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Prepare a difficult conversation
Clarify the issue, your purpose and how to open the discussion without unnecessary blame.
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Feel better prepared for the conversation you have been putting off. This live, one-day course helps doctors and healthcare professionals respond to difficult behaviour, manage workplace conflict and raise concerns clearly. Explore situations involving colleagues, managers, patients and relatives, with practical approaches to assertiveness, feedback and challenging conversations.
Discussion, practical exercises and real healthcare scenarios involving patients, relatives, colleagues and managers.
One-day live Zoom course · 6 CPD points · £220 including VAT
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Develop a clearer approach to conversations with colleagues, managers, patients and relatives. The course connects communication models with practical decisions about what to say, how to respond and when a different approach is needed.
Clarify the issue, your purpose and how to open the discussion without unnecessary blame.
Describe what happened and its impact, rather than making assumptions about someone's character or intentions.
Decide whether to address a single incident, repeated behaviour or damage to the working relationship.
Consider when collaboration, compromise, assertiveness or another approach fits the situation.
Recognise your emotional triggers and avoid letting frustration determine the direction of a conversation.
Distinguish situations suited to informal discussion from unacceptable behaviour or concerns that need escalation.
These examples illustrate situations to which the learning can be applied. The discussions and activities on the day vary with the group.
Explore how to raise a concern using observable behaviour and its impact, while questioning assumptions about the other person's intentions.
Consider whether the problem is an isolated incident, a recurring pattern or the effect of repeated behaviour on trust within the team.
Explore listening, questions and clear boundaries while considering fear, frustration or unmet expectations and the effect of your own response.
Consider how to express your position clearly, understand their perspective and distinguish a constructive discussion from a concern that needs another route.
Explore the course content through four connected themes, from understanding an interaction to deciding what to do next. These group the topics below; they are not a fixed timetable for the day.
Understanding behaviour and conflict
Difficult behaviour does not occur in a vacuum. Stress, fear, frustration, confidence, perceived lack of control and pressures outside the immediate situation can all influence how somebody behaves.
You will explore how moving away from labels and focusing instead on observable behaviour can make a difficult situation easier to analyse and manage. You will also consider whether behaviour that you experience as difficult may reflect a communication style, set of priorities or response to circumstances that differs from your own.
Conflict does not always begin with an obvious confrontation. It may develop gradually through misunderstandings, competing priorities, differences in expectations, unresolved frustrations or repeated patterns of behaviour.
You will explore how disagreement can escalate and how assumptions about another person's motives or intentions can make an interaction more difficult. Recognising these patterns earlier can make it easier to intervene before a manageable disagreement becomes entrenched conflict.
Not all conflict is harmful. Constructive disagreement can challenge assumptions, expose risks, generate new ideas and improve decisions. In healthcare, professionals may reasonably hold different views about priorities, responsibilities or the best course of action.
Problems arise when disagreement becomes personal, repetitive or damaging to communication and professional relationships. The course explores how conflict develops and how to recognise when it is moving from useful disagreement into something that requires active management.
We often believe that we understand what another person is thinking or intending, but our interpretation may be influenced by our own previous experiences, expectations and assumptions.
The course explores how perception and projection can affect difficult interactions and conflict, and why it is useful to question the story we have constructed about another person's motives before acting on it.
This can help you separate the actual behaviour from the meaning you have attached to it and approach the conversation more objectively.
Choosing your response
There is no single correct way to respond to every disagreement or conflict.
The Thomas-Kilmann model is used to explore five approaches to conflict: competing, collaborating, compromising, avoiding and accommodating. You will consider your own default response and when another approach may be more effective.
The course also introduces the Interest-Based Relational approach, which places particular emphasis on protecting the relationship, separating the person from the problem, listening before defending your own position and exploring solutions collaboratively.
These approaches help you think more deliberately about conflict rather than reacting automatically. Sometimes collaboration is appropriate; at other times compromise, assertiveness, accommodation, avoidance or escalation may be necessary.
People differ in the way they process information, make decisions, communicate and respond under pressure.
The course explores four broad social styles (Driver, Analytical, Amiable and Expressive) and considers how these differences can affect interactions. You will look at how your own style may influence a conversation and how adapting your approach can make communication more effective.
The purpose is not to put people into boxes. It is to become more observant and flexible when communicating with people whose preferences differ from your own.
Difficult conversations and conflicts can develop predictable patterns in which one person's response triggers an equally unhelpful response from the other.
Transactional Analysis is used to explore these patterns and the Parent, Adult and Child positions that can appear within interactions. You will consider how crossed transactions can make communication more difficult and how changing your own response may help return the conversation to a more constructive level.
