Using the computer in the consulting room – some teaching ideas

Messages in each clinical section

Section 3. The computer in the consulting room

Message Ways of using
Opening bullets
Reading
Typing
Relaying
Sharing
Maintaining
Scene setting of the additional tasks related to using the computer in the consultation Stimulus to thought and discussion. “Which of these tasks are you concerned about/ happy with?”
Room layout Compromise. GP may not be able to choose. Each layout has strengths and weaknesses. Ideally, GP will match style to the layout so as to get best out of it. Illustrate points with desk 2 chairs, screen and 2 volunteers. Discussion. Role play (could be videotaped and reviewed)

Section 4 Using the computer in the consultation room

Message Ways to use
Verbal communication You can’t multitask if both tasks require concentration and involve words in sentences. Give examples: driving etc
Signposting These are the key strategies They are illustrated in the video clips, and expanded in the guide
Consultation 1 Screen position
Doctor verbally signposts transfer of attention
Consultation 2 Screen position
“can you see that?”
 Consultation 3 Screen position
“can you bear with me?”
Patient interrupts when GP is typing, she responds immediately.

Section 5: Learning from the computer

Message Ways to use
Consultation 1 Planned use of PRODIGY Screen position: GP using body movement to signal. Information from PIL to back up GP decision These consultations show the GP using the computer to give guidance. They explore the consequences of doing this live.
Consultation 2 “hold on a minute while I find it”
GP surprised.
Consultation 2, ending 1 GP runs with the new advice. “Look” invites patient to look at screen, points to the key bit of the guidance. Lets patient read. Acknowledges that she is surprised.
Consultation 2, ending 2 GP seeks more info during the consultation Explains what doing. “Can you just give me a minute..?”
Consultation 2, ending 3 GP seeks more info after.
Dealing with conflicting advice This describes ways of handling “cognitive dissonance”, which is a psychological discomfort felt when pre-existing beliefs are challenged: it is also a pre-requisite for learning. Discussion of handling cognitive dissonance.

Section 6. Sharing information in the consultation.

Message Ways to use
Video clip “there is more information on the computer let’s have a look” Time to read Answered query Checked out patient had understood and was happy Written back up Example of letting patient read information on the screen

 

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