consultation models (simplified)

the medical model

• focus on identifying the disease and treating it

• structured - hx - examination - investigation- treat

• not consider emotional or social factors

• used in ED and admitting those to hospital

traixial model

• 3 areas - biop, psych and social

• more holistic view of patients and finds underlying patients

• difficult to fit into GP appt - time constraints

pendletons model

7 tasks

1. reason for attendance

2. other problems

3. choose action for each issue

4. shared understanding

5. ionvolve pt in management

6. time and resources effectively

7. establish/mainatain a rel

empowers pt to tale responsibility in care. and be involved in care

• C – Clarify reason for attendance

• A – Ask about other problems

• R – Resolve with action for each issue

• E – Establish shared understanding

• T – Team up for management

• I – Invest time/resources effectively

• E – Establish/Maintain relationship

neighbours model

5 stages

1. connecting

2. summarising

3. handing over (discuss management abd shared decision making)

4. saftey netting (worsening advice)

5. housekeeping (reflect on consultation)

calgary cambridge model

5 stages

1. intiate session (rapport)

2. gather info

3. physical examination

4. explaining and planning (shared finding and agree on management)

5. close consultation (summarise and next steps)

• B – Build rapport (initiate session)

• E – Explore history (gather information)

• G – Gather physical findings (exam)

• I – Inform and plan together (explain + agree management)

• N – Next steps and close (summarise)