest:
Joshua Washington
For More Information:
Difficult Conversations I Learned as an ICU Physician Podcast Episodes
Resources Mentioned:
The Problem with Dying with Dr. BJ Miller
Difficult Conversations -Lessons I learned as an ICU Physician
10/03/23 • 44 min
Welcome to Difficult Conversations with Dr. Anthony Orsini. Today, I have the distinct honor to have another incredible guest and that is Dr. Bruce B.J. Miller, who is a longtime hospice and palliative care medicine physician as well as an author, TEDx presenter, and keynote speaker. He has given over one hundred talks on the topics of death, dying, palliative care, and the intersection of healthcare with design. Led by his own experiences as a patient, Dr. Miller advocates for the roles of our senses, community, and presence in designing a better ending. His career has been dedicated to moving healthcare towards a human-centered approach. His 2015 Ted Talk, “What really matters at the end of life", has been viewed more than eleven million times, and his work has been the subject of multiple interviews and podcasts including Oprah Winfrey, PBS, The New York Times, and the Ted Radio Hour. We will be talking about his book, A Beginner’s Guide to the End, Dr. Miller currently sees patients and families via Telehealth through Mettle Health, a company he co-founded with the aim to provide personalized holistic consultations for any patient or caregiver who needs help with navigating the practical, emotional, and existential issues that come with serious illness and disability.
We start out by hearing BJ Miller’s story, from his childhood experiences, his accident, and what brought him to working in palliative care medicine. BJ tells us a beautiful story about a nurse that locked eyes with him and held his hand upon arrival at the burn unit at St. Barnabas Hospital in New Jersey,. Dr. Orsini talks about the importance of human connection between doctors and patients and how BJ's story is very similar to Marcus Engel’s story who was a previous guest on this podcast. BJ explains why we struggle with talking about dying which starts with denial. and he shares thoughts on what we need more of in this mission of medicine to help physicians,. Dr. Orsini talks about how training is so limited with physicians which is why he’s dedicated the last ten years of his life to teach them how to be more comfortable with end of life and tragic diagnosis. If you enjoyed this podcast, please go ahead and hit follow.
Host:
Dr. Anthony Orsini
Guest:
Dr Bruce BJ Miller
For More Information:
Difficult Conversations I Learned as an ICU Physician Podcast Episodes
TED2015: “What really matters at the end of life” - BJ Miller
A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death
I"m Here with Marcus Engel - Difficult Conversations - Lessons I learned as an ICU physician Podcast Episode 102
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FAQ
How many episodes does Difficult Conversations -Lessons I learned as an ICU Physician have?
Difficult Conversations -Lessons I learned as an ICU Physician currently has 94 episodes available.
What topics does Difficult Conversations -Lessons I learned as an ICU Physician cover?
The podcast is about Health & Fitness, Medicine, Podcasts, Human Resources, Communication and Healthcare.
What is the most popular episode on Difficult Conversations -Lessons I learned as an ICU Physician?
The episode title 'Conversations about Fatherhood' is the most popular.
What is the average episode length on Difficult Conversations -Lessons I learned as an ICU Physician?
The average episode length on Difficult Conversations -Lessons I learned as an ICU Physician is 41 minutes.
How often are episodes of Difficult Conversations -Lessons I learned as an ICU Physician released?
Episodes of Difficult Conversations -Lessons I learned as an ICU Physician are typically released every 7 days, 8 hours.
When was the first episode of Difficult Conversations -Lessons I learned as an ICU Physician?
The first episode of Difficult Conversations -Lessons I learned as an ICU Physician was released on Jul 16, 2020.
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