Consultations: the Good, the Bad, and the Difficult. Models and Milestones. In the Beginning. Building Rapport. Speaking the Patient’s Language. Managing Feelings: Your Own and the Patient’s. Getting Patients to Tell You What’s Wrong. Summarising and Reflecting. Giving Information to Patients. Safety-Netting and Ending. Managing Time. Transactions in Consultations. You, the Patient, and the Computer. Looking After Yourself. Knowing Where to Start and What to Learn. How Adults Learn. Working with Colleagues to Improve Your Consultation Skills. Case Discussion. Getting and Giving Effective Feedback. Using Role Play to Help with Consultation Techniques. Videoing. Consultation Skills and the RCGP. Making a Personal Learning Plan.
Liz Moulton is a freelance general practitioner (GP) in West Yorkshire and a GP appraiser and advisor to the Royal College of General Practitioners (RCGP) Practice Support Unit. She graduated from Leeds University and was a GP registrar on the Airedale Training Scheme. She then worked in the Academic Primary Care teaching practice at the University of Dundee before settling in Yorkshire, working in two different GP training practices. Liz was a GP trainer for more than 20 years. She has been course organiser for the Leeds Vocational Training Scheme for general practice, served as associate and deputy director at Health Education Yorkshire and the Humber, worked in primary care development for Leeds Health Authority, and acted as a GP advisor to the UK Department of Health. Liz has also run many courses on consultation skills for GPs, GP registrars, nurses, and nurse practitioners, and was recently appointed to lead The Consultation and Teaching the Consultation modules for the University of Leeds’ masters’ level course for medical teachers. She was absolutely delighted to be awarded an MBE in 2005 for services to medicine and healthcare in Yorkshire.
"It offers a very clear summary of consultation skills theory with
lots of practical tips… This is a helpful and easy-to-read using
summaries and linking to the current RCGP CSA. It is very helpful
for GP trainees."
— (Highly Commended, Primary Health Care, BMA Medical Book Awards
2016)"Our health service is facing unprecedented changes and the
pace of change seems to increase year on year. … Still one thing
remains constant: the helping nature of the human contact between
clinician and patient that empowers the patient. This is the
subject of Liz’s book, a book that I would advise those new to
general practice to read and those experienced in our art to
re-read. … This book will, I believe, enable you to understand your
interactions with patients better and, amidst the ever-changing
context and environment, ensure you have the skills you need for
effective consultations."
—From the Foreword by Dr. Mark Purvis, Director of Postgraduate
General Practice Education, Health Education Yorkshire and the
Humber, University of Leeds, UK
Praise for the Previous Edition"I am not much given to fan mail,
but I feel compelled to let you know that I am tearing my way
through The Naked Consultation and consider it the most practical
and useful work on the matter ever produced in the UK. It is some
time since I have read a book that has given me more than a single
new insight—yours has brought me a bucketfull. Thanks. Well
done."
—Dr. Malcolm Thomas, Medical Director, Effective Professional
Interactions, Ltd, Morpeth, UK"This practical guide to consultation
skills is written by a GP. However, practice, specialist and
consultant nurses will find that its focus on consultation
processes, skills and the use of counselling will help them enhance
their work with patients. There is an excellent 'jargon buster'
defining and describing a comprehensive list of terms and a
selection of useful document templates. Many chapters are short,
focusing attention on basic but important skills. Excellent!"
—Nursing Standard"Liz Moulton—a GP and trainer—has come up with a
practical vade mecum for any doctors interested in buffing up their
rusty consulting skills, adding a few new tools to their consulting
toolkit, or even diagnosing what went wrong in their latest
consultation from hell. What I like about it is that it breaks the
consultation down into key phases that GPs will recognise (for
example, the beginning, getting patients to tell you what's wrong,
safety netting, and ending), and then draws on whichever models
might be relevant to that bit. This is a readable book with plenty
of case studies and action points to try. Unlike some books I've
reviewed, The Naked Consultation won't be filed in my loft—it'll
sit right next to the Oxford Handbook on my consulting desk."
—BMJ Careers"A must for anyone who wishes to improve their
consultation skills or aims to better understand the process of
making a cup of tea! Particularly good for the beginner (medical
student, ST1 registrar) or the time-pushed, as the author gives
clearly presented, readable summaries of the key theories in this
field. I am a clinical teaching fellow in primary care and
currently recommend this book to all our students."
—Books.google.co.uk"This charming book has a contemporary style
which sets it apart from other consultation books. This is a must
read for those aiming to pass the CSA exam comfortably. Its charm
is in its easy-to-read pages with chapters listed as buzz words
that are used in marking schemes for COT and CSA assessments. It
consists of two parts: 'Part 1: Deconstructing the Consultation'
and 'Part 2: Tools and Techniques for Learning and Improving
Consultation Skills,' with an appendix 'jargon buster' at the end.
This book was showcased by the recent RCGP Consultation Skills and
Reducing Risk Workshop, and with good reason, in my opinion."
—Dr. Shazia Mahmud, GP, Health Sciences Library, Frimley Park
Hospital NHS Foundation Trust, UK"A useful addition to the
consultation literature. The audience includes any type of primary
health care practitioner, and teachers and clinical trainers would
also find this useful. The author has addressed the intricacies of
the consultation process with an improvement focus that engages
readers and keeps them turning the pages."
