5 Models of Successful Clinical Consultation

Date of Report: 01/2004
Source: Pacific AETC
Author: Cynthia Carmichael, MD
Description: From The 4th Level, the Pacific AETC newsletter for clinical consultants.

5 Minute Preceptor

Neher J et al.

	Get a commitment
	Probe for supporting evidence
	Teach general clinical rules
	Reinforce what was done right
	Correct mistakes

Teaching Scripts

Irby D et al.

Experienced teachers make use of scripts when teaching to identify and tie together common learner errors and teaching points.

Balance BEAM

Lucas J et al.

	Be fully present to the encounter
	Clarify Expectations
	Sensitive Approach to the clinician
	Meaningful feedback and evaluation

Ten Commandments for Effective Consultations (abbreviated)

Goldman L et al.

	Determine the question
	Communicate as briefly as possible
	Make specific recommendations
	Provide contingency plans

Sibert et al. Model

Observable Skills:

	Identify reason for consultation
	Take into account referring clinician characteristics
	Concise recommendations with less than 6 specific recommendations

Principles and Attitudes (non-observable skills):

	Mutual respect and cooperation
	Educate without condescension