CALGARY CAMBRIDGE MODEL OF THE CONSULTATION

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CALGARY CAMBRIDGE MODEL OF THE CONSULTATION

• Suzanne Kurtz Jonathan Silverman

Notes on the second half of their model
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Five Sections

• Initiating the session.
• Gathering information.
• Building relationship.
• Explanation and planning.
• Closing the session.

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Explanation and planning-Broken down into four
sub-sections

• Providing the correct amount and type of
  information.
• Aiding accurate recall understanding.
• Achieving a shared understanding incorporating
  the patients perspective.
• Planning shared decision making.

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1.Providing the correct amount and type
of information

• Aims
• to give comprehensive and appropriate
  information for individual patients to neither
  restrict or overload
• Chunks and checks
• Assesses patients starting point
• Asks patient what other information would be
  helpful
• Gives explanation at appropriate times

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2. Aiding accurate recall and understanding

• Aims
• To make information easier for the patient to
  remember and understand
• Organises explanation.
• Uses explicit categorisation or signposting e.g.
  there are three important things I would like to
  discuss
• Uses repetition and summarising
• Clarity
• Uses visual methods if appropriate
• Checks patients understanding of information
  given or plans made

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3. Achieving a shared understanding
incorporating the patients perspective.

• Aims
• Encourage interaction, incorporate patients
  perspective, thoughts and feelings.
• Relates explanations to patients illness
  framework.
• Provides opportunities and encourages patient to
  contribute
• Picks up verbal and non-verbal cues
• Elicits patients beliefs, reactions and feelings

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4.Planning shared decision making

• Aims
• Involve patients in decision making if they
  wish, increase patient understanding and
  commitment
• Shares own thoughts, ideas, dilemmas
• Involve patient by making suggestions rather than
  directives
• Encourages patient to contribute their thoughts
• Negotiates
• Offers choices
• Checks with patient

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Closing the session

• Summarising
• Contracting
• Safety netting e.g. explains possible outcomes,
  what to do if plan isnt working, when and how to
  seek help
• Final checking