Communicating with Presence

Tuesday, January 25, 2022, 12:00 AM - Friday, January 24, 2025, 11:59 PM, On Demand

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

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

  Release Date: January 25, 2022
  Expiration Date: January 24, 2025
  Estimated Time to Complete:  15 minutes
  Registration Fee: Free

Click the Register button to launch an external webpage and begin the course in edX (external link).

The Presence 5 team is collecting data around how primary care physicians are engaging in (knowingly and unknowingly) Presence 5 practices. We would appreciate your support of this effort by helping us to complete and circulate this anonymous survey (VIEW HERE). Also available in QR form. Upon completion, you will be opted into a $100 Amazon e-gift card raffle. Thank you in advance for your support as we continue to foster humanism in the clinical encounter.

AMA PRA Category 1 Credits™ (0.25 hours), Non-Physician Participation Credit (0.25 hours)

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

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

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

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008. 

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
1.  Maitra et al. Using Ethnographic Methods to Classify the Human Experience in Medicine. JAMIA, 2021

2.  Zulman DM, et al. Practices to foster physician presence and connection with patients in the clinical encounter. JAMA, 2020

3.  Haverfield MC, et al. Can Patient-Provider Interpersonal Interventions Achieve the Quadruple Aim of Health Care?: A Systematic Review. Journal of General Internal Medicine, 2020

4.  Brown-Johnson C, et al. Presence: Physician and non-physician insights about the art of human connection in clinical encounter. BMJ Open, 2019

5.  Schwartz R, et al. Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields. Journal of General Internal Medicine, 2019

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

The content of this activity is not related to products or the business lines of an ACCME-defined ineligible company. Hence, there are no relevant financial relationships with an ACCME-defined ineligible company for anyone who was in control of the content of this activity.