scholarly journals The consultation beyond the Clinical Skills Assessment

2018 ◽  
Vol 12 (1) ◽  
pp. 30-32
Author(s):  
Claudia Newbegin
Keyword(s):  
Facial Expressions ◽  
Clinical Skills ◽  
Body Position ◽  
The Other ◽  
Bad News ◽  
Skills Assessment ◽  
Clinical Skills Assessment ◽  
Dog Training ◽  
Tone Of Voice ◽  
Paternalistic Approach

Working for the Clinical Skills Assessment (CSA) can feel like trying to jump through the proverbial ‘hoop’; like being a circus dog training to jump higher and higher. I prepared for my CSA with two friends on a similar schedule. For months, my consulting style was scrutinised. They commented on my facial expressions, my body position and my tone of voice. I learned that graphs do not help patients understand preventative medicine, and that I sound patronising when trying to empathise. I learned how to break bad news, explain contraception, work with interpreters, and assess a young person’s Gillick competence. We progressed through cards, books and online resources. My acting skills became prodigious. I became more confident in conducting a certain kind of consultation. Eventually, we all jumped through the hoop. However, what of the consultation once you land on the other side? Do you forget how to read emotional temperature and to involve patients in decision making? Do you revert to a paternalistic approach in bashing through the volume of patients and paperwork? Do you accept everything patients say, and give them exactly what they want in order to get them out of the room? Hopefully, this is far from the case.

Difficult decisions: Choosing a practice

2017 ◽  
Vol 10 (8) ◽  
pp. 448-451
Author(s):  
Kathryn Harrison
Keyword(s):  
Professional Development ◽  
Clinical Practice ◽  
Special Interest ◽  
Clinical Skills ◽  
Academic Research ◽  
The Other ◽  
Skills Assessment ◽  
Clinical Skills Assessment ◽  
Overseas Teaching ◽  
The Right

With the Clinical Skills Assessment successfully completed, focus shifts to the completion of training and starting work as an independent GP; it is both an exciting and unnerving time. The myriad of opportunities open to newly qualified GPs is one of the specialty’s strengths, offering scope for personal and professional development. Opportunities can be diverse and include working overseas, teaching, developing a special interest, pursuing academic research, media roles, working with the RCGP, and many more. Most of these roles can be undertaken alongside clinical practice as part of a portfolio career, each complementing and enhancing the other. Whether pursuing wider opportunities, or gaining more experience in clinical practice, choosing the right practice with like-minded colleagues in the early stages of your career can be a difficult, daunting prospect. This article aims to offer guidance for those searching for the right practice.

Implementation

The Age of Em ◽  
2016 ◽  
Author(s):  
Robin Hanson
Keyword(s):  
Statistical Analysis ◽  
Facial Expressions ◽  
Internal State ◽  
The Other ◽  
Subjective