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\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2520\jclisttab\tx2520 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3240\jclisttab\tx3240 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3960\jclisttab\tx3960 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4680\jclisttab\tx4680 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5400\jclisttab\tx5400 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6120
\jclisttab\tx6120 }{\listname ;}\listid1391147348}{\list\listtemplateid-343764426\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fs20
\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li780\jclisttab\tx780 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\chbrdr
\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1500\jclisttab\tx1500 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
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\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2940\jclisttab\tx2940 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3660\jclisttab\tx3660 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
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\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6540\jclisttab\tx6540 }{\listname ;}\listid1569730852}{\list\listtemplateid-2065920170\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li360\jclisttab\tx360 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1080\jclisttab\tx1080 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1800\jclisttab\tx1800 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2520
\jclisttab\tx2520 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 
\fi-360\li3240\jclisttab\tx3240 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 
\chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3960\jclisttab\tx3960 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr
\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4680\jclisttab\tx4680 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2
\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5400\jclisttab\tx5400 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6120\jclisttab\tx6120 }{\listname ;}\listid1679236680}}{\*\listoverridetable{\listoverride\listid1569730852\listoverridecount0\ls1}
{\listoverride\listid-2\listoverridecount9{\lfolevel\listoverrideformat{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelold\levelspace0\levelindent283{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr
\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-283\li283 }}{\lfolevel\listoverrideformat{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\chbrdr
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\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3600\jclisttab\tx3600 }}{\lfolevel\listoverrideformat{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320\jclisttab\tx4320 }}{\lfolevel\listoverrideformat{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040\jclisttab\tx5040 }}{\lfolevel\listoverrideformat{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760\jclisttab\tx5760 }}{\lfolevel\listoverrideformat
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480\jclisttab\tx6480 }}\ls2}
{\listoverride\listid255019284\listoverridecount0\ls3}{\listoverride\listid1679236680\listoverridecount0\ls4}{\listoverride\listid1396421\listoverridecount0\ls5}{\listoverride\listid430735231\listoverridecount0\ls6}{\listoverride\listid1391147348
\listoverridecount0\ls7}{\listoverride\listid41248326\listoverridecount0\ls8}{\listoverride\listid286203447\listoverridecount0\ls9}}{\info{\title COMMUNICATION SKILLS TEACHING SESSIONS: A LEARNER-CENTRED APPROACH}{\author Peter Draper}
{\operator Peter Draper}{\creatim\yr2001\mo4\dy30\hr17\min38}{\revtim\yr2002\mo6\dy16\hr22\min37}{\printim\yr2002\mo6\dy16\hr22\min36}{\version5}{\edmins6}{\nofpages3}{\nofwords720}{\nofchars3965}{\nofcharsws0}{\vern8247}}
\margl1152\margr1152\margt720\margb720 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dgmargin\dghspace90\dgvspace180\dghorigin1152\dgvorigin720\dghshow2\dgvshow2
\jexpand\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot\nolnhtadjtbl \fet0\sectd \linex0\endnhere\sectdefaultcl {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3
\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}
{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain 
\s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f54\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1 COMMUNICATION SKILLS TEACHING SESSIONS: A LEARNER-CENTRED APPROACH
\par One to one teaching in general practice
\par 
\par }\pard\plain \s17\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \i\f54\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
The focus here is on video teaching, but this plan could be adapted for any consultation observed by the trainer
\par }\pard\plain \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li0\ri0\widctlpar\brdrt\brdrs\brdrw15\brsp20 \brdrl\brdrs\brdrw15 \brdrb\brdrs\brdrw15\brsp20 \brdrr\brdrs\brdrw15\brsp20 \aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22 Initiating the session:\tab \tab \tab \tab \tab \tab 
\tab \tab \tab 
\par }\pard\plain \s1\qj \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f54\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs22\ul 
\par Establishing initial rapport
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \qj \fi-283\li283\ri0\widctlpar{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 Welcome
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Explore and discuss how this session might fit in with the registrar\rquote s overall learning 
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Outline a temporal plan for the session, explain the aims and signpost methods of the session
\par }\pard\plain \s17\qj \li360\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0 \i\f54\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs20 Really helpful to have the plan of t
he session on a paper so that the learner can keep a structure in their heads and what happens when
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin360\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 Demonstrate interest and concern
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f54\fs22 
\par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\f54\fs22\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Identifying the learner\rquote s ongoing agenda
\par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\par }\pard\plain \s4\qj \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \b\i\f54\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Learner-centred exercise
\par {\listtext\pard\plain\f3\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin360\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\f54 Is there anything you would particularly like to cover/look at/rehearse today?
