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.

A practical guide to primary care consultation skills, this title contains helpful hints, examples and suggestions, ideal for practising professionals to check and improve their skills, particularly for those who have had little formal opportunity to do so.

A new and creative way of thinking about the consultation in primary care, for both trainees and practising GPs The book features a unique Two Houses model to help the reader move away from completing a series of tasks to focusing on the two key objectives at the heart of every consultation: Working out what matters (The House of Discovery) Deciding with the patient what to do about it (The House of Decision) Using the rich metaphors contained within these houses, the book explores common pitfalls that can beset those who are learning the craft of consulting in primary care, and encourages the reader to fill their toolbox with the skills needed to develop their own patient-centred consultation style. The GP Consultation Reimagined is based on the author's experience of teaching communication skills over 10 years as a GP Training Programme Director. "This book will not teach you to improve your consultations. That is its great merit. Instead, it will encourage you to learn how to consult better." From the Foreword by Roger Neighbour

This book provides readers with the latest research on the affective aspect of online interactions between doctors and e-patients in the context of China from a poststructuralist discourse analysis perspective. At the heart of this book is the presentation of four chapters which address (1) indirect negative emotional acts by e-patients and empathic acts by doctors (constituting “affective practice”), (2) the interactional discursive features involved in the affective practice, (3) discursive positions of e-patients and doctors within the affective practice context, and (4) power relations that are reflected in the positionings. This book sheds light on the importance of examining the affective facet of medical consultation, when it comes to identifying non-traditional positions and power relations in doctor-patient communication. It also provides the implication that e-healthcare platforms, especially those with an e-commercialized model for healthcare services, have potential to produce a type of neo-liberal discourse—the e-commercialized medical consultation discourse—in which patients and caregivers, who are acknowledged as the less powerful group in the traditional healthcare activities, are empowered and privileged.

Advanced Practice in Healthcare outlines the key components of advanced practice in which healthcare professionals are engaged. With a clear skills focus, it explores issues critical to providing effective enhanced care to patients whilst managing and negotiating the complexities of the healthcare delivery system. Perspectives on advanced practice are illuminated throughout the text and are designed to promote the formation of new thinking in relation to practice, education and research. The text is comprised of three sections that address different aspects of advanced practice and these in turn: Provide guidance on the development of clinical skills, including consultation, clinical decision making, holistic care, and the role of care planning in advanced practice. Explain management skills and how to manage, negotiate and monitor the complexities of the healthcare system in order to ensure the delivery of quality patient care. Clarify the professional role of the advanced practice clinician and how implementation of the role can improve the delivery of patient care. In each chapter activities are presented that assist in the development, implementation and extension of advanced level practice. This text is especially relevant to nurses, midwives and allied health professionals practising within primary and secondary care who wish to advance their practice or clarify their roles within the context of advanced practice, particularly those undertaking masters level study.

The book describes what goes on behind the scenes in undergraduate and postgraduate medical education, scientific research and general medical practice in the United Kingdom. It covers the years 1945 to 2012 and is an account of a unique medical journey. The author was brought up by parents who were general practitioners in Yorkshire. His upbringing was thoroughly middle class and his observations of his parents work and lifestyle resulted in his wanting to be a doctor. Medical student life at University College London was hard work. Several of his teachers were eminent and world famous. Two of them were Professors J Z Young (anatomy) and Andrew Huxley (Physiology and Nobel Prize winner). Life-long friendships were made with fellow students who worked together dissecting a human body. Experiments were performed on one another. The social life in the 1960s of a group of medical student friends is described. Studying octopuses and squid in Naples, Italy. Was part of an extra degree course which was undertaken before starting hospital clinical studies? These were at The London Hospital, Whitechapel, in the east end of London. There was so much to learn before being allowed to practice as a doctor. Clinical studies were undertaken at The London Hospital, Whitechapel. This is one of the oldest hospitals in the UK. There is a huge learning curve which resulted in a doctor just about able to deal with patients. A year of pre-registration work started on the medical wards at Mile End Hospital followed by a period in the Receiving Room (Accident and Emergency Department) at The London Hospital. The pre-registration house jobs sometimes involved working 100 hours a week. Nights in the accident emergency department were manned by one pre-registration house officer and a nurse. There is a description of what is involved undertaking research to PhD level in physiology. A new clinical thermometer was designed, tested and eventually manufactured and sold by the instrument developer Muirhead Ltd. So soon after being a student, the wheels had turned and the author was teaching students himself. There is an account of starting work as a General Practitioner in Cheltenham having not seen a single patient for the previous three years. After that he worked for a short time in a London practice and then in Castleford, West Yorkshire from 1978 to 2005. He and his wife build the practice up from a zero base to a thriving training practice housed in a large modern clinic. Doing this was financially risky as well as stressful. The development of postgraduate general practice education in Yorkshire in the last two decades of the twentieth century is described. There are descriptions of becoming a trainer of prospective GPs and then organising and managing trainers. The role of a GP tutor in the education of GPs was undertaken as a specific job. Work on the assessment of the competence of trainee GPs was overseen in the Yorkshire Deanery, based in Leeds, West Yorkshire. Work on the monitoring of the GP contract with the NHS and the GP appraisal scheme was undertaken by NHS Wakefield district, a Primary Care Trust. The author worked for both these bodies and what was involved in GP appraisal and inspection of practices target achievements is examined in detail. Work with ill and underperforming general practitioners is described as well as mentoring GPs with problems and worries. Very few patient problems and cases are included in this book which rather tells of the work that went on in the background. It is that work that produces high quality doctors and also year on year improvement in patient care. The last chapter involved informal interviews in 2012 with people studying and working in the same fields experienced over the years by the author and outlined above. Readers are asked to judge whether the present day situation is an improvement on

Good communication skills provide better clinical outcomes and help avoid minor as well as major mistakes. Approximately 60-80% of negligence claims against vets are related to poor communication, with new graduates especially vulnerable. Communication skills are a growing part of the curriculum in veterinary schools, recognising how fundamental clear communication is to good practice. A Guide to Oral Communication in Veterinary Medicine covers why communication skills are important, the structure of typical communications and suggested approaches, veterinary specific communication pathways and sample scripts between vet and client. Scenarios covered include everyday communication, dealing with challenging situations, different species, different settings, and communication within the veterinary team. The aim is to instil confidence and competence, build professionalism and avoid problems. Most current teaching is based on a toolbox approach developed from the human medicine model. However, there is no set standard for teaching methodology which is why this is primarily a book for students but also includes a section for educators to provide guidance in this nascent subject. 5m Books