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The Rough Guide to consultation skills. Consultation tasks Establish rapport Get the patient to tell you what is wrong Explore what the patient hasn’t.

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Presentation on theme: "The Rough Guide to consultation skills. Consultation tasks Establish rapport Get the patient to tell you what is wrong Explore what the patient hasn’t."— Presentation transcript:

1 The Rough Guide to consultation skills

2 Consultation tasks Establish rapport Get the patient to tell you what is wrong Explore what the patient hasn’t told you What does the patient think is wrong and what do they want? Summarise (frequently!) Examine the patient Explain the problem Share management options Safety net

3 Five checkpoints (Roger Neighbour) Connect Summarise Hand over Safety net Housekeeping

4 Consultation tasks Establish rapport Get the patient to tell you what is wrong Explore what the patient hasn’t told you What does the patient think is wrong and what do they want? Summarise (frequently!) Examine the patient Explain the problem Share management options Safety net

5 An exercise in establishing rapport

6 ‘Eliciting’ micro-skills Nudging Echoing Feedback-eg ‘I noticed’ Checking (mini summary) Explain why you are asking Statement as a question ‘My friend John’ The ‘square search’

7 Group work to practice micro- skills 1. haematuria 2. several episodes of severe abdominal pain 3. a cough for 6 weeks

8 Recognising and responding to cues verbal emotional Non-verbal

9 What a cue is and what it is not

10 Verbal cues to hidden agenda What is said What is not said Speech censoring Turbulence Imprecise language Emotive language Opening gambits and curtain raisers

11 Non-verbal cues The ‘set-up’ Body language Eye contact, internal search

12 Emotional cues Micro emotions Unexpected emotions Mismatched emotions

13 What to do with cues? Ignore them Notice them and store for later Comment Act, change the consultation plan


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