Initially developed by neonatologist, Dr. Anthony Orsini, the BBN P.R.O.G.R.A.M. ™ teaches physicians how to effectively and compassionately discuss bad news with patients and their families. We offer a variety of training courses designed to teach healthcare institutions and other corporations effective and compassionate communication using proven, experiential-based learning methods to shift culture and improve outcomes.who we are
Based on feedback from BBN participant surveys
Huntington, B., & Kuhn, N. (2003). Communication gaffes: A root cause of malpractice claims.
Centers for Disease Control, 2012
American Cancer Society, 2012
Our tested and innovative training courses create flexible experiences to best solve the specific needs of your organization.
Our unique, experiential-based learning methods use realistic role-playing to help shift culture and improve patient outcomes.
Written by Maybelle, BBN Actress In the last decade or so, the medical community has paid more and more attention to the importance of compassionate communication in physician-patient interactions. ...read more
I’ve read a few blogs in my life and I must admit that I never really gave them much thought. Sure, some of them were interesting and usually ...read more
The Breaking Bad News (BBN) Program, an organization founded by Dr. Anthony Orsini that teaches physicians how to effectively and compassionately discuss bad news with patients and their ...read more
I was recently asked to sit on a committee designed to improve patient satisfaction scores for an individual unit at a large metropolitan hospital. A well-known organization was ...read more
I once heard a lecture by the author of the famous book, When Bad Things Happen to Good People. In his lecture, Rabbi Kushner chronicled his emotions after being ...read more
During a difficult conversation, silence can be very uncomfortable. In an effort to help someone feel better and to make ourselves less uncomfortable, we continue to talk. After ...read more
Subtle differences in body language can send very different non-verbal messages. Here is one example of how a slight difference in a gesture can either inflame an already ...read more
Sometimes, in an effort to make our patients and families feel better, we say that we understand how they feel. Unless we have been in the exact same ...read more
What does your body language say about you? If your body language gives off the appearance of indifference or nervousness, it will create confusion and distrust no matter ...read more
When entering a room to discuss bad news with patients and families, make sure you follow a few simple rules: Always sit down and make sure the patient ...read more
Make a personal connection with patients and families in just a short time by using “relationship words.” Phrases that can help make that connection include: “I am going ...read more
"To me, it's a near religious experience in many ways, so we are going to try to fulfill the requirements to become a [BBN Center of Excellence]. I think it’s an essential portion of every fellow's and faculty [member's] experience in the way we SHOULD be delivering bad news. I wish they had this when I started off. The actors make it easier because you can almost get lost in the way they are portraying the different scenarios – also the [BBN] faculty that do the reviews afterward that show the individual how they did and point out how things could have been done better was done very nicely."
"I fell in love with the program because it was finally speaking to me and why I wanted to become a physician. I apply what I learn from this program every day. I had spent so many years studying the medicine and the science and then I finally found myself in front of patients stumbling over myself and my words and not being able to communicate with them effectively which is why I went into medicine to begin with, to be there with families and to form a relationship with them – so here’s finally this program teaching me what I really needed to know."
"Dr. Orsini recognized a major gap in the curriculum of life – that whether in an emergency room or the dining room, a board room or a factory – the words we use with others make a huge difference in optimizing an effective outcome... There is not an adult in the world who has not, at one time or another, heard or delivered bad news to another. It’s a daunting, serious and memorable moment in your life. Unfortunately, most of us have no readiness for bad news. Schools do not discuss it, our parents often ignore it... Dr. Orsini has succeeded in breaking through the clutter to ask “Am I ready? What would I say, and how would it be received?” This is a long time coming, and the ramifications for industry, non-profits and government can be profound."
"It has been outstanding, and really changed my way of speaking to my patients and relating with them. I would love to bring this training to more people, it could ease so much suffering. This was a wonderful training for residents, fellows and I would encourage attending (physicians) to receive this too."
"The BBN Program helped our residents and faculty by providing an extremely effective framework for breaking bad news to patients and families. Compared to our previous experience with simulated patient encounters, this program is unique because direct and immediate feedback was provided to our residents. What I particularly liked about the BBN Program was the supportive and structured approach to feedback for our residents with the simultaneous provision of training to faculty. I can’t speak highly enough of this program!"
"The actors who portrayed the patients are just unbelievably good at picking up body language and signals that make it super realistic."