Patient-Centred Consulting for the MRCGP
By Chinedu Odina
Jun 2017 , 304 pp
GP trainees who struggle with the CSA element of the MRCGP often do so because they focus more on the clinical problem that presents, rather than the needs and expectations of the patient.
This new text addresses this problem by nurturing a patient-centred approach to consultation skills. It helps the reader to understand the presenting problem from the point of view of the patient and from there building an empathetic consultation which will satisfy the requirements of the RCGP competencies.
The book will help the reader shift away from formulaic problem-based rehearsals, to patient-centred preparation. It consistently rehearses the RCGP competencies required to achieve patient-centredness in any presentation, and furnishes the reader with the complete range of consulting skills needed to pass the CSA.
Why doctors should read this book; Explaining the CSA grading; Common reasons
for failures in the CSA
Understanding the skills assessed in the CSA
The meaning of patient-centredness; Why its difficult to pass the CSA without fluency in patient-centredness; Achieving patient-centredness regardless of the nature of the clinical problem; Patients understanding and experience; Managing uncertainty, sharing risks; How to use the patients perspective to find a practical solution; Data gathering to develop understanding of the problem and the patient simultaneously; Offering management options using the patients understanding; Dealing with a specialist clinical problem using patient-centredness; Mutually agreed plan using the patients perspectives; Making ethical decisions using patient-centredness; Building the history around the patients experience;
the patients preferences; Problem solving using the patients perspectives; Are
hidden agendas unexplored patients views?; Making a diagnosis using the
patients understanding; Improving time management using the patients understanding