Consultation and taking a clinical history
Run by School of Medical and Health Sciences
20.000 Credits or 10.000 ECTS Credits
Organiser: Mrs Gillian Roberts
Overall aims and purpose
The module aims to develop the student advanced clinical practitioner with the knowledge and skills required to take an effective, systematic and comprehensive clinical history. The practitioner will develop a deep understanding of the consultation process and will by the end of the module understand the importance of effective communication techniques and using a systematic approach. The module is aimed at any practitioner who is working at an advanced level and needs to develop their consultation skills.
PLEASE NOTE: Due to the Covid 19 crisis, the module will be delivered on line for all students through Blackboard Ultra. Students will be required to have access to IT and up to date computer and software.
Topics may include:
- Illness behaviour and consulting behaviour
- Explanatory models and folk illness
- Asking the right questions concerning the patient’s presenting complaint i.e. the patient presenting with chest pain.
- Setting Ambience
- Building rapport
- Information gathering
- Determining the patient’s goal for consultation and achieving concordance with management plan
- Patient education/counselling
- Discussion of the management/treatment of illness
- Closing the interview
- Ethical and legal factors affecting clinical decision making e.g. patient’s right to information
Excellent understanding of the facts and principles specific to the topics covered in this module and evidence of additional evidence gained by the student. Very good understanding of professional accountability issues. This equates to a minimum mark of Grade A- in the Grading Criteria
Basic understanding of the facts and principles specific to the topics covered in this module. Basic understanding of professional accountability issues. Students will be required to achieve a minimum of C- grade in the assignment to in order to pass the theory component of the module.
Very good understanding of the facts and principles specific to the topics covered in this module. Good understanding of professional accountability issues. This equates to a minimum mark of Grade B- in the Grading Criteria.
Use clinical judgement in the formation of management decisions in acute and chronic disease
Analyse the professional accountability of the practitioner when making clinical judgements
Explore ethical principles within the context of clinical decision making
Critically analyse and apply methods of communication
Demonstrate an integrated approach to care through presentation of concise case histories of specific patients
Demonstrate competence in history taking
Demonstrate the skills required to make effective clinical judgements
Demonstrate critical thinking and diagnostic reasoning skills in clinical decision making
Demonstrate effective communication skills within the context of the consultation and within the practice setting
Develop and demonstrate skills in empathic and therapeutic communication
Demonstrate a thorough understanding of the wider issues of psychological and sociological aspects of health
Students will examine and reflect upon an aspect of taking a clinical history providing an example of anonymous patient documentation.
|INDIVIDUAL BLOG||Clinical blog||
Students will provide a weekly blog on issues relating to taking a clinical history and comment at least once on a colleagues posting.
The student provides a summary of their clinical hours (60 minimum) signed by a clinical supervisor.
|CLINICAL PRACTICAL ASSESSMENT||Clinical Competencies||
Successfully complete all clinical outcomes signed off by the clinical supervior including the final clinical assessment on three areas of history taking.
Teaching and Learning Strategy
Lectures & skills demonstrations 72 hours On line provision via on line units which will include On line tutorials Webinars Formative assessments Panoptos and self assessment.
Private study including e-learning and contribution to a clinical blog
Clinical hours/practice 60 hours
- Literacy - Proficiency in reading and writing through a variety of media
- Computer Literacy - Proficiency in using a varied range of computer software
- Self-Management - Able to work unsupervised in an efficient, punctual and structured manner. To examine the outcomes of tasks and events, and judge levels of quality and importance
- Exploring - Able to investigate, research and consider alternatives
- Information retrieval - Able to access different and multiple sources of information
- Inter-personal - Able to question, actively listen, examine given answers and interact sensitevely with others
- Critical analysis & Problem Solving - Able to deconstruct and analyse problems or complex situations. To find solutions to problems through analyses and exploration of all possibilities using appropriate methods, rescources and creativity.
- Safety-Consciousness - Having an awareness of your immediate environment, and confidence in adhering to health and safety regulations
- Presentation - Able to clearly present information and explanations to an audience. Through the written or oral mode of communication accurately and concisely.
- Teamwork - Able to constructively cooperate with others on a common task, and/or be part of a day-to-day working team
- Mentoring - Able to support, help, guide, inspire and/or coach others
- Caring - Showing concern for others; caring for children, people with disabilities and/or the elderly
- Management - Able to utilise, coordinate and control resources (human, physical and/or financial)
- Argument - Able to put forward, debate and justify an opinion or a course of action, with an individual or in a wider group setting
- Self-awareness & Reflectivity - Having an awareness of your own strengths, weaknesses, aims and objectives. Able to regularly review, evaluate and reflect upon the performance of yourself and others
- Leadership - Able to lead and manage, develop action plans and objectives, offer guidance and direction to others, and cope with the related pressures such authority can result in
Resource implications for students
Students are advised to buy Macleods clinical examination book as a core read across the ACP programme.
Talis Reading listhttp://readinglists.bangor.ac.uk/modules/nhs-4227.html
Innes, A. Dover, A. Fairhurst, K. Macleod's Clinical Examination, 14e (2019) Elsivier
Hopcroft, K. Forte, V. (2014) Symptom Sorter, Fifth Edition. Radcliff Publishing
Japp, A. Macleod's Clinical Diagnosis. Elsivier
Llewelyn, H. Hock, A, Ceir, L. (2014).Oxford Handbook of Clinical Diagnosis.Oxford Medical .
Munson, E. Wilson, A.(2007). Applying the Calgary-Cambridge model. Practice Nursing: Vol 9.
Moulton, L (2016)The Naked Consultation: A Practical Guide to Primary Care Consultation Skills, Second Edition
Silverman, J. Kurtz. (2013) Skills for Communicating with Patients, 3rd Edition