the computer in the consultation. what is it useful for? access to old patient information ability...
TRANSCRIPT
The computer in the consultation
What is it useful for?
Access to old patient information Ability to record info systematically and
retrievably Access to information to share with
patient Access to information for doctor
Knowledge flows (old)
Expert-client: traditional. The expert dispenses knowledge that has been acquired elsewhere
Expert Client
Initial
training
cpd
colleagues
Knowledge flows (new)
Expert-client: triadic. The same information source is potentially available to expert and client at the same time. The question is how much of this can the client make use of.
Expert Client
?
Disadvantages?
Takes doctor’s attention Distracts patient Doc may be preoccupied with keyboard
skills Comes between doctor and patient Patient may find it mystifying Confidentiality problems
Aim of session
Identify and learn skills to help maintain rapport with the patient while using the computer in the consultation
Specific competencies in areas of rapport, information giving, explanation and planning (adapted from Calgary-Cambridge framework)
Maintaining rapport
Adapt behaviour to relative position of doctor, patient and computer
Open posture while using computer Indicate (verbally and non verbally) when
paying attention to screen Structure consultation so patient unlikely to
talk while doc uses computer Respond to patient cues while attending to
computer
Involving the patient
Explain why the computer is being used Negotiate with patient when computer
used as an information source Let patient read info from the screen
when appropriate
Explanation and planning
Check patient can see screen clearly Remain quiet, give patient time to read text Check patient has understood text Give patient opportunity to ask questions On crowded screen, point out relevant info