\par {\listtext\pard\plain\f3\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Anything from the last session, problems arising from last session which you would like help with?
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\i\f54\fs22 +-Patient-centred exercise
\par {\pntext\pard\plain\f3\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\i\f54 Any particular problems that your patients might be experiencing in relation to your consulting at the moment}{\f54\fs22 
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f54\fs22 
\par }\pard\plain \s5\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0 \b\i\f54\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
Introduce/revise the framework/structure/objectives and skills of the Calgary-Cambridge guide
\par {\listtext\pard\plain\f3\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin360\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\f54 Is there anything here you would like to focus on today?
\par {\listtext\pard\plain\f3\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Introduce trainer\rquote s agenda if appropriate
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\i\f54 
\par 
\par }\pard\plain \s9\ql \li0\ri0\keepn\widctlpar\brdrt\brdrs\brdrw15\brsp20 \brdrl\brdrs\brdrw15\brsp20 \brdrb\brdrs\brdrw15\brsp20 \brdrr\brdrs\brdrw15\brsp20 \aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0 
\b\f54\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {The experiential work\tab \tab \tab \tab \tab \tab \tab 
\par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 
\par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\f54\fs22\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Set the scene for the experiential work
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard\plain \s15\qj \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin720\itap0 
\f2\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\i\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 Registrar and trainer together negotiate which consultation to look at depending on whether the learner has watched the tape
\par }\pard \s15\qj \fi360\li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\i\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54      (if not look at a random consultation)
\par }\pard \s15\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\i\loch\af54\hich\af54\dbch\af23 
\par 
\par 
\par }\pard \s15\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\ul\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 Option to identifying the individual\hich\f54 \rquote \loch\f54 s agenda
\par }{\i\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 Ask the learner if they would like to tell you about the problem for them on the tape}{\i\fs22\ul\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54  now}{
\i\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 , or whether they would rather discuss their agenda }{\i\fs22\ul\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 after}{\i\fs22\loch\af54\hich\af54\dbch\af23 
\hich\af54\dbch\af23\loch\f54  watching the tape.
\par 
\par \hich\af54\dbch\af23\loch\f54 If they do want to talk about the consultation first; the following questions may be helpful
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \s15\qj \fi-360\li780\ri0\widctlpar\jclisttab\tx780\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin780\itap0 {
\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 What would be the particular issues or difficulties for you here that you would like to work on? (try to get the learner to hone them down)
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 What would you like\hich\af54\dbch\af23\loch\f54  to practice and refine and get feedback on

\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 What are your personal objectives for this session \hich\f54 \endash \loch\f54 
 put on flip chart/paper
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 How can I help you best
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 What would you like feedback on
\par }\pard \s15\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\ul\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 Watching the tape or consultation
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \s15\qj \fi-360\li780\ri0\widctlpar\jclisttab\tx780\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin780\itap0 {
\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 Set up room, and make sure the equipm\hich\af54\dbch\af23\loch\f54 ent is working
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 Suggest, if appropriate, that one of you might look at the consultation from the patient
\hich\f54 \rquote \loch\f54 s point of view
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 
Both you and the learner write down specific words and actions as an aid to descriptive feedback; if using video, jot down exact tim\hich\af54\dbch\af23\loch\f54 es or counter numbers
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 
After watching the interview, allow the learner several moments to collect their thoughts and identify the one or two most important points they would like to bring up in feedback, making sure to provide a balance between what worke
\hich\af54\dbch\af23\loch\f54 d and what was problematical
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 Check/clarify any matters of fact; eg. points at which the tape was inaudible
\par {\listtext\pard\plain\s15 \fs20\lang2057\langfe1033\loch\af3\hich\af3\dbch\af23\langnp2057 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af54\dbch\af23\loch\f54 Trainer to consider where to place feedback on what worked well
\par }\pard \s15\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\ul\loch\af54\hich\af54\dbch\af23 
\par 
\par \hich\af54\dbch\af23\loch\f54 Acknowledge the learner\hich\f54 \rquote \loch\f54 s feelings
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin360\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 how do you feel?  
