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CONSULTATION SKILLS YOUSEF ABDULLAH ALTURKI MBBS, DPHC,ABFM Associate professor and consultant Family Medicine King Khalid University hospital College of medicine, king saud university CONTENTS INTRODUCTION CASE SCENARIO CONSULTATION MODELS STOTT AND DAVIS PENDLETON ISLAMIC CONCEPT IN CONSULTATION ROLE PLAY FEED BACK CONCLUSION INTRODUCTION WHY CONSULTATION IS IMPORTANT? HOW TO IMPROVE CONSULTATION SKILLS? CASE SCENARIO IBRAHIM 53 YEARS OLD COME TO PCC AT KKUH C/O BAD WOUND IN HIS RT FOOT. HE IS KNOWN DM AND HYPERTENSIVE PATIENT FOR THE LAST 15 YEARS. WHEN YOU REVIEW HIS FILE YOU NOTICE MOST OF PCC VISITS WERE FOR REFILL. HE IS SMOKER FORTHE LAST 30 YEARS. HE LOOK OBESE. BMI IS 37. HIS LAST HBA1C WAS 11.5 HOW YOU WILL PROCEED DURING THIS CONSULTATION? CONSULTATION MODELL ( STOTT DAVIS) MANAGEMENT OF PRESENTING PROBLEM MODIFICATION OF HELP SEEKING BEHAVIOUR MANAGEMENT OF CONTINUING PROBLEM OPPORTUNISTIC HEALTH PROMOTION CASE SCENARIO AHMED 20 YEARS OLD COME TO PCC AT KKUH TO DO MRI FOR HIS RT KNEE. PATIENT WAS SEEN IN PRIVATE CLINIC AND TOLD TO DO MRI TO DIAGNOSE HIS KNEE PROBLEM. HE CANNOT DO IT IN PRIVATE HOSPITAL BECAUSE IT IS EXPENSIVE. HOW YOU WILL PROCEED DURINGTHIS CONSULTATION? CONSULTATION MODELL (PENDLETON) TO DEFINE THE REASON FOR PATIENT’S ATTENDANCE, INCLUDING: - THE NATURE AND HISTORY OF  PROBLEM - THEIR AETIOLOGY - THE PATIENT’S IDEA, CONCERNS, AND EXPECTATION - THE EFFECTS OF PROBLEMS CONSULTATION SKILLS (PENDLETON) TO CONSIDER OTHER PROBLEMS - CONTINUING PROBLEMS - AT RISK FACTORS. TO ACHIEVE A SHARED UNDERSTANDING OF THE PROBLEMS WITH THE PATIENT CONSULTATION SKILLS (PENDLETON) WITH THE PATIENT, TO CHOOSE AN APPROPRIATE ACTION FOR EACH PROBLEMS TO INVOLVE THE PATIENT IN THE MANAGEMENT AND ENCOURAGE HIM TO ACCEPT APPROPRIATE RESPONSIBILITY CONSULTATION SKILLS (PENDLETON) TO USE TIME AND RESOURSES APPROPRIATELY: - IN THE CONSULTATION - IN LONG TERM TO ESTABLISH AND