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    01a Calgary Cambridge Framework - Basic

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    John Sebastian Bittner Solis
    The document describes the Enhanced Calgary-Cambridge Guide to the Medical Interview, which provides an expanded framework for conducting effective medical interviews. The framework outlines six sections of a medical interview: initiating the session, gathering information, physical examination, explanation and planning, and closing the session. It describes the key tasks and goals within each section, including preparing for the consultation, building rapport with the patient, exploring medical and personal perspectives, performing examinations, sharing information, and planning follow up care. The guide emphasizes the interrelationship between technical clinical skills and effective communication processes to fully understand a patient's health issues.

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    01a Calgary Cambridge Framework - Basic

    Uploaded by

    John Sebastian Bittner Solis
    102 views3 pages
    The document describes the Enhanced Calgary-Cambridge Guide to the Medical Interview, which provides an expanded framework for conducting effective medical interviews. The framework outlines six sections of a medical interview: initiating the session, gathering information, physical examination, explanation and planning, and closing the session. It describes the key tasks and goals within each section, including preparing for the consultation, building rapport with the patient, exploring medical and personal perspectives, performing examinations, sharing information, and planning follow up care. The guide emphasizes the interrelationship between technical clinical skills and effective communication processes to fully understand a patient's health issues.

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    The document describes the Enhanced Calgary-Cambridge Guide to the Medical Interview, which provides an expanded framework for conducting effective medical interviews. The framework outlines six sections of a medical interview: initiating the session, gathering information, physical examination, explanation and planning, and closing the session. It describes the key tasks and goals within each section, including preparing for the consultation, building rapport with the patient, exploring medical and personal perspectives, performing examinations, sharing information, and planning follow up care. The guide emphasizes the interrelationship between technical clinical skills and effective communication processes to fully understand a patient's health issues.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views3 pages

    01a Calgary Cambridge Framework - Basic

    Uploaded by

    John Sebastian Bittner Solis
    The document describes the Enhanced Calgary-Cambridge Guide to the Medical Interview, which provides an expanded framework for conducting effective medical interviews. The framework outlines six sections of a medical interview: initiating the session, gathering information, physical examination, explanation and planning, and closing the session. It describes the key tasks and goals within each section, including preparing for the consultation, building rapport with the patient, exploring medical and personal perspectives, performing examinations, sharing information, and planning follow up care. The guide emphasizes the interrelationship between technical clinical skills and effective communication processes to fully understand a patient's health issues.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    THE ENHANCED CALGARY-CAMBRIDGE GUIDE TO THE MEDICAL INTERVIEW

    Kurtz SM, Silverman JD, Benson J and Draper J (2003) Marrying Content and Process in Clinical Method Teaching: Enhancing the Calgary-Cambridge Guides
    Academic Medicine In press

    THE BASIC FRAMEWORK

    Initiating the Session

    Gathering information

    Providing Building the


    Structure relationship

    Physical Examination

    Explanation and planning

    Closing the Session


    THE EXPANDED FRAMEWORK

    Initiating the Session

    • preparation
    • establishing initial rapport
    • identifying the reason(s) for the consultation

    Gathering information

    Providing • exploration of the patient’s problems to discover the: Building the


    Structure o biomedical perspective o the patient’s perspective relationship

    • making o background information - context • using


    organisation appropriate
    overt non-verbal
    Physical examination
    behaviour
    • attending to
    flow • developing
    rapport
    Explanation and planning
    • involving
    • providing the correct amount and type of information
    the patient
    • aiding accurate recall and understanding
    • achieving a shared understanding: incorporating the patient’s
    illness framework
    • planning: shared decision making

    Closing the Session


    • ensuring appropriate point of closure
    • forward planning
    AN EXAMPLE OF THE INTER-RELATIONSHIP BETWEEN CONTENT AND PROCESS
    Gathering Information
    Process Skills for Exploration of the Patient’s Problems
    - patient’s narrative
    - question style: open to closed cone
    - attentive listening
    - facilitative response
    - picking up cues
    - clarification
    - time-framing
    - internal summary
    - appropriate use of language
    - additional skills for understanding patient’s perspective

    Content to Be Discovered

    the bio-medical perspective (disease) the patient’s perspective (illness)


    sequence of events ideas and beliefs
    symptom analysis concerns
    relevant systems review expectations
    effects on life
    feelings

    background information - context


    past medical history
    drug and allergy history
    family history
    personal and social history
    review of systems

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