Managing Difficult Conversation

Managing the difficult consultation.

Patients are more likely to develop psychological problems if their concerns are unresolved and their information needs unmet. However, many health professionals are uncertain how to elicit patients' concerns or tailor information appropriately. These difficulties may also lead to psychological problems for the health professional. Feeling inadequately trained in communication skills has been l...

Managing Conversation Uncertainty in TutorJ

Managing Domain-Oriented Spoken Conversation

So far nearly all spoken dialogue systems (SDSs) have been task-oriented. An important question for the future of SDSs is what happens to dialogue management if we move beyond the task-oriented system to domainoriented systems which are no longer defined in terms of the tasks they support. This paper discusses conversation management for domain-oriented systems by describing the solution adopte...

Managing the difficult learning situation.

(Fam Med 2000;32(5):307-9.) Editor’s Note: In this second of a two-part series on difficult learning situations, John Langlois, MD, and Sarah Thach, MPH, of the Mountain Area Health Education Center (MAHEC) Division of Family Medicine in Asheville, NC, provide us with information and tips on managing difficult learning situations. The content of the column is based on materials developed as a p...

Managing difficult polyps: techniques and pitfalls

There is no standardized definition of difficult polyps. However, polyps become difficult and challenging to remove endoscopically when they are large in size, flat in nature, situated in a high-risk location and when access to them is very awkward. Recently, an SMSA (Size, Morphology, Site, Access) classification has been proposed that helps to qualify the degree of difficulty by scoring on th...