Certain behaviours affect us more strongly than others. The same behaviour may be extremely irritating to one person while barely registering with somebody else.
You will consider your own “hot buttons”, the emotions they generate and the way you tend to respond when they are triggered. The course explores how taking greater ownership of your own reaction can create more choice in how you respond.
You will also consider the expectations and triggers of other people and how greater awareness of these can help prevent unnecessary escalation.
Having the conversation
One of the most common reasons problems become entrenched is that an important conversation is delayed or avoided.
The course examines a four-stage approach to courageous conversations: preparing for the discussion, framing the conversation, becoming curious about the other person's perspective and working collaboratively towards a solution.
You will consider your purpose for having the conversation, the assumptions you may be making and how to raise a concern without unnecessarily attacking or blaming the other person.
When feedback becomes personal, people are more likely to become defensive. The course therefore explores ways of describing behaviour and its impact rather than making judgements about somebody's character or intentions.
You will use approaches including SBI (Situation, Behaviour and Impact) to structure feedback clearly and keep the discussion focused on something that can realistically be changed.
Repeatedly discussing the wrong problem is one reason difficult conversations and workplace conflicts fail to make progress.
The CPR model helps you distinguish between Content, an individual event; Pattern, behaviour that has started to recur; and Relationship, the wider effect that repeated behaviour is having on trust and the interaction between the people involved.
This helps you decide what conversation you actually need to have rather than repeatedly addressing the latest incident while ignoring the underlying problem.
Difficult conversations and workplace conflicts often become positional because both people are concentrating on defending their own view rather than understanding the other person's perspective.
You will explore how questioning and active listening can help uncover what is actually driving the disagreement, test assumptions and create more room for problem-solving.
The objective throughout is not to give you a script for every difficult interaction or conflict. It is to give you a broader range of approaches and the judgement to decide when and how to use them.
Maintaining boundaries and knowing what to do next
Assertiveness is not the same as aggression. It involves being able to express your needs, views and boundaries clearly while recognising that other people have the same right to express theirs.
You will examine the rights and responsibilities that underpin assertive communication and consider how different patterns of behaviour can affect the balance within an interaction.
The course also explores practical assertive techniques, including the use of clear “I” statements, empathy, escalation when appropriate and ways of expressing concerns without becoming unnecessarily confrontational.
A conversation is not always the right route. The course does not assume that every conflict can be resolved through better communication. Bullying, harassment, discrimination, intimidation or behaviour that puts patients or staff at risk may require formal escalation. Understanding a person's perspective does not mean accepting unacceptable behaviour.
Knowing a communication model is different from using it in an uncomfortable conversation. The live course provides time to discuss, question and apply the ideas rather than simply read about them.
Reflect on challenging interactions you have encountered and consider the issues beneath the surface. Avoid sharing details that identify patients, relatives or colleagues.
Use discussion and exercises to examine the same interaction from different viewpoints, test assumptions and explore alternative responses.
Relate the models to healthcare situations and consider why one approach may work better than another. The aim is practical judgement, not memorising set phrases.
The course is for doctors, nurses and other healthcare professionals who want to handle difficult behaviour, workplace conflict and challenging conversations more effectively. You do not need to be facing a major problem at work: it is also relevant if you want to address concerns earlier, communicate more assertively or improve professional relationships.
The course costs £220 including VAT. Save 10% when you book two places on this course or combine it with any other ISC Medical course.
Add each place separately to enter the participant's details, then check the discount in the same basket before paying.
The course runs live on Zoom over one day, from 9:30am to approximately 5:00pm UK time. It includes discussion, exercises and healthcare scenarios rather than continuous presentations.
Zoom instructions and the joining code are sent two days before the course. The precise timing of activities varies with the group, and the course may finish slightly later if discussion is particularly interactive.
The live course is limited to a maximum of 15 participants and provides 6 CPD points. Discussion, exercises and healthcare scenarios are used throughout the day.
No. There are no prerequisites. The principles and models are introduced during the day, then explored through discussion and practical application. The course is suitable both for people new to the subject and those who have previously attended communication, leadership or conflict-management training.
Yes. Conflict management is a substantial part of the course. You will explore how disagreement escalates, the difference between constructive and damaging conflict, and approaches including Thomas-Kilmann and the Interest-Based Relational approach.
The emphasis is on choosing a response that fits the situation. Collaboration and compromise are not always appropriate; assertiveness, boundaries or escalation may be needed.
Yes. You will consider challenging interactions with patients, relatives, colleagues and managers. For an angry or demanding patient, this includes exploring fear, illness, frustration or unmet expectations, and how listening, questions, boundaries and your own response can influence the conversation.
