West of Scotland Regional Trainer’s Day 2013

Aims and objectives of this workshop Review consultation teaching Consultation models Feedback models Focus on Calgary Cambridge models Experiential Learning

Consultation Teaching Essential GP skill MRCGP - WPBA - CSA

Feedback Models Pendleton 1984 Calgary Cambridge 1996

Calgary Cambridge Guide to the Medical Interview Agenda Led Outcome Based Feedback

Guide to Medical Interview Initiating the Session Gathering Information Physical Examination Explanation and Planning Closing the Session Providing StructureBuilding the Relationship

Guide to Medical Interview Five main tasks Fifty Four subsections Breaks down tasks into specific skills Detailed descriptions of behaviours used in consultations Further information available algary/

Calgary Cambridge Feedback A Agenda L Led O Outcome B Based A Analysis

Agenda Led Outcome Based Analysis 1.Set the scene 2.Seek learner’s agenda 3.Watch the consultation 4.Acknowledge learner’s feelings 5.Refine learner’s agenda 6.Feedback Learner goes first Group goes next- both use SET-GO technique

Feedback S Describe what you saw E What else was seen? T What do you think? - G Clarify the goals O Any offers on how to achieve these?

Agenda Led Outcome Based Analysis 7.Rehearsal 8.Tape review – skill spotting using C-C guide 9.Trainer’s Agenda/ Teaching points 10.Evaluation Has the agenda been covered? Review the learning Learning Needs identified? Summarise with reference to academic models Plan next session

Skill Spotting Importance of balanced feedback Unconscious Competence Conscious Competence Conscious Incompetence Unconscious Incompetence

EXPERIENTIAL LEARNING