Communication Skills

• CONSULTATION MODELS
  • The Consultation Sieve
  • The Health Belief Model
  • The Disease-Illness Model (1984)
  • The Biomedical Approach
  • Consultation Models & Theory
  • The BATHE model
• TELEPHONE CONSULTATIONS
  • Telephone Triage Techniques
  • Stages of the Telephone Consultation
  • Telephone triage
• BALINT
  • Balint concepts
  • Balint’s “The Flash”
• ANALYSING THE CONSULTATION
  • Explaining things
  • Use of videotaped consultations in summative assessment of GP trainees
  • Rules for discussing video consultations
  • Video for consultation teaching & assessment
  • Consultation Videotape Assessment by Cox
  • Illness behaviour questionnaire – why now?
  • GP trainee patient-problem-management log
  • Methods of analysing the consultation
  • Communication skills teaching
  • Agenda-Led Outcome-Based Analysis (ALOBA)
  • Leicester Assessment Package for video consultation
  • Consultation Satisfaction Questionnaire
  • Tips on joint consulting
  • Video allergy
• COMMUNICATION MICROSKILLS
  • VAK and accessing minimal cues
  • The doctor’s feelings in the consultation
  • Reassurance
  • Motivating People
  • Motivational Interviewing
  • How to structure a consultation
  • Developing rapport
  • Screening for other problems
  • Shared Decision Making
  • Non-verbal communication
  • Open questions
  • Understanding the patient’s perspective (ICE)
  • Ideas, Concerns and Expectations
  • Beginnings
  • Little words that make a massive difference
• COMMUNICATION SKILLS THEORY
  • What are your zones of comfort, challenge and fear?
  • What is psychodynamic thinking?
  • Patient-centredness – Mead & Bower
  • Patient-centred consulting
  • Pattern recognition – more things
  • Narrative in medicine
  • Narrative Based Medicine
  • Maslow’s hierarchy of needs
  • Illness behaviour
  • The Cycle of Care
  • Barriers to effective consultations
  • Why patients come in – 10 questions to answer
  • Are there problems in communication between doctors and patients?
  • Why teach communication skills?
  • Is there evidence that communication skills affect outcomes of care?
  • Pattern recognition
  • Communication problems between doctors and patients
  • Evidence to support listening
  • Building a supportive climate
  • Research evidence on ending the consultation
  • Evidence that rapport building skills make a difference
• SPECIFIC SCENARIOS
  • The Angry Patient
  • Uncertainty
  • Manipulative patients 2
  • Manipulative patients 1
  • Heartsink patients
  • The Frequent Attender
  • The Dysfunctional Consultation
  • Handling difficult patients
  • Patient dependency on the doctor
  • Bereavement
  • Communication with children
  • Breaking bad news
  • The Anxious Patient
• CALGARY CAMBRIDGE MODEL
  • The Calgary Cambridge framework
  • A structure to the consultation
  • Calgary Cambridge – the communication process
• PROBLEM BASED INTERVIEWING (PBI)
  • Teaching PBI
  • Intro to PBI