Messages in each clinical section
Section 3. The computer in the consulting room
| Message | Ways of using | |
| Opening bullets Reading Typing Relaying Sharing Maintaining |
Scene setting of the additional tasks related to using the computer in the consultation | Stimulus to thought and discussion. “Which of these tasks are you concerned about/ happy with?” |
| Room layout | Compromise. GP may not be able to choose. Each layout has strengths and weaknesses. Ideally, GP will match style to the layout so as to get best out of it. | Illustrate points with desk 2 chairs, screen and 2 volunteers. Discussion. Role play (could be videotaped and reviewed) |
Section 4 Using the computer in the consultation room
| Message | Ways to use | |
| Verbal communication | You can’t multitask if both tasks require concentration and involve words in sentences. | Give examples: driving etc |
| Signposting | These are the key strategies | They are illustrated in the video clips, and expanded in the guide |
| Consultation 1 | Screen position Doctor verbally signposts transfer of attention |
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| Consultation 2 | Screen position “can you see that?” |
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| Consultation 3 | Screen position “can you bear with me?” Patient interrupts when GP is typing, she responds immediately. |
Section 5: Learning from the computer
| Message | Ways to use | |
| Consultation 1 | Planned use of PRODIGY Screen position: GP using body movement to signal. Information from PIL to back up GP decision | These consultations show the GP using the computer to give guidance. They explore the consequences of doing this live. |
| Consultation 2 | “hold on a minute while I find it” GP surprised. |
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| Consultation 2, ending 1 | GP runs with the new advice. “Look” invites patient to look at screen, points to the key bit of the guidance. Lets patient read. Acknowledges that she is surprised. | |
| Consultation 2, ending 2 | GP seeks more info during the consultation Explains what doing. “Can you just give me a minute..?” | |
| Consultation 2, ending 3 | GP seeks more info after. | |
| Dealing with conflicting advice | This describes ways of handling “cognitive dissonance”, which is a psychological discomfort felt when pre-existing beliefs are challenged: it is also a pre-requisite for learning. | Discussion of handling cognitive dissonance. |
Section 6. Sharing information in the consultation.
| Message | Ways to use | |
| Video clip | “there is more information on the computer let’s have a look” Time to read Answered query Checked out patient had understood and was happy Written back up | Example of letting patient read information on the screen |