Bad News 1.The Warning
Last week, Crisil had trimmed the forecast to 7. RBI, though, has retained its earlier prognosis of 7. The latest GDP growth numbers seemed to have spooked rating agencies. The economy grew at a slower-than-expected rate of 7. The second half of the financial year October to March may also not fare much better given that the effect of high oil prices and a weak rupee will be reflected with a lag. Among the other risks the analysts mention — liquidity squeeze in the non-banking financial space, Some of it has to do with global factors like a forecast of lower global trade and GDP growth that will have an impact on emerging economies.
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Many of the factors that pulled down the economy are improving— liquidity has improved, high crude oil prices have come down, the rupee has strengthened. The higher growth in the first half of the year and softer crude prices will allow the government to show a recovery from 6.
The Five Components of a Bad-News Message
What c aused it: While much of the divestment could be attributed to change in ownership, from the US to other countries, it can be partly attributed as a response to the import tariffs and other trade actions that the Trump Administration has initiated, which has caused international companies to not just go slow but even reverse their potential investments. Why are you persistently doing this?
We acknowledge some good work done by you in the past. But, Sharma missed the warning and argued that he was concerned about the country.
Though the imposition of the cost is not new to Sharma, having experienced it twice a few years ago. China will attempt to launch a ground-breaking mission early Saturday to soft-land a space probe on the largely unexplored far side of the moon. The moon takes approximately the same amount of time to revolve around the Earth as to rotate on its axis — nearly 27 days. As a result, Earth has only seen one side of the moon — the side Neil Armstrong and others after him landed on and Bollywood songs are about.
The other side has intrigued scientists across the world. And China wants to find the answers. One of the challenges to send a probe to the far side is communicating with it and relaying signals from the Earth is a challenge. To overcome this, China launched a relay satellite in May. It is now at a point in space called Earth-moon Lagrange point-2, a gravitationally stable point , meaning the satellite will stay there due to the equilibrium of gravity of the moon, Earth and Sun — instead of revolving around an object.
From there, the satellite can send receive signals from the Earth as well as the dark side of the moon. But some words, like professions, can be either masculine or feminine depending on the subject of the sentence. Ditto when translating English into French or Spanish. So, if one variation of a word appears more than another, the program will favour the more common translation.
Parents, Teens and Social Media Part 1: The Double-Edged Sword
But Google Translate is now looking to curb the gender bias with an update. The Accreditation Council for Graduate Medical Education ACGME , the governing body responsible for accrediting the majority of graduate medical training programs, considers "Interpersonal skills and communication" to be among the six core competencies for completion of residency. Interestingly, the delivery of bad news is not explicitly included as a key communication skill to be taught during graduate medical training.
It is reasonable, therefore, to assume that many resident physicians complete training without formal education in the communication of bad news. The trial-and-error approach, however, lacks any formal or informal training and takes an implicit toll on patients, families, and the physicians themselves in gaining the skills that could have been imparted in a supervised manner during training. Medical educators have long recognized the need for improvement in teaching physicians to more effectively deliver bad news, and have implemented various techniques for improvement, including large-group lectures, small-group discussions, small group discussions with peer role playing, clinical teaching via observation, and videotaped clinical examinations with standardized patients and subsequent trainee feedback.
The specific technique that is ultimately chosen to deliver bad news is at each physician's discretion, and should perhaps be tailored to each patient. In a study examining the bad news delivery style of 30 physicians both trainees and attending physicians , the following three style of communication were observed:.
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The most widely recommended approach to deliver bad news is the six-step SPIKES protocol seen below, developed in to help guide oncologists in the delivery of bad news. Despite the obvious similarity between delivering bad news and discussing surgical complications, there is a paucity of peer-reviewed literature describing how physicians should best discuss surgical complications with patients and their families.
In a large review, authors were unable to find any article describing the delivery of difficult news of unexpected death or unexpected change in prognosis in the intraoperative setting. Healthcare workers involved in serious adverse events have been termed "second victims," and several studies have found that physicians involved in serious adverse events suffer profound emotional effects, including fear, guilt, anger, embarrassment, humiliation, anxiety, depression, and post-traumatic stress disorder.
Teaching physicians to effectively and empathetically discuss surgical complications is an integral skill for surgeons in training, and is a direct extension of teaching physicians to deliver bad news.
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Discussing surgical complications after a case is much easier when the patient understood the nature of possible complications prior to the surgery during the initial preoperative consent process. The consent is critical to help prepare the patient and their family for the possibility of a suboptimal outcome or surgical complication.
More important than the written document is to look the patient in the eye and have a discussion that is tailored to their background and to their ocular and systemic conditions. If you only mention the epiretinal membrane after the surgery it is hard for even the most reasonable of people to believe that this membrane was not caused by the cataract surgery.
For more information on the preoperative consent, click here http: We will be using some other instruments to help us move safely forward. This thin capsule tore and so we had to change our strategy a bit to support the artificial lens. We will have to follow you more closely and I would like you to see a retina specialist to make sure that we don't need to do another surgery. Some of the lens may have fallen back and may need to be removed.
I am so sorry that this happened but I think we can move on safely from here. When ending the message, an affirmative tone is offered to end the message positively. Let's say you have interviewed an individual for a position and have decided to go with a different applicant. You informed each person that you would send an email to let them know the results of the interview.
Unfortunately, you can only hire one person and must share the bad news that the remaining candidates did not get hired. You first address the individual. You thank them for coming in for the interview and explain that you are following up, as promised. The second portion of the letter explains that they were not selected for the position. You soften the message as much as possible, making sure you are still clear that the person is not being offered the job. You follow that by explaining that, while the candidate has impressive skills, their experience didn't match the position as well as other candidates.
The fourth component of the email addresses the alternatives or the other positions open with your company. You encourage the employee to watch for other appropriate openings and apply again. After the message is complete, you finish step five by offering encouragement that they will find a position that will use their skills and be a great fit with their goals. Sharing bad news is not a pleasant experience and can be difficult for both the person sharing the information and the recipient of the news. By addressing each of the five components of a message, you can make delivering bad news a little less painful.
You can also ensure the appropriate information is presented while offering a final supportive message. To unlock this lesson you must be a Study.
Communicating Bad News
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Students in online learning conditions performed better than those receiving face-to-face instruction. Explore over 4, video courses. Find a degree that fits your goals. Try it risk-free for 30 days. Add to Add to Add to. Want to watch this again later? You have bad news to share. You are unsure how to present the information.