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CALGARY CAMBRIDGE MODEL OF THE CONSULTATION

CALGARY CAMBRIDGE MODEL OF THE CONSULTATION. Suzanne Kurtz & Jonathan Silverman. Notes on the second half of their model. Five Sections. Initiating the session. Gathering information. Building relationship. Explanation and planning. Closing the session.

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CALGARY CAMBRIDGE MODEL OF THE CONSULTATION

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  1. CALGARY CAMBRIDGE MODEL OF THE CONSULTATION Suzanne Kurtz & Jonathan Silverman Notes on the second half of their model

  2. Five Sections • Initiating the session. • Gathering information. • Building relationship. • Explanation and planning. • Closing the session.

  3. Explanation and planning-Broken down into four sub-sections; • Providing the correct amount and type of information. • Aiding accurate recall & understanding. • Achieving a shared understanding: incorporating the patient’s perspective. • Planning: shared decision making.

  4. 1.Providing the correct amount and type of information Aims; to give comprehensive and appropriate information for individual patients; to neither restrict or overload • Chunks and checks • Assesses patient’s starting point • Asks patient what other information would be helpful • Gives explanation at appropriate times

  5. 2. Aiding accurate recall and understanding Aims; To make information easier for the patient to remember and understand • Organises explanation. • Uses explicit categorisation or signposting e.g. there are three important things I would like to discuss • Uses repetition and summarising • Clarity • Uses visual methods if appropriate • Checks patients understanding of information given or plans made

  6. 3. Achieving a shared understanding: incorporating the patient’s perspective. Aims; Encourage interaction, incorporate patients perspective, thoughts and feelings. • Relates explanations to patient’s illness framework. • Provides opportunities and encourages patient to contribute • Picks up verbal and non-verbal cues • Elicits patient’s beliefs, reactions and feelings

  7. 4.Planning: shared decision making Aims; Involve patients in decision making if they wish, increase patient understanding and commitment • Shares own thoughts, ideas, dilemmas • Involve patient by making suggestions rather than directives • Encourages patient to contribute their thoughts • Negotiates • Offers choices • Checks with patient

  8. Closing the session • Summarising • Contracting • Safety netting e.g. explains possible outcomes, what to do if plan isn’t working, when and how to seek help • Final checking

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