GP Vivas · core-skills
Consultation models and patient-centred communication — structured viva
Structured oral on consultation models and patient-centred communication: models compared, outcome evidence for patient-centredness, core process skills, the doorknob presentation, sustaining communication change in a practice team, and demonstrating patient-centredness under exam time pressure.
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Target exams
RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: 'Models are just exam props — real doctors don't think in seven tasks. Defend teaching them at all.' The viva branches through model comparison, outcome evidence, process skills, sustainability of communication change and exam application.
Stem
You are the GP trainer. A registrar says consultation models are exam theatre and patient-centredness is unmeasurable. [4]
References7ShowHide
- [1]Kinnersley P et al. The patient-centredness of consultations and outcome in primary care. The British journal of general practice, 1999.PMID 10756612
- [2]Stewart M et al. The impact of patient-centered care on outcomes. The Journal of family practice, 2000.PMID 11032203
- [3]Makoul G. Essential elements of communication in medical encounters: the Kalamazoo consensus statement. Academic medicine, 2001.PMID 11299158
- [4]Kurtz S et al. Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides. Academic medicine, 2003.PMID 12915371
- [5]Henbest RJ et al. Patient-centredness in the consultation. 1: A method for measurement. Family practice, 1989.PMID 2632300
- [6]Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ, 1995.PMID 7728691
- [7]Pill R et al. A randomized controlled trial of an intervention designed to improve the care given in general practice to Type II diabetic patients. Diabetic medicine, 1998.PMID 9694180