Palliatively Speaking Ep 6 - Better Conversations, Better Care

Guest: Gretchen Schwarze

Guest’s guest: Amy Zelenski

Episode Title: Better Conversations, Better Care

Summary 

This conversation explores the challenges and strategies involved in helping clinicians, particularly surgeons, improve their communication and decision-making practices to provide better patient-centered care. Dr. Gretchen Schwarze, a vascular surgeon and medical ethicist, and Dr. Amy Zelenski, an education researcher, discuss how their collaborative work aims to shift clinicians' mindsets and behaviors around informed consent, prognostic communication, and shared decision-making. They share how surgeons often struggle to move beyond a "fix it" mentality to meaningful improvements in patients' lives. Dr. Schwarze advocates reframing the surgeon's role as assessing whether an operation can help the patient achieve their goals, rather than just fixing a problem. With background in theater, Dr. Zelenski discusses the power of improv-based strategies like the "two-minute rant" and other techniques in cultivating empathy and empowering clinicians to respond rather than react to what is happening in their surrounding environment.