GP Consultation Models

Calgary-Cambridge observation guide - Who? Year? Summary?

Kurtz and Silverman

1996

• initiating the session

• gathering information

• building the relationship

• giving information, explaining and planning

• closing the session

Patient-centred clinical method - Who? Year? Summary?

Stewart

1995, 2003

• exploring both the disease and the illness experience

• understanding the whole person

• finding common ground

• incorporating prevention and health promotion

• enhancing the doctor-patient relationship

• being realistic (with time and resources)

The Consultation: an Approach to Learning and Teaching - Who? Year? Summary?

Pendleton

1984, 2003

• define the reason for the patient's attendance (ideas, concerns and expectations)

• consider other problems

• with the patient, choose an appropriate action for each problem

• achieve a shared understanding of the problems with the patient

• involve the patient in the management and encourage him/her to accept appropriate responsibility

• use time and resources appropriately

• establish or maintain a relationship with the patient which helps to achieve the other tasks

Areas of competence - Who? Year? Summary?

Fraser

1992

• interviewing and history-taking

• physical examination

• diagnosis and problem-solving

• patient management

• relating to patients

• anticipatory care

• record keeping

The Inner Consultation - five checkpoint model - Who? Year? Summary?

Neighbour

1987

• connecting

• summarising

• handing over

• safety netting

• housekeeping

Meeting of two experts - Who? Year? Summary?

Tuckett

1985

• the consultation is a meeting between two experts

• doctors are experts in medicine

• patients are experts in their own illnesses

• shared understanding is the aim

• doctors should seek to understand the patient's beliefs

• doctors should address explanations in terms of the patient's belief system

Exceptional potential of the consultation - Who? Year? Summary?

Stott and Davis

1979

• management of presenting problems

• management of continuing problems

• modification of help-seeking behaviour

• opportunistic health promotion