Consultation Models
- Calgary-Cambridge Observation Guide
o Initiating the session
o Gathering information
o Building the relationship- Giving information, explaining and planning
- Closing the session
- STEWART
- Patient-centred clinical method
- Exploring both the disease and illness experience
- Understanding the whole person
- Finding common ground
- Incorporating prevention and health promotion
- Being realistic with time and resources
- Pendleton Consultation Model
- o The clinician defines the reason for the patient’s attendance (ideas, concerns, expectations)
- Considers other problems
- Choose an appropriate plan of action
- Achieves a shared understanding
- Involve the patient in the management
- Use time and resources appropriately
- Establish and maintain a relationship with the patient
- Fraser’s Consultation Model
- o Involves interviewing and history-taking
- Physical examination
- Diagnosis and problem-solving
- Patient management
- Relating to the patient
- Anticipatory care
- Record-keeping
- Neighbour Consultation Model: A five-checkpoint model
o Connecting
o Summarising
o Handing over
o Safety netting
o Housekeeping - Tooket Consultation Model
o A meeting between two experts (doctor and patient)
o Shared understanding
o Addressing explanations & understanding in terms of the patient’s belief system
- Stokes and Davis Consultation Model
o Management of presenting problems
o Management of continuing problems
o Modification of help-seeking behavior
o Opportunistic health promotion