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AN INTRODUCTION TO CONSULTATION SKILLS

AN INTRODUCTION TO CONSULTATION SKILLS. Richard Hall - 1.9.11. CONSULTATION SKILLS-INTRO. WHY EVIDENCE PERSONAL EXPERIENCE DIFFICULTIES IN A CONSULTATION CONSULTATION MODELS RHEARSE SKILLS-OBSERVE AND DO. FRAMEWORKS. WHY BOTHER? BRAINSTORM Evidence. BENEFITS EFFECTIVE COMMUNICTATION.

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AN INTRODUCTION TO CONSULTATION SKILLS

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  1. AN INTRODUCTION TO CONSULTATION SKILLS Richard Hall - 1.9.11

  2. CONSULTATION SKILLS-INTRO • WHY • EVIDENCE • PERSONAL EXPERIENCE • DIFFICULTIES IN A CONSULTATION • CONSULTATION MODELS • RHEARSE SKILLS-OBSERVE AND DO

  3. FRAMEWORKS • WHY BOTHER? • BRAINSTORM • Evidence

  4. BENEFITS EFFECTIVE COMMUNICTATION • INCREASED PT SATISFACTION • INCREASED PT RECALL AND UNDERSTANDING + ADHERENCE • POSITIVE HEALTH OUTCOMES-BP/DM • INCREASED CLINICAL SATISFACTION • REDUCTION IN MEDICO-LEGAL RISK

  5. TORONTO CONCENSUS STATEMENT-1991 • 54% PT COMPLAINTS NOT ELICITED • 45% CONCERNS NOT ELICITED • 50% PSYCHOSOCIAL AND PSYCHOLOGICAL DIAGNOSES MISSED • 50% CASES PT AND DR DO NOT AGREE ON NATURE MAIN COMPLAINT • MOST COMPLAINTS -COMMUNICATION NOT COMPETENCE

  6. COMMUNICATION SKILLS CAN BE LEARNED • COMMUNICATION IS A CLINICAL SKILL • EXPERIENCE IS A POOR TEACHER • OBSERVATION,FEEDBACK,REHEARSAL HAVE SHOWN TO BE EFFECTIVE • EVIDENCE –IT CAN BE TAUGHT AND RETAINED-EXPERIENTIAL LEARNING • BENFITS GAINED WITHOUT PROLONGING CONSULTATIONS

  7. What have your personal experiences of consulting been? • Describe in pairs? • Relate to as a patient or relative • Consider feelings

  8. WHAT ELEMENTS MAY A DYSFUNCTIONAL CONSULATION CONTAIN? - Reverse brainstorming

  9. WHAT DO YOU FIND CHALLENGING IN A CONSULTATION? • BRAINSTORM- in pairs • STRENGTHS /WEAKNESSES • GIVE EXAMPLES • WHAT ABOUT PEOPLE IN HOSPITAL? • Any differences?

  10. CONSULTATION MODELS • WHAT CONSULTATION MODELS DO YOU KNOW ? • WHY ARE THEY IMPORTANT? • WHAT SHALL WE HAVE AS PART OF OUR CONSULTATION MODEL?-do in pairs

  11. VIDEOS • VIDEO 1 RE SORE THROAT • IN PAIRS DISCUSS • WHY DID THE PT CONSULT/ICE? • WHAT CUES WERE THERE? • WHAT WENT WELL? • WHAT COULD BE IMPROVED? • HEALTH EDUCATION ? • HOW TO SOLVE DIFFERENT AGENDAS • REHEARSE CONSULTATION.

  12. VIDEO 2 • HEEL PAIN-IN PAIRS DISCUSS • WHY DID THE PT CONSULT/ICE? • WHAT CUES WERE THERE? • WHAT WENT WELL? • WHAT COULD BE IMPROVED? • HOW DID THE DOCTOR CHECK UNDERSTANDING? • HOW MUCH INFORMATION TO GIVE ? • REHEARSE CONSULTATION

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