\par {\listtext\pard\plain\s16 \f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \s16\qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin360\itap0 
\f54\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {how did that go?
\par }\pard\plain \s1\qj \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f54\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\par }\pard\plain \s3\qj \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \b\f54\fs22\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Refine the individual\rquote s agenda and desired outcome
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls6\adjustright\rin0\lin360\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 can we go back to your agenda on the flipchart before we played the tape? has it changed? 
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}how do you feel in general about the consultation in relation to your desired outcome? 
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Facilitator to listen, clarify, summarize, check 
\par }\pard\plain \s7\qj \fi-720\li720\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel6\adjustright\rin0\lin720\itap0 \i\f54\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Allow time for this \endash  it may lead naturally onto the learner
\rquote s agenda
\par }\pard\plain \qj \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22\ul Feedback and re-rehearsal
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0 {\f54\fs22 Start with the learner: options

\par {\listtext\pard\plain\f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \qj \fi-360\li1080\ri0\widctlpar\jclisttab\tx1080\aspalpha\aspnum\faauto\ls4\ilvl1\adjustright\rin0\lin1080\itap0 {\f54\fs22 
tell me what went well, specifically in relation to the objectives that you defined?  
\par {\listtext\pard\plain\f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}what went less well in relation to your specific objectives?  
\par {\listtext\pard\plain\f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}or "you obviously have a clear idea of what you would like to try."  
\par {\listtext\pard\plain\f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}would you like to have another go?
\par {\listtext\pard\plain\f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}what do you want feedback on?  
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Trainer give descriptive feedback 
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 If the learner  makes a suggestions, ask them if they would like to try this out or if 
\par {\listtext\pard\plain\s15 \fs22\lang2057\langfe1033\loch\af2\hich\af2\dbch\af23\langnp2057 \hich\af2\dbch\af23\loch\f2 o\tab}}\pard\plain \s15\qj \fi-360\li1500\ri0\widctlpar
\jclisttab\tx1500\aspalpha\aspnum\faauto\ls1\ilvl1\adjustright\rin0\lin1500\itap0 \f2\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 practise and }{
\fs22\ul\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 re-rehearse}{\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54  new techniques after your suggestions
\par }\pard \s15\qj \li1500\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1500\itap0 {\i\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 you can try out mini ro\hich\af54\dbch\af23\loch\f54 leplays or just specific phrases here 

\par {\listtext\pard\plain\s15 \fs22\lang2057\langfe1033\loch\af2\hich\af2\dbch\af23\langnp2057 \hich\af2\dbch\af23\loch\f2 o\tab}}\pard \s15\qj \fi-360\li1500\ri0\widctlpar\jclisttab\tx1500\aspalpha\aspnum\faauto\ls1\ilvl1\adjustright\rin0\lin1500\itap0 {
\fs22\loch\af54\hich\af54\dbch\af23 \hich\af54\dbch\af23\loch\f54 make sure to balance positive and negative feedback
\par {\listtext\pard\plain\s15 \fs22\lang2057\langfe1033\loch\af2\hich\af2\dbch\af23\langnp2057 \hich\af2\dbch\af23\loch\f2 o\tab}\hich\af54\dbch\af23\loch\f54 try reverse role play
