5Byrne and Long 1976 Establish a relationship Discover the reason for attendingPerform verbal and physical examinationThe doctor, patient or both then consider the problemDiscuss management
6Berne 1977 Transactional Analysis Model of human behaviour Ego states Parent / Child / AdultMay help in interpreting some situations
7Stott and Davis 1979 Management of presenting problem Modification of help-seeking behaviourManagement of continuing problemsOpportunistic health promotionmay be helpful in extending your outlook into the potential of each consultation
8Pendleton et al 1984 Define the reason for the attendance nature and historyaetiologyideas, concerns and expectationseffects of the problem
9Pendleton et al 1984 (cont) Consider the other problems Choose an appropriate action for eachAchieve an understanding with patientInvolve them in management planUse time and resources appropriatelyEstablish / maintain relationship
10Helman 1984 Anthropological model What has happened Why has it happened? Why me? Why now?What would happen if I did nothing?What should I do about it?What can you do about it?How can I stop it happening again?
12Neighbour 1987 The Inner Consultation Connecting Summarising Handing overSafety nettingHousekeeping
13Murtagh 1998 What is the probability diagnosis? What serious diagnosis should not be missed?What conditions are often missed?Is this a masquerade?Is the patient trying to tell me something that I have missed?
14Cambridge-Calgary Initiating the consultation Gathering information Building the relationship / facilitating the patient’s involvementExplanation and planningClosing
15Neurolinguistic Planning Based on models of how the brain handles information. Identify the predominant system the patient is using and modify your communication accordingly.Kinaesthetic (feeling)Visual (seeing)Auditory (hearing)
16Match problem to model Doctor Centred Expand outlook Difficult patientsDifficult situationsAnxiousBody languageHospital basedPractical teachingHelmanStott and DavisHeronBerne (TA)MurtaghNeighbourMcWhinneyCambridge-Calgary
18Pendleton’s Rules What do you think you did well? What do I think you did well?What could have done differently?What do I think you could have done differently?How do you feel about thisFinish on a positive reinforcement
19SETGO What did you See? What Else did I see? What do you Think about this?What Goals can we now set?What Offers have we got to achieve these goals? (Role Play)