Clinical Consultation Skills In Medicine

This book follows the revised format of the Practical Assessment Clinical Examination Skills (PACES) exam conducted by the Royal College of Physicians in the UK, where ‘clinical consultation skills’ will be tested twice in two separate stations. Thus, coming closest to what doctors do in real life: obtain a structured history, perform a focussed examination and explain the problem to the patient in lay terms. This book takes readers through a rational approach to 63 common presenting symptoms or laboratory abnormalities in medicine. It is aimed at improving the clinical consultation skills of young doctors and preparing them for the new format of MRCP PACES. Readers will learn: 1. The approaches to common presenting symptoms and blood test abnormalities. 2. What questions to ask the patient and why. 3. What to check when they examine the patient. 4. What to tell the patient and how to convey this information in lay terms without jargon. 5. How to investigate the problem, how to manage and when to refer to a specialist. Key Features • This book follows a narrative style with each case being discussed in a story-like manner, helping readers understand the process of narrowing the differential diagnosis, just like solving a crime! • It includes a ‘What to tell the patient’ section, where the main points to convey to the patient are highlighted and fully dialogued to help readers understand how complex medical jargon should be conveyed in layperson's terms. • It simplifies several complex and difficult-to-understand topics like haematological malignancies, thrombotic microangiopathy, glomerulonephritis, systemic vasculitis and eosinophilia.

Medical consultation is an integral part of the job description for many internal medicine specialists who practice in an inpatient setting. This concise, pocket-sized handbook helps you to provide timely and effective, evidence-based consultations for a full range of commonly encountered clinical situations. Each chapter provides evidence-based answers to common medical consultation questions, giving you the practical guidance you need to successfully manage hospitalized patients. A practical organization expedites access to the most relevant health concerns for every type of hospitalized patient. 20-25 clinical questions for each patient type, followed by brief, evidence-based answers, address the most common clinical scenarios requiring medical consultation. A thorough and systematic search of current literature ensures that each clinical recommendation is based on the best available evidence.

Forewords by Mayur Lakhani, Mike Pringle and Philip R Evans Respectively Chairman of Communications and Publishing, Royal College of General Practitioners, London; Head of School and Professor of General Practice, University of Nottingham; Former President of WONCA Region Europe. This groundbreaking book describes a completely new approach to the medical consultation, focusing on four key points: Behaviour, Aims, Room and Dialogue (B.A.R.D.). This practical approach has gained support from the Royal College of General Practitioners and reflects the way real family doctors consult in the real world, to the benefit of both the practitioner and the patient. Practical suggestions are made throughout the guide, with training exercises to aid in application. B.A.R.D in the Practice provides important reading for all general practitioners and general practitioner registrars.

Covering the relationship between doctor and patient, this book is about certain counselling skills needed in the medical consultation. Aimed at medical students, it outlines what the intrinsic counselling skills are and if they can be taught.

Don’t Wait Until Something Goes Wrong to Think About Your Consultation Skills Designed specifically for busy health professionals working in primary care, The Naked Consultation: A Practical Guide to Primary Care Consultation Skills covers all aspects of the primary care consultation in a clear, concise, and highly readable manner. The book begins by breaking the primary care consultation into its components, making it easier to focus on particular areas and practise skills such as encouraging patients to explain what’s wrong, summarising and reflecting, and giving information to patients. The book then describes how to effectively use educational tools—such as videoing, random case analysis, problem case debriefing, and feedback—to improve consultations. It also explains in detail how to demonstrate proficient consultation skills in the Membership of the Royal College of General Practitioners (MRCGP) exam and the importance of these skills in appraisal/revalidation. Certified for continuing professional development (CPD®) by The CPD Certification Service, this fully updated and revised Second Edition incorporates new thinking and consultation models, including the 6 S model and the new doctor, patient, illness model. It also provides detailed analysis of the latest Royal College of General Practitioners (RCGP) assessment tools, such as the clinical skills assessment exam (CSA) and the consultation observation tool (COT). Complete with illuminating case studies, photocopiable forms, and a jargon-busting appendix, The Naked Consultation: A Practical Guide to Primary Care Consultation Skills, Second Edition offers valuable insight into the key phases of the primary care consultation, the best features of common consultation models, and the real-world application of popular consultation techniques.

This new edition of the bestselling title features 15 new practice cases and with the aid of the DVD, helps readers pull together the knowledge and communication skills required for success in the consultation components of the MRCGP exam, namely Clinical Skills Assessment (CSA) and Clinical Observation Tool (COT).

The Consultation, published almost 20 years ago by the same authors, has been completely rewritten. The New Consultation will be an essential aid for all doctors and their educators to increase the effectiveness of their consultations and to help to make them more patient-centred. It includes theoretical background as well as practical help for both consulters and teachers. The consultation is 'the central act of medicine': the meeting between the patient and the doctor. The first part of the book takes the reader from the context of the consultation in society and with the medical profession, to the intimacy of the consulting room, and then delves into its processes. The reader is invited to share the individual perspectives of doctor and patient and to consider what will lead to positive outcomes. The last chapter of the first section puts all these factors together and provides a coherent, evidence-based description of the processes needed for an effective consultation for the patient, the doctor, and society. The second part of the book takes the reader into the practicalities of learning and teaching effective consultations. It starts with a brief description of the evidence for effective teaching and outlines the authors' experience of teaching in this way with over 1,000 doctors. Realizing that many doctors organize their own self-directed learning, the authors have included a chapter that enables individuals to develop their own consulting technique. Help is offered for teachers of the consultation in both undergraduate and postgraduate settings. The consultation is now assessed by a number of the royal medical colleges to measure competence and there is a chapter on these issues. The last chapter discusses the difficulties that many doctors still have in conducting patient-centred consultations and makes some suggestions for effective implementation of skills.