It may be worthwhile to consider how to specifically approach teaching the CSA using Calgary Cambridge model. There are a number of scenarios which lend themselves to tying in this model together with experiential learning:
- The learner experiences a consultation scenario with a patient
- The learner explores the consultation using the Calgary Cambridge model with the trainer, including skills rehearsal
- The learner presents evidence of learning subsequently using a CbD.
Some scenarios to consider
- Doctor behaviours
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- Breaking bad news
- Motivational interviewing
- Proxy consultations
- Confidentiality
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- Patient behaviours
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- Aggressive patients
- Manipulative patients
- Negotiation
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- Patients who request a test
- Patients who want antibiotics
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- Non-compliant patients
- Somatising patients
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- Patient problems
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- Joint pains
- Non-specific abdo pain
- Backache
- Diarrhoea
- Dyspareunia
- Tired all the time
- Cystitis
- Relationship break up
- Anxiety/panic attacks
- Recurrent sore throat
- Non-specific chest pain
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Observation and the CSA
Direct observation is a useful way of preparing a trainee for the CSA, and gives an opportunity for direct and immediate feedback. One way of doing this is to set up a few patients at 20 minute intervals, and mark according to the
