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The Rough Guide to consultation skills

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 told you What does the patient think is wrong and what do they want? Summarise (frequently!) Examine the patient Explain the problem

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The Rough Guide to consultation skills

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  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. ‘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’

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

  5. Recognising and responding to cues verbal emotional Non-verbal

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

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

  8. Emotional cues • Micro emotions • Unexpected emotions • Mismatched emotions

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

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