Health Model

Question 1

What is a consultation?

Answer 1

The consultation remains the main and basic tool general practice and as Pendleton eloquently put it: ‘it’s the central act of medicine which deserves to be well understood

Question 2

What does a consultation model help with? (4)

Answer 2

To structure the encounter

To avoid to get lost during the process

To manage well the consultation in time and space

To reach easily to a diagnosis

To reach an agreement in terms of management plan

To bring in surface the concerns the patient may have and the hidden agenda.

Question 3

Name 4 different models of care.

Answer 3

1. Doctor-centered Model : Byan and Long Model (1976)
2. Dialogue and sharing responsabilities: Pendleton, Schofield, Tate & Havelock(1984)
3. In-depth structure of the consultation : Calgary –Cambridge Guide to the medical interview (1998)
4. Overarching approaches: Maslow (1954), Berne (, Balint (1957), Steward (1995, 19830), Pendleton (2003), Kurtz (1996)

Question 4

What does OARS stand for in motivational interviewing?

Answer 4

O: Open-ended
A: Affirmation
R: Reflective listening
S: Summarising

Question 5

Mention the 5As of motivational interviewing.

Answer 5

Ask
Alert or Advise
Assess
Assist
Arrange

Question 6

Name 4 behaviours in which the 5As can be used.

Answer 6

• Harmful alcohol
• Smoking
• Unhealthy diet
• Physical inactivity
• Poor adherence to drugs/drug-abuse
• Addiction to internet