Session notes 10 March 2004

Video discomfort
- Notes on video allergy
- Systems for videoing in practices - using a 3-hr tape and just leaving it running throughout the surgery
- Tearing up the MRCGP criteria!
Consultation skills
- Tickets of admission
- Agenda setting
- Time management
- Feeling understood
- Reframing
- Checking understanding
- Giving patients what they want
- Denial and men
- Support is valuable vs sorting the patient out
- Patients saying thank you
- Feeling uncomfortable - reflected feelings
- Projecting feelings
- Loading options
- Equipoise
Relationship with trainer
Discussion and teaching time
Needs assessment
Trainer responsibility
PUNS and DENS
Assertiveness
Competence
Johari window
Appraisal and revalidation

Unconscious incompetence

Conscious incompetence

Conscious competence

Unconscious competence