The aim is to understand the situation and choose an appropriate response, rather than apply a fixed script.
Yes. You will explore raising concerns, giving behavioural feedback, disagreeing constructively and establishing boundaries. Communication styles, assumptions and recurring patterns are considered alongside ways to prepare conversations you may have been avoiding. The approaches apply to colleagues, managers, trainees and other members of the multidisciplinary team.
The course considers anger, aggression, defensiveness, dismissiveness, criticism, unreasonable demands and repeated disagreement. Less obvious problems, such as avoidance, unresolved resentment and recurring misunderstandings, also matter. The focus is on observable behaviour and the interaction rather than labelling someone a difficult person.
Yes. Participants are encouraged to reflect on situations from their professional lives and explore what may be happening, the assumptions involved and possible alternative responses. Please avoid sharing information that could identify patients, relatives or colleagues.
The course covers preparing and framing courageous conversations, exploring the other person's perspective and working towards a constructive outcome. SBI (Situation, Behaviour and Impact) helps structure behavioural feedback; CPR (Content, Pattern and Relationship) helps identify the real issue. These are guides to thinking, not scripts to follow word for word.
The Driver, Analytical, Amiable and Expressive styles provide a way to explore differences in pace, priorities and communication. The purpose is not to put people into boxes, but to recognise your own preferences and adapt when someone approaches a situation differently.
Yes. You will distinguish passive, aggressive and assertive communication, and consider how to express your views and boundaries clearly while recognising the other person's perspective. Applications include saying no, responding to inappropriate requests, challenging behaviour and maintaining your position when someone is forceful.
Hot buttons are behaviours that trigger a stronger emotional reaction in you, such as interruption, lateness or criticism. Recognising them helps you separate the behaviour from your response and choose what to do, rather than react automatically. That does not mean accepting inappropriate behaviour.
The course helps you recognise the limits of informal conflict resolution. Bullying, harassment, discrimination, intimidation or behaviour that creates risks to patients or staff may require formal organisational processes. Communication techniques should not be used as a substitute for addressing behaviour that is genuinely unacceptable.
The emphasis is practical. Models including social styles, SBI, CPR, Transactional Analysis and conflict-management approaches are applied through discussion, exercises and healthcare situations. You will consider how the ideas affect what you say or do, not simply learn the terminology.
Participants value the practical and interactive nature of the course, with opportunities to explore difficult conversations, workplace conflict and challenging behaviour in the context of situations they encounter in healthcare. The emphasis throughout is on approaches that can be applied directly to day-to-day professional relationships.
“The course gave me a much clearer way of approaching conflict within the team. I particularly liked the fact that it did not assume every disagreement needed the same response.”
“The section on courageous conversations was excellent. It gave me a structure for preparing properly instead of going into a difficult discussion hoping I would find the right words at the time.”
“Very relevant for senior clinicians. We often have to challenge decisions, give difficult feedback and deal with disagreement while preserving working relationships. This course addressed those situations very well.”
“I found the conflict-management element particularly useful. It made me realise that I tend to avoid difficult conversations for too long and that addressing something earlier can prevent a much bigger problem later.”
“Really practical and relevant to day-to-day clinical work. The sections on difficult conversations and assertiveness were particularly useful, especially when thinking about challenging conversations within a busy team.”
“The course changed the way I think about conflict. I had always seen disagreement as something negative, whereas the discussion showed how constructive disagreement can actually improve decisions.”
“I found the distinction between content, pattern and relationship extremely helpful. It gave me a much clearer way of working out what the real conversation needs to be rather than repeatedly dealing with individual incidents.”
“A very thought-provoking day. I came expecting techniques for dealing with difficult people but actually learned just as much about my own responses and the part they can play in an interaction.”
“The discussion around assertiveness was excellent. It helped distinguish being clear and firm from being confrontational, which is particularly useful when dealing with difficult conversations with both patients and colleagues.”
“The section on managing your own triggers was surprisingly powerful. It made me realise how much my own frustration can influence the direction of a difficult conversation.”
“I manage a large care team and found the content on boundaries, assertiveness and conflict extremely useful. It felt directly applicable to the situations I deal with at work.”
“Very practical and refreshingly realistic. It acknowledged that not every difficult situation can be solved by simply communicating better and that sometimes concerns need to be escalated.”
“I supervise a mixed team and often find myself caught between different personalities and priorities. The course gave me a much more structured way of understanding what is happening and deciding how to intervene.”
Learn practical approaches to workplace conflict, difficult behaviour and challenging conversations with patients, relatives, colleagues and managers.
One day live on Zoom · Maximum 15 participants · 6 CPD points · £220
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