—Doody Enterprises, Inc.
"Has a relevance to anyone who has an interest and involvement with
practical and clinical patient assessment. It will also be a useful
aid for lecturers and trainers who teach communication skills. A
learned text that is also light and likeable."
—Cancer Care News"[This] book is exactly what it says on the tin:
‘a practical guide to consultation skills for any health
professional working in primary care.’ … In the first part of this
book, Liz Moulton presents in her own approachable style the key
features of most of the established consultation literature. The
second part, of as much interest to teachers and trainers as to
clinicians in training, reviews a wide array of current teaching
and learning methods. She covers PUNs and DENs, working with
colleagues, case discussion, role play, and video in eminently
practical ways. The Naked Consultation is a practical and readable
vade mecum for the would-be skilled consulter."
—From the Foreword to the First Edition by Roger Neighbour, MA,
DSc, FRCP, FRCGP, Bedmond, UK
“In an era when clinician burn-out is a much-discussed topic, this
self-help book can provide primary care practitioners some insight
when they find themselves asking questions about their personal
work-life balance.”
—Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University
of the Health Sciences)"Our health service is facing unprecedented
changes and the pace of change seems to increase year on year. …
Still one thing remains constant: the helping nature of the human
contact between clinician and patient that empowers the patient.
This is the subject of Liz’s book, a book that I would advise those
new to general practice to read and those experienced in our art to
re-read. … This book will, I believe, enable you to understand your
interactions with patients better and, amidst the ever-changing
context and environment, ensure you have the skills you need for
effective consultations."
—From the Foreword by Dr. Mark Purvis, Director of Postgraduate
General Practice Education, Health Education Yorkshire and the
Humber, University of Leeds, UK
Praise for the Previous Edition"I am not much given to fan mail,
but I feel compelled to let you know that I am tearing my way
through The Naked Consultation and consider it the most practical
and useful work on the matter ever produced in the UK. It is some
time since I have read a book that has given me more than a single
new insight—yours has brought me a bucketfull. Thanks. Well
done."
—Dr. Malcolm Thomas, Medical Director, Effective Professional
Interactions, Ltd, Morpeth, UK"This practical guide to consultation
skills is written by a GP. However, practice, specialist and
consultant nurses will find that its focus on consultation
processes, skills and the use of counselling will help them enhance
their work with patients. There is an excellent 'jargon buster'
defining and describing a comprehensive list of terms and a
selection of useful document templates. Many chapters are short,
focusing attention on basic but important skills. Excellent!"
—Nursing Standard"Liz Moulton—a GP and trainer—has come up with a
practical vade mecum for any doctors interested in buffing up their
rusty consulting skills, adding a few new tools to their consulting
toolkit, or even diagnosing what went wrong in their latest
consultation from hell. What I like about it is that it breaks the
consultation down into key phases that GPs will recognise (for
example, the beginning, getting patients to tell you what's wrong,
safety netting, and ending), and then draws on whichever models
might be relevant to that bit. This is a readable book with plenty
of case studies and action points to try. Unlike some books I've
reviewed, The Naked Consultation won't be filed in my loft—it'll
sit right next to the Oxford Handbook on my consulting desk."
—BMJ Careers"A must for anyone who wishes to improve their
consultation skills or aims to better understand the process of
making a cup of tea! Particularly good for the beginner (medical
student, ST1 registrar) or the time-pushed, as the author gives
clearly presented, readable summaries of the key theories in this
field. I am a clinical teaching fellow in primary care and
currently recommend this book to all our students."
—Books.google.co.uk"This charming book has a contemporary style
which sets it apart from other consultation books. This is a must
read for those aiming to pass the CSA exam comfortably. Its charm
is in its easy-to-read pages with chapters listed as buzz words
that are used in marking schemes for COT and CSA assessments. It
consists of two parts: 'Part 1: Deconstructing the Consultation'
and 'Part 2: Tools and Techniques for Learning and Improving
Consultation Skills,' with an appendix 'jargon buster' at the end.
This book was showcased by the recent RCGP Consultation Skills and
Reducing Risk Workshop, and with good reason, in my opinion."
—Dr. Shazia Mahmud, GP, Health Sciences Library, Frimley Park
Hospital NHS Foundation Trust, UK"A useful addition to the
consultation literature. The audience includes any type of primary
health care practitioner, and teachers and clinical trainers would
also find this useful. The author has addressed the intricacies of
the consultation process with an improvement focus that engages
readers and keeps them turning the pages."
—Doody Enterprises, Inc.
"Has a relevance to anyone who has an interest and involvement with
practical and clinical patient assessment. It will also be a useful
aid for lecturers and trainers who teach communication skills. A
learned text that is also light and likeable."
—Cancer Care News"[This] book is exactly what it says on the tin:
‘a practical guide to consultation skills for any health
professional working in primary care.’ … In the first part of this
book, Liz Moulton presents in her own approachable style the key
features of most of the established consultation literature. The
second part, of as much interest to teachers and trainers as to
clinicians in training, reviews a wide array of current teaching
and learning methods. She covers PUNs and DENs, working with
colleagues, case discussion, role play, and video in eminently
practical ways. The Naked Consultation is a practical and readable
vade mecum for the would-be skilled consulter."
—From the Foreword to the First Edition by Roger Neighbour, MA,
DSc, FRCP, FRCGP, Bedmond, UK
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