\par {\listtext\pard\plain\s15 \f2\fs22\lang2057\langfe1033\langnp2057 \hich\af2\dbch\af0\loch\f2 o\tab}}{\f54\fs22 offer suggestions yourself/demonstrate the skills yourself when appropriate}{\fs22\loch\af54\hich\af54\dbch\af23 
\par }\pard\plain \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 
\par 
\par }{\b\f54\fs22\ul Tape review, skills spotting, generalising away
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 use the tape to demonstrate specific phrasing/behaviours
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 look at the micro-skills of communication and the exact words used
\par }\pard\plain \s1\qj \fi-720\li720\ri0\keepn\widctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin720\itap0 \b\f54\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \ql \li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\par 
\par 
\par }\pard \qj \li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22\ul Introduce trainer\rquote s agenda/teaching points}{\f54\fs22 
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Add in trainer\rquote s ideas and thoughts 
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Appropriately introduce theory, research and wider discussion
\par }\pard \ql \li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b 
\par 
\par }\pard \qj \li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22\ul Check learner\rquote s agenda has been covered
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Clarify with learner that his agenda has been covered
\par {\pntext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \qj \fi-283\li283\ri0\widctlpar\tx360{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf3\pnstart1\pnindent283\pnhang{\pntxtb \'b7}}
\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin283\itap0 {\f54\fs22 Be very careful to balance what worked well and what didn\rquote t work so well by the end
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b 
\par 
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22\ul Continue the process with the next consultation
\par }\pard \ql \li0\ri0\widctlpar\tx360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {
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\par 
\par }\pard \ql \li0\ri0\widctlpar\brdrt\brdrs\brdrw15\brsp20 \brdrl\brdrs\brdrw15\brsp20 \brdrb\brdrs\brdrw15\brsp20 \brdrr\brdrs\brdrw15\brsp20 \aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f54\fs22 Closure\tab \tab \tab \tab \tab \tab \tab \tab 
\tab  
\par }\pard\plain \s6\qj \li0\ri0\keepn\widctlpar\tx763\tx1483\tx2203\tx2923\tx3643\tx4363\tx5083\tx5803\tx6523\tx7243\tx7963\tx8683\tx9403\tx10123\tx10843\tx11563\tx12283\aspalpha\aspnum\faauto\outlinelevel5\adjustright\rin0\lin0\itap0 
\b\f54\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\b0 
\par {\listtext\pard\plain\s6 \f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s6\qj \fi-360\li720\ri0\keepn\widctlpar
\jclisttab\tx720\tx763\tx1483\tx2203\tx2923\tx3643\tx4363\tx5083\tx5803\tx6523\tx7243\tx7963\tx8683\tx9403\tx10123\tx10843\tx11563\tx12283\aspalpha\aspnum\faauto\ls8\outlinelevel5\adjustright\rin0\lin720\itap0 {\b0 Rounds of what learnt
\par {\listtext\pard\plain\s6 \f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Summary from trainer, relate to structures/guides
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin720\itap0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f54\fs22 Handouts}{\b\fs22\loch\af54\hich\af54\dbch\af23 
\par {\listtext\pard\plain\f3\fs22\lang2057\langfe1033\langnp2057 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}{\f54\fs22 What to practise for the next week}{\b\fs22\loch\af54\hich\af54\dbch\af23 
\par }\pard\plain \s1\qj \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f54\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
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\par }{\fs20 Copyright  SM Kurtz, JD Silverman. J Draper Teaching and Learning Communication Skills in Medicine 2}{\fs20\super nd}{\fs20  edition 
\par In  press}{
\par }}