Risk and Uncertainty

Question 1

What is the Calgary Cambridge Model [6]

Answer 1

Initiate session
Gather info
Provide structure
Build relationship
Explanation and planning 
Close the session

Question 2

How do you reduce risk in consultation [4]

Answer 2

Build good rapport and ensure safety netting
Summarise and verbalise- check reasons for attendance
Handover and reflection
Deal with house keeping

Question 3

How do you safety net [5]

NB uncertainty is being not completely confident

Answer 3

Communicate uncertainty
Tell how to seek help if certain symptoms occur, advise symptoms including deterioration
Arrange follow up
Know what to expect about timing
If concerned don’t delay seeking medical advice

Question 4

What is the guidance to help deal with uncertainty [8]

Answer 4

Good doctor-patient relationship
Good organisation and notes
Diagnosis check list and risk calculation
Evidence based medicine

Colleagues, peer group discussion

National e.g. SIGN
Local management or referral pathways

Reflection

Question 5

What are the types of doctor patient relationship [3]

Answer 5

Mutual - patient adopts responsibility, feels informed, more compliant and completely autonomous

Authoritarian - no autonomy

Guidance - physician has more authority but patient has greater feeling of autonomy