Consultation Skills for the MRCGP: Practice Cases for CSA and COT

Name: Consultation Skills for the MRCGP: Practice Cases for CSA and COT
Author: Naidoo, Prashini
ISBN: 9781904842965

Naidoo, Prashini

Language: English

Published by Scion Publishing Ltd, 2012

1904842968 / 9781904842965

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Title: Consultation Skills for the MRCGP: Practice Cases for CSA and COT
Author: Naidoo, Prashini
Publisher: Scion Publishing Ltd
Publication year: 2012
Condition: Good
Binding: paperback
Language: English
ISBN 10: 1904842968
ISBN 13: 9781904842965
Edition: 2nd Edition
Item weight: 610 grams

This book helps readers pull together the knowledge and communication skills required for success in the consultation components of the MRCGP exam, namely Clinical Skills Assessment (CSA) and Clinical Observation Tool (COT). The book does this in three ways:

by demonstrating some of the required consultation skills on the accompanying DVD, which features 13 typical consultations;
by identifying and teaching these skills in a further 20 case write-ups – these offer readers an ordered, step-wise approach to data gathering, clinical management and interpersonal skills;
by giving candidates 15 ‘practice cases’ (completely new for the second edition) for use either alone or in small groups – these cases now feature marking schemes.

The book and DVD are meant to be interactive, with some of the DVD cases being accompanied by a CSA marking schedule for readers to assess the candidate’s performance. Readers are asked if the doctor on the DVD:

asked the right questions, at the right time, in the right way
performed the right examination correctly
communicated in a precise, understandable and sensitive manner.

Contents

Video cases
Analysing consultation skills: the DVD
Video 1 – Knee pain
Video 2 – Unhappy with last consultation
Video 3 – Pregnant and worried
Video 4 – Repeat script and husband snores
Video 5 – Infertility
Video 6 – Domestic violence
Video 7 – Chest pain
Video 8 – Pregnancy
Video 9 – Pre-wedding diet pills
Video 10 – Hypnotherapy
Video 11 – Diarrhoea
Video 12 – Febrile convulsion
Video 13 – Allergy test

Long cases
Learning consultation skills for COT and CSA
Case 1 – Menopausal symptoms
Case 2 – Neck pain
Case 3 – Childhood eczema
Case 4 – Tennis elbow
Case 5 – Ankle injury
Case 6 – MRI result – back pain
Case 7 – Foot pain
Case 8 – Achilles tendinosis
Case 9 – Heel pain
Case 10 – Acne
Case 11 – Post-partum problems
Case 12 – Relative with bowel cancer
Case 13 – Food poisoning
Case 14 – Man with UTI
Case 15 – Childhood bedwetting
Case 16 – Prostate cancer
Case 17 – Painful calf
Case 18 – Leg ulcer
Case 19 – A list of symptoms
Case 20 – Dyspepsia

Practice cases
Preparing for the MRCGP Clinical Skills Assessment (CSA)
Practice case 1 – Medication request for daughter
Practice case 2 – Alcohol detoxification
Practice case 3 – Paediatric conjunctivitis
Practice case 4 – Temporary resident requests medication
Practice case 5 – Insomnia
Practice case 6 – Stress at work
Practice case 7 – Blood test results
Practice case 8 – A list of problems
Practice case 9 – Pruritis in pregnancy
Practice case 10 – UTI in a young man
Practice case 11 – Sexual problems
Practice case 12 – Scanty periods
Practice case 13 – Harmful alcohol intake
Practice case 14 – Patient is peri-menopausal
Practice case 15 – Pelvic pain and bleeding

Answers to “Test your theoretical knowledge” questions

"Synopsis" may belong to another edition of this title.

Review

This book has three distinct sections comprising 13 video cases, 20 long cases and 15 practice cases. For the section with video cases the reader is encouraged to read the scenario in advance and is given specific tasks looking at consultation skills. After watching the video there are review notes which aid critical appraisal of the consultation, suggesting alternative or further actions. The debrief section encourages the reader to think more deeply about various issued and consider how they might approach similar consultations. There are useful links to further reading. This is a great section to go through either alone or as a study group. It might be useful to include a wider variety of clinicians to appraise slightly different styles of consulting. The wide range of long cases could be used by groups or with trainers. The case summaries for doctor and patient are comprehensive. Evaluation is encouraged using the COT format, thus focussing on consultation skills useful for both formal COTs and ultimately the CSA. Structure and tips include links to guidelines. Evaluation of the practice cases using the CSA marking scheme is invaluable, including both positive and negative indicators. Together with the debrief notes, this should stimulate discussion and feedback after watching the consultation, for which extensive patient and medical notes are provided. The comprehensive marking guide is really beneficial to assist consulting styles. Overall this is a well written study guide incorporating a variety of ways to look at consultation skills, all of which could be used alone or with a group. The additional notes with all the cases help to focus on specific skills and target further revision. I really like the style of the book and presentation of the cases. Useful to dip in and out of during training, this book can be used throughout GP training, and the earlier the better! --Dr Sarah Owen, ST3 General Practice

"About the title" may belong to another edition of this title.

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