Tutorial 4

Question 1

Steps in Calgary cambridge model

Answer 1

• Initiating the Session
• Gathering Information
• Providing Structure
• Building Relationship
• Explanation and Planning
• Closing the Session

Question 2

Types of questions

Answer 2

• Open-ended question:

Is not seeking any particular answer but simply signals to the patient to tell his story.

• Direct question: Asks about a specific item
• Closed question: Can only be answered by a “yes” or “no”.
• Leading question: Presumes the answer and is best avoided.
• Reflected question: Allows the doctor to avoid answering a direct question from the patient.

Question 3

Examples of the questions

Answer 3

• Open-ended: “Tell me about the pain?”
• Direct: “Where is the pain?”
• Closed: “Is the pain severe?”
• Leading: “The pain is severe?”
• Reflected: “You want to know the cause of the pain?”

Question 4

Pracice team

Answer 4

• Manager
• IT/Admin Staff
• Secretarial Staff
• Reception Staff
• Nurses – Junior/Senior
• Advanced Nurse Practitioners
• Physicians Assistants
• Phlebotomists
• Health Care Assistants

Question 5

3 broad communication skill categories in consultations

Answer 5

• Content skills. What doctors communicate - the substance of their questions and responses, the information they gather and give; the treatments
• Perceptual skills. What they are thinking and feeling - their internal decision making, clinical reasoning; their awareness of their own biases, attitudes and distractions.
• Process skills. How they do it - the ways doctors communicate with patients; how they go about discovering the history or providing information; the verbal and non-verbal skills they use; the way they structure and organise communication.

Question 6

Physical factors influencing the consultation

Answer 6

• Site and environment
• Adequacy of medical records: saves time in reviewing the patient background
• Time constraints:allocated time
• Patient status: new or known patient