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Consulting in a Nutshell: A practical guide to successful general practice consultations before, during and beyond the MRCGP [Kõva köide]

4.86/5 (7 hinnangut Goodreads-ist)
  • Formaat: Hardback, 192 pages, kõrgus x laius: 234x156 mm, kaal: 503 g, 35 Line drawings, color; 15 Line drawings, black and white; 4 Halftones, black and white; 35 Illustrations, color; 19 Illustrations, black and white
  • Ilmumisaeg: 26-Nov-2020
  • Kirjastus: CRC Press
  • ISBN-10: 0367467437
  • ISBN-13: 9780367467432
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Consulting in a Nutshell: A practical guide to successful general practice consultations before, during and beyond the MRCGPSuurem pilt
  • Formaat: Hardback, 192 pages, kõrgus x laius: 234x156 mm, kaal: 503 g, 35 Line drawings, color; 15 Line drawings, black and white; 4 Halftones, black and white; 35 Illustrations, color; 19 Illustrations, black and white
  • Ilmumisaeg: 26-Nov-2020
  • Kirjastus: CRC Press
  • ISBN-10: 0367467437
  • ISBN-13: 9780367467432
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9780367467432.html
Märksõnad:

‘…a unique book, written by a unique GP. There is no-one better placed to pull together decades of learning and experience on how to achieve the greatest success in the general practice consultation. The relaxed pace of writing, the accessible examples, the clear narrative and the engaging anecdotes make this a resource that it is accessible and useful to all who seek to improve their clinical consulting skills.’

Helen Stokes-Lampard, former Chair of the Royal College of General Practitioners

This brand-new book aims to help GPs establish ways of thinking, talking and behaving in the consultation that are most likely to lead to good outcomes. It describes a simple three-part approach to the consultation’s essential task, which is to convert a patient’s problem into a plan acceptable to both patient and doctor. It combines reader-friendly explanations, helpful illustrations and examples from everyday practice.

Key features:

  • Written by a respected GP, teacher, and author of the highly-regarded trilogy The Inner Consultation, The Inner Apprentice and The Inner Physician

  • Gives GPs a framework for consulting that is easy to remember, comprehensive, adaptable, robust, exam-friendly and quickly becomes second nature

  • Identifies and addresses key areas of anxiety for GP trainees and MRCGP candidates, including ‘How do I complete in 10 minutes?’, ‘How do I deal with difficult patients?’ and ‘What do I do when it all goes pear-shaped and I don’t know what to do?’

    • Gives advice and practical suggestions for how to make the difficult transition from theory to practice, from reading about the consultation to actually doing it better in real life

    • Consulting in a Nutshell

    will help GPs at every career stage – from medical student to CSA candidate to experienced practitioner – to analyse, develop and grow their personal consulting style. Coming at a time of profound change in primary care, it aims to ensure that seeing patients and having good consultations becomes and remains a source of satisfaction and fulfilment.

    The author:
    Roger Neighbour is a retired GP, former Convenor of the Panel of MRCGP Examiners, and past President, Royal College of General Practitioners, UK.

    Foreword xiii
    Preface xv
    Addendum - the Recorded Consultation Assessment of the MRCGP xvii
    About the author, illustrator and foreword author xix
    Acknowledgments xxi
    1 As we begin
    		1(8)
    ... `The MRCGP'
    		1(1)
    ... `Consultations' ...
    		2(1)
    ... `General practice' ...
    		2(1)
    ... `Successful' ...
    		3(1)
    ... `During' ...
    		3(1)
    ... `Before' ...
    		4(2)
    ... `And beyond' ...
    		6(1)
    ... `Practical guide' ...
    		6(3)
    2 The big picture
    		9(20)
    What are the goals of the consultation?
    		10(2)
    Converting a problem into a plan
    		12(1)
    Whose version of `the problem'?
    		13(1)
    What good consulting is, and is not
    		14(1)
    Good consulting is not ...
    		14(1)
    Good consulting is ...
    		14(1)
    What consultation models are, and are not
    		15(2)
    Something else consultation models are not
    		17(2)
    How does the `three-part' framework fit in with other consultation models?
    		19(3)
    Do we really need another model of the consultation?
    		22(2)
    `Doctor-centred' or `patient-centred'?
    		24(5)
    3 The consultation in a nutshell
    		29(22)
    The `right' problem
    		29(1)
    A typical consultation
    		30(3)
    The three-part consultation
    		33(5)
    More about the Patient's part
    		38(3)
    More about the Doctor's part
    		41(1)
    More about the Shared part
    		42(2)
    Transitions -- keeping the consultation on track
    		44(2)
    Summary -- the consultation in a nutshell
    		46(1)
    Before we move on
    		47(4)
    4 Making a success of the three-part consultation
    		51(88)
    Making a success of the Patient's part
    		52(20)
    `Telling-the-doctor-all-about-it' mode
    		53(1)
    Greetings and introductions
    		53(2)
    Rapport
    		55(4)
    Starting the Patient's part
    		59(1)
    Keeping it going
    		60(2)
    Give `receipts' for important points in the patient's story
    		62(2)
    Don't `medicalise' too soon
    		64(1)
    Ideas, concerns and expectations (ICE)
    		65(4)
    How long should the Patient's part last?
    		69(1)
    Summarise
    		69(1)
    In conclusion
    		70(2)
    More about receipts
    		72(10)
    Receipting emotions
    		74(2)
    What and when to receipt
    		76(1)
    Two-part steering remarks
    		76(1)
    Turning a receipt
    		77(3)
    Using receipts in the Patient's part
    		80(2)
    Cues and hidden agenda
    		82(6)
    Cues
    		83(2)
    Hidden agenda
    		85(1)
    Health beliefs
    		85(2)
    Cues and hidden agenda in the CSA
    		87(1)
    Transitioning from the Patient's part to the Doctor's part
    		88(5)
    Summarising as a transition
    		91(1)
    Transitioning without a summary
    		92(1)
    Introducing the Doctor's part
    		92(1)
    Making a success of the Doctor's part
    		93(14)
    Things you might include in the Doctor's part
    		95(3)
    Sequencing your questions
    		98(1)
    Physical examination
    		99(3)
    Adding your own agenda to the consultation
    		102(3)
    Knowing when to stop
    		105(2)
    Transitioning from the Doctor's part to the Shared part
    		107(3)
    Making the transition
    		108(1)
    `Plan A'
    		109(1)
    Making a success of the Shared part
    		110(24)
    Does shared decision-making matter?
    		111(3)
    Why is the Shared part difficult?
    		114(2)
    Explaining
    		116(4)
    Options and choice
    		120(2)
    Shared decision-making
    		122(2)
    Thinking aloud
    		124(8)
    Safety-netting
    		132(1)
    Closing the consultation
    		133(1)
    More about thinking aloud
    		134(5)
    5 Some particular challenges
    		139(42)
    Four things that will get you out of most difficulties
    		140(2)
    (1) Process awareness
    		140(1)
    (2) The three-part structure
    		141(1)
    (3) `Steering'
    		142(1)
    (4) Thinking aloud
    		142(1)
    The patient with a list
    		142(3)
    Scenario
    		143(2)
    `While I'm here, Doctor
    		145(4)
    Scenario #1
    		146(1)
    Scenario #2
    		147(2)
    The potentially time-consuming consultation
    		149(5)
    Scenario
    		151(2)
    A question of style, values and organisation?
    		153(1)
    Long-agenda consultations in the CSA
    		153(1)
    The uncommunicative patient
    		154(3)
    Scenario
    		154(3)
    Uncommunicative role-players in the CSA
    		157(1)
    The over-talkative patient
    		157(2)
    Scenario
    		157(2)
    The emotional patient
    		159(4)
    Scenario
    		162(1)
    Breaking bad news
    		163(8)
    The first `consultation within a consultation' -- giving the news
    		164(2)
    The second `consultation within a consultation' -- dealing with the impact of the news
    		166(1)
    `Good' news can be bad
    		167(1)
    Scenario
    		167(3)
    `Breaking bad news' in the CSA
    		170(1)
    When it all goes wrong
    		171(1)
    Telephone and video consultations
    		172(4)
    Consulting by telephone
    		173(2)
    Consulting by video
    		175(1)
    Preparing for the CSA
    		176(5)
    Running short of time
    		177(1)
    Preparing for the exam
    		178(3)
    6 Before you go ...
    		181(2)
    Index 183
    Roger Neighbour OBE MA MB BChir DSc FRCP FRCGP FRACGP

    Roger qualified from Kings College, Cambridge, and St Thomas Hospital. After vocational training in Watford, he practised as a GP in Abbots Langley, Hertfordshire, from 1974 to 2003. He was a trainer and programme director with the Watford Vocational Training Scheme for many years, an MRCGP examiner for 20 years, and the Royal College of General Practitioners Chief Examiner from 1997 to 2002. In 2003 he was elected President of the RCGP for a three-year term. In 2011 he was awarded an OBE for services to medical education.

    Having studied experimental psychology instead of biochemistry as an undergraduate, Roger found himself fascinated by the psychology of the consultation and the doctor-patient relationship in general practice. This interest led him to write his Inner trilogy: The Inner Consultation (1987), The Inner Apprentice (1992) and The Inner Physician (2016). A collection of his medico-philosophical writings, Im Too Hot Now, was published in 2005.

    Now retired from clinical practice, Roger continues to write, teach and lecture in the UK and worldwide on consulting skills and medical education. He plays the violin to semi-professional standard, and enjoys spending time at his second home in Normandy.