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CALGARY CAMBRIDGE MODEL OF THE CONSULTATION. Suzanne Kurtz & Jonathan Silverman. Notes on the second half of their model. Five Sections. Initiating the session. Gathering information. Building relationship. Explanation and planning. Closing the session.

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calgary cambridge model of the consultation

CALGARY CAMBRIDGE MODEL OF THE CONSULTATION

Suzanne Kurtz & Jonathan Silverman

Notes on the second half of their model

five sections
Five Sections
  • Initiating the session.
  • Gathering information.
  • Building relationship.
  • Explanation and planning.
  • Closing the session.
explanation and planning broken down into four sub sections
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 patient’s perspective.
  • Planning: shared decision making.
1 providing the correct amount and type of information
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 patient’s starting point
  • Asks patient what other information would be helpful
  • Gives explanation at appropriate times
2 aiding accurate recall and understanding
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
3 achieving a shared understanding incorporating the patient s perspective
3. Achieving a shared understanding: incorporating the patient’s perspective.

Aims;

Encourage interaction, incorporate patients perspective, thoughts and feelings.

  • Relates explanations to patient’s illness framework.
  • Provides opportunities and encourages patient to contribute
  • Picks up verbal and non-verbal cues
  • Elicits patient’s beliefs, reactions and feelings
4 planning shared decision making
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
closing the session
Closing the session
  • Summarising
  • Contracting
  • Safety netting e.g. explains possible outcomes, what to do if plan isn’t working, when and how to seek help
  • Final checking