1. WACO 12 th May 2004

3.  14.00 Business meeting - Michael Harris & Clare Wedderburn  14.30 SHO/GPR Educational Integration  16.00 Tea & close of meeting

5. Why did you highlight this topic as a learning need?  For small gp teaching  Examples in small gp teaching when confronting a behaviour/ attitude would have been appropriate but I did badly/ not at all  Useful topic for GPs trainers and would like to know how to plan sessions with VTS SHOs on  Interested in Mx skills topics generally  Lack of confidence in confrontational and negotiating skills

6. Why did you highlight this topic as a learning need?  Dislike of confrontation  Interested in Mx skills for GPRs  A difficult area when dealing with patients/ Registrars/ partners and occasionally trainers

7. What do you hope to get from this session?  Some stategies to turn neg situation into pos  Action plan  Learning about diffusing/balancing strategies and remarks  New ideas to how these skills fitinto modern primary care and how to put this over to registrars  Some skills at confronting/ negotiating

8. What do you hope to get from this session?  A skill package to work on  Techniques to practise  Skills in conflict Mx and teaching  Learn how to use between SHOs and their consultants between GPR and their trainers  Some skills in confronting and negotiating

9. How do you hope to use new knowledge/skills obtained from this session in the future?  In the weekly gp and other learning gps I facilitate  In my day to day workwith SHOs and GPRs  In my weekly gp and other gps I facilitate  In every day negotiation as PO

10. How do you hope to use new knowledge/skills obtained from this session in the future?  In my practice – colleagues/PHT  With patients  VTS with my GPR share in yng principals gp  In the afternoon WACO session!

12. WIN- WIN  Means getting best possible outcome for both parties concerned  Compromise may mean both parties end up with less than they hoped for  Make it clear that you are in the business of getting the best possible situation for both parties by making own position clear and that you want to help others

13. Win- Win 2  Be & sound positive, honest, constructive  State your position  Show recognition of other persons needs and rights  Flag you are aiming for a win/win  State own needs incl any limits

15. Types of Assertion  Basic A straightforward statement that stands up for your rights by making clear your NWBOF  Empathetic a statement that contains an element of empathy as well a statement of your NWOIFB

16. Types of Assertion  Discrepancy A statement that points out the difference with what has been agreed previously and what is actually happening or about to happen  ConsequenceA statement that informs the other person of the consequences of them not changing their behaviour. It also gives the chance for them to change that behaviour

17. Types of Assertion 1. Negative feelingA statement that draws the attention of another person to the undesirable effects their behaviour is having on you. This may contain the following elements  When…  The effects are…  I feel…  I’d like…

18. Types of Assertion  Responsive A statement that aims to find out where the other person stands their NWOIFB

20. Conflict Management & Negotiation skills  Personal level  Practical level  Ideas about methods can use to teach

22. Rules of Engagement  Environment, time place  Preparation- facts, sources,thinking time  Be specific and relevant  Be honest and open  Avoid judgements  State consequences of change / not  End on support validation