The undergraduate ‘corridor of uncertainty’: teaching core concepts for managing clinical uncertainty as the ‘special technique’ of general practice

Cooper, Max; Sornalingam, Sangeetha; Jegatheesan, Menaka; Fernandes, Carl

doi:10.1080/14739879.2021.1996276

Cited by 12 publications

(27 citation statements)

References 5 publications

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“…This ‘learner’ philosophy is evident in the guide’s origin in undergraduate teaching at Brighton and Sussex Medical School (module 403). This longitudinal module sought to teach students ‘to think like a GP’ and to reveal how consultations in general practice differ from those in hospital (Cooper et al., 2021). Once acquired, these strategic principles and open questions can promote constructive, therapeutic consultations in other areas, for example chronic conditions and tele-consultations.…”

Section: Discussionmentioning

confidence: 99%

“…The ‘tricks of the trade’ approach captures what it means to ‘think like a GP’. Indeed, elsewhere we argue that implementing these strategic principles constitutes the ‘special technique’ of general practice (Cooper et al., 2021). The Brighton guide aims to enhance satisfaction and safety while preserving a holistic approach.…”

Section: Discussionmentioning

confidence: 99%

“…This description is generic rather than specific to a clinical presentation, as no single case could incorporate all the principles. Readers should refer throughout to the strategic principles (Cooper et al., 2021) summarised in the supplementary material. The ‘big five’ open questions from the Brighton guide are included below.…”

Section: Description Of Guidementioning

confidence: 99%

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Consultation dynamics and strategies: The Brighton guide

Cooper

Sornalingam

Heath

et al. 2022

InnovAiT: Education and inspiration for general practice

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The Brighton guide considers practical strategies that constitute ‘tricks of the trade’ for GP consultations. These are brought together within a framework of therapeutic history, therapeutic examination, clinical decision tools (where appropriate), and stepwise management that starts with ‘low level’ self-help advice. The management approach differs for mild-to-moderate and severe cases. The strategic principles have diverse origins in postgraduate GP training, medical education theory and the grey literature. They do not relate to specific clinical presentations but, instead, convey a ‘tactical’ understanding of the consultation. This approach takes account of the potential for divergence, even conflict, between the agendas of doctors and their patients. The Brighton guide embraces the everyday challenges faced by GPs in their consultations, including the achievement of safe management plans within the typical 10-minute encounter with relationships intact. This means conducting consultations that maintain boundaries, safe practice and punctuality while preserving time and energy for the next patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Description Of Guidementioning

confidence: 99%

See 1 more Smart Citation

Consultation dynamics and strategies: The Brighton guide

Cooper

Sornalingam

Heath

et al. 2022

InnovAiT: Education and inspiration for general practice

Self Cite

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show abstract

“…Medical students must learn to look, act and undertake clinical examination 'like a doctor' (Bird, 2016). The hallmark of this art lies in promoting 'doctor as drug' (Balint, 1957), mastering therapeutic examination (Hodgkin, 1966;Bird, 2016) and adopting a strategic approach to consultation (Cooper et al, 2022a;Cooper et al, 2022b). The application of this art extends far beyond simple reassurance and into everyday clinical encounters (Bird, 2016;Cooper et al, 2022b).…”

Section: Introductionmentioning

confidence: 99%

‘The voice of an oracle’: Little Nell and the art of ‘enacting the persona of the doctor’

Cooper

2022

InnovAiT: Education and inspiration for general practice

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Medical humanities have long been promoted as a means for trainees and doctors to gain deeper understanding of patients, illness and professionalism. In practice, teaching on medical humanities – while valuable –struggles to connect such learning to the realities of the clinical workplace and patient encounters. The solution to this shortcoming lies in recognising ‘soft’, but clinically relevant, concepts that operate within consultations. These concepts are, in fact, best revealed through literary and historic accounts of doctors, patients and illness. Such a vignette is Dickens’ parody of Victorian physicians in the shape of the doctor who visits Little Nell in his book the Old Curiosity Shop. By taking prescription and technology out of the encounter, Dicken’s parody lays bare ‘soft’ elements that constitute the art of ‘enacting the persona of the doctor’. Medical humanities in general (and literature in particular) constitute a valuable tool for teaching the place of performance and the power of human qualities in the consultation. This ‘old fashioned’ professionalism should be a foundation to every formation in clinical medicine.

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“…These benefits are timely given pressures on UK general practice.The 'tricks of the trade' approach captures what it means to 'think like a GP'. Indeed, elsewhere we argue that implementing these strategic principles constitutes the 'special technique' of general practice (Cooper et al, 2021). The Brighton guide aims to enhance satisfaction and safety while preserving a holistic approach.…”

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confidence: 99%

AKT question relating to syncope

Kotecha¹

2022

InnovAiT: Education and inspiration for general practice

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The undergraduate ‘corridor of uncertainty’: teaching core concepts for managing clinical uncertainty as the ‘special technique’ of general practice

Cited by 12 publications

References 5 publications

Consultation dynamics and strategies: The Brighton guide

Consultation dynamics and strategies: The Brighton guide

‘The voice of an oracle’: Little Nell and the art of ‘enacting the persona of the doctor’

AKT question relating to syncope

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