Risk, Uncertainty and Problem Solving

Question 1

Describe the Calgary-Cambridge model.

Answer 1

• initiating the session
• gathering information
• providing structure
• building relationship
• explanation and planning
• closing the session

Question 2

Describe Neighbour’s interpretation of the Calgary-Cambridge model.

Answer 2

• to connect with the patient
• to summarise and verbally check that the reasons for attendance are clear
• to hand over and bring the consultation to a close
• to ensure that a safety net exists in that no serious possibilities have been missed
• to deal with the housekeeping of recovery and reflection

Question 3

Define risk.

Answer 3

• change of consequences, loss etc.

Question 4

Define uncertainty.

Answer 4

• a state of being not completely confident or sure of something

Question 5

What three things must be communicated when safety netting?

Answer 5

• know exactly what to look for in worsening symptoms
• know how to seek further help
• know the expected recovery period

Question 6

How would you use Hypothetico Deductive Reasoning in a GP setting?

Answer 6

• make about four or five diagnostic hypotheses
• rare but no immediately concerning diagnoses can be eliminated at this stage
• strengthen the case for a diagnosis through brief history and examination
• extend the search thereafter if no diagnosis is identified
• not about common diagnoses, rather about likely diagnoses