Consultation 1 – Poor COT skills!
Plan for the session Run the video with your GPST A poor consultation video using the COT scoring sheet to assess performance (5 mins). Read through the case summary. Run through the video again with the GPST pausing it at points where they might do something different. Finish with a role play of the consultation with the GPST using their improved consultation skills.
Consultation 2 – Breaking Bad News
Plan for the session
Run the video with your GPST A poor consultation – breaking bad news using the COT scoring sheet to assess performance (5 mins).
Discuss the breaking bad news download and run through the video again with the GPST pausing it at points where they might do something different.
Finish with a role play of the consultation with the GPST using their improved consultation skills.
Consultation 3 – The Angry Patient
- Run the video with your GPST a poor consultation – the angry patient . Discuss what went wrong and the possible ways in which the outcome could have been avoided.
- Discuss the angry patient and role play the consultation with the GPST using their improved consultation skills.
Run the video with your GPST a case of dyspepsia. Discuss the structure of the consultation and the consultation skills displayed using the Consultation skills spotting download to facilitate the session.
Remember, a good explanation should be stripped of medical jargon, use terms, analogies or diagrams which help patient understanding and should be adapted to reflect their ideas, concerns and expectations.
These video clips could be improved, why not have a go yourself and send me the video or upload it onto YouTube and I will embed the link in our website?
You may have to use the volume icon on the You Tube toolbar below the video box!You can also obtain a DVD which contains 13 videoed consultations, which are great for tutorials, when you buy the excellent book Consultations Skills for the nMRCGP – practice cases for CSA and COT by P Naidoo and C Monkley