New Resources - Supplemental Learning: Consultations

  

Consultant roles and providing consultations 

 

Section Contributors: Lauren Solan and Joanna Thomson 

 

Online Resources 

 

  1. The Pediatric Milestone Working Group The Pediatrics Milestone Project http://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramResources/320_PedsMilestonesProject.pdf 

 

Pediatric Milestone of Act in a consultative role to other physicians and health professionals within the competency in Interpersonal and Communication Skills provides a framework for evaluating the key skills for effective consultation, including expert and novice anchors.  (p.74-77). (IPCS 1) 

 

References 

 

  1. Goldman L, et al.  Ten Commandments for Effective Consultations. Arch Intern Med. 1983 Sep; 143(9):1753-5. http://www.ncbi.nlm.nih.gov/pubmed/?term=6615097 

 

Overview of skills necessary for providing effective consultations, referenced by The Pediatrics Milestone Project. (IPCS 1) 

 

  1. Howells RJ, et al. Teaching and learning consultation skills for paediatric practice. Arch Dis Child. 2006 Apr; 91(4):367-70. http://www.ncbi.nlm.nih.gov/pubmed/?term=16551795 

 

Evidence based approaches to teaching & evaluating skills of medical consultation. (IPCS 1) 

 

  1. Pearson SD. J Gen Intern Med. 1999 Jan; 14 Suppl 1:S13-20. http://www.ncbi.nlm.nih.gov/pubmed/?term=9933490 

 

Reviews guiding principles of the generalist-specialist relationship, as well as outlining duties of the referring and consulting physician.  Additionally, briefly reviews methods of teaching these principles. (IPCS 1) 

 

  1. Brand PL, Stiggelbout AM. Effective follow-up consultations: the importance of patient-centered communication and shared decision making. Paediatr Respir Rev. 2013 Feb 20. pii: S1526-0542(13)00004-3. doi: 10.1016/j.prrv.2013.01.002 http://dx.doi.org/10.1016/j.prrv.2013.01.002  

http://www.ncbi.nlm.nih.gov/pubmed/?term=23434177 

 

Addresses outpatient follow-up consultation of chronic medical conditions and provides suggestions for pursuing a patient-centered approach and using shared decision making during these consultations as opposed to the traditional physician-centered follow-up consultation.  Suggests that using a patient-centered approach and shared decision making leads to improved patient and provider satisfaction and health outcomes. (PC 2,3; MK1, IPCS 1, PROF2) 

 

  1. Gask L, Usherwood T. ABC of psychological medicine The consultation. BMJ. 2002 Jun 29; 324(7353):1567-9. http://www.bmj.com/content/324/7353/1567.pdf%2Bhtml 

http://www.ncbi.nlm.nih.gov/pubmed/?term=12089097 

 

Addresses how to make a consultation successful by improving patient-doctor communication.  It specifically highlights interview techniques and how to provide information to the patients.  While it primarily focuses on how to work within the context of psychological patient distress, it provides detailed tips for interviewing and communication that may lead to a successful consultation.  (IPCS 1, PROF2)