Teaching
for the CSA
It maybe worthwhile to consider how to specifically approach teaching the CSA using Calgary Cambridge model. There are a number of scenarios which lend themselves to tying in this model together with experiential learning:
- The learner experiences a consultation scenario with a patient
- The learner explores the consultation using the Calgary Cambridge model with the trainer, including skills rehearsal
- The learner presents evidence of learning subsequently using a CbD.
Some scenarios to consider
- Doctor behaviours
- Breaking bad news
- Motivational interviewing
- Proxy consultations
- Confidentiality
- Patient behaviours
- Aggressive patients
- Manipulative patients
- Negotiation
- Patients who request a test
- Patients who want antibiotics
- Non-compliant patients
- Somatising patients
- Patient problems
- Joint pains
- Non-specific abdo pain
- Backache
- Diarrhoea
- Dyspareunia
- Tired all the time
- Cystitis
- Relationship break up
- Anxiety/panic attacks
- Recurrent sore throat
- Non-specific chest pain
Observation and the CSA
Direct observation is a useful way of preparing a trainee for the CSA, and
gives an opportunity for direct and immediate feedback. One way of doing this is
to set up a few patients at 20 minute intervals, and mark according to the
Behavioural indicators for CSA
feedback, using the
Blank CSA marking schedule for observational
feedback, then giving immediate feedback.