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* The doctor who specialises in the patient * Physical, psychological and social care * Continuing care of on-going conditions * Early diagnosis and initial.

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Presentation on theme: "* The doctor who specialises in the patient * Physical, psychological and social care * Continuing care of on-going conditions * Early diagnosis and initial."— Presentation transcript:

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2 * The doctor who specialises in the patient * Physical, psychological and social care * Continuing care of on-going conditions * Early diagnosis and initial treatment * Treatment of chronic/terminal conditions * Health promotion * Care of patients, families and communities

3 * Rapport * Discover the patients problem – agenda * Understand the patients beliefs * Make a diagnosis/form opinion * Explain to the patient the management plan * Plan for eventualities/follow up * All this in 10 minutes!

4 * Many models * Structure of consultation * Psychology of the consultation * How to achieve the maximum in a consultation * The differences between a hospital and GP consultation

5 * The Doctor, his patient and his illness (1957) * Psychoanalyst * Several themes * The apostolic function * The drug doctor * The collusion of anonymity * The mutual investment fund * The flash

6 * The exceptional potential in each consultation * Managing the presenting complaint * Managing the on-going problem * Opportunistic health promotion * Modifying health seeking behaviour

7 The questions patients have when see a doctor * What has happened? * Why has it happened? * Why to me? * Why now? * What would happen if nothing were done about it? * What should I do about it?

8 * Connecting * Rapport * Summarising * Showing you understand the patient * Handover * Offering a management solution to the patient * Safety-netting * Planning for eventualities * Housekeeping * Making sure you are ready to see the next patient

9 * 1. Define the problem (ICE) * 2. Consider other options * 3. Choose appropriate action * 4. Share understanding with the patient * 5. Involve patient in management decisions * 6. Use time and resources well * 7. Establish and maintain the dr-patient relationship

10 * 1. Initiating the session * 2. Gathering information * 3. Building the relationship * 4. Explanation and planning * 5. Closing the session

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13 * The Inner Consultation – Roger Neighbour * The New Consultation: developing doctor- patient communication. Pendleton, Schofield, Tate and Havelock * The Doctor’s Communication Handbook. Tate P


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