COGConnect: A new visual resource for teaching and learning effective consulting

Thompson, Trevor; Grove, Lizzie; Brown, Juliet; Buchan, Jess; Kerry, Anthony; Burge, Sarah

doi:10.1016/j.pec.2020.12.016

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…How the condition has 'Effects' on the patient's day-to-day life is sometimes considered as an additional element of patient-centred consulting (ICEE). 7 Initial reports suggested patient-centred consulting was associated with increased patient satisfaction. 8 However, a 2012 Cochrane review concluded that interventions teaching clinicians patient-centred communication skills had mixed effects on satisfaction and health behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations

Edwards,

Sellers,

Leach

et al. 2023

BJGP Open

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BackgroundEliciting patients’ Ideas, Concerns, Expectations, and whether a problem has an Effect on their life (ICEE), is a widely recommended communication technique. However, it is not known how frequently ICEE components are raised in UK GP consultations.AimAssess the frequency of ICEE in routine GP consultations with adult patients and explore variables associated with ICEE.Design and settingSecondary analysis of face-to-face video-recorded GP consultations archive.MethodObservational coding of 92 consultations. Associations were assessed using binomial and ordered logistic regression.ResultsMost consultations included at least one ICEE component (90.2%). The most common ICEE component per consultation was patient ideas (79.3%), followed by concerns (55.4%), expectations (51.1%) and then effects on life (42.4%). For all ICEE components, patients more commonly initiated the ICEE dialogue and in only three consultations (3.3%) GPs directly asked patients about their expectations.Problems that were acute (OR 2.98, 95% confidence interval [CI]=1.36–6.53,P=0.007) or assessed by GPs ≥50 years (OR 2.10, CI =1.07–4.13,P=0.030) were associated with more ICEE components. Problems assessed later in the consultation (OR 0.60 per problem order increase, CI =0.41–0.87,P=0.007), by patients ≥75 years (OR 0.40, CI =0.16–0.98,P=0.046) and from the most deprived cohort were associated with fewer ICEE components (OR 0.39, CI =0.17–0.92,P=0.032). Patient ideas were associated with more patients being ‘very satisfied’ post-consultation (OR 10.74, CI =1.60–72.0,P=0.014) and the opposite was true of concerns (OR 0.14, CI =0.02–0.86,P=0.034).ConclusionICEE components were associated with patient satisfaction and demographic variables. Further research is required to assess if the way ICEE are communicated affects these associations and other potential confounders.

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Section: Introductionmentioning

confidence: 99%

“…How the condition has ‘effects’ on the patient’s day-to-day life is sometimes considered as an additional element of patient-centred consulting (ICEE). 7 …”

Section: Introductionmentioning

confidence: 99%

Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations

Edwards,

Sellers,

Leach

et al. 2023

BJGP Open

View full text Add to dashboard Cite

show abstract

“…With the emergence and popularization of new digital medical imaging equipment [9], clinicians can use both knowledge and medical equipment to diagnose diseases. In some cases of non-obvious trauma, medical imaging is much more informative than patient-reported symptoms.…”

Section: Introductionmentioning

confidence: 99%

BPI-MVQA: a bi-branch model for medical visual question answering

et al. 2022

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Background Visual question answering in medical domain (VQA-Med) exhibits great potential for enhancing confidence in diagnosing diseases and helping patients better understand their medical conditions. One of the challenges in VQA-Med is how to better understand and combine the semantic features of medical images (e.g., X-rays, Magnetic Resonance Imaging(MRI)) and answer the corresponding questions accurately in unlabeled medical datasets. Method We propose a novel Bi-branched model based on Parallel networks and Image retrieval for Medical Visual Question Answering (BPI-MVQA). The first branch of BPI-MVQA is a transformer structure based on a parallel network to achieve complementary advantages in image sequence feature and spatial feature extraction, and multi-modal features are implicitly fused by using the multi-head self-attention mechanism. The second branch is retrieving the similarity of image features generated by the VGG16 network to obtain similar text descriptions as labels. Result The BPI-MVQA model achieves state-of-the-art results on three VQA-Med datasets, and the main metric scores exceed the best results so far by 0.2$$\%$$ % , 1.4$$\%$$ % , and 1.1$$\%$$ % . Conclusion The evaluation results support the effectiveness of the BPI-MVQA model in VQA-Med. The design of the bi-branch structure helps the model answer different types of visual questions. The parallel network allows for multi-angle image feature extraction, a unique feature extraction method that helps the model better understand the semantic information of the image and achieve greater accuracy in the multi-classification of VQA-Med. In addition, image retrieval helps the model answer irregular, open-ended type questions from the perspective of understanding the information provided by images. The comparison of our method with state-of-the-art methods on three datasets also shows that our method can bring substantial improvement to the VQA-Med system.

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Introduction to OA, communication, and person-centered care

Østerås

Bunzli

2023

Osteoarthritis Health Professional Training Manual

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COGConnect: A new visual resource for teaching and learning effective consulting

Cited by 4 publications

References 39 publications

Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations

Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations

BPI-MVQA: a bi-branch model for medical visual question answering

Introduction to OA, communication, and person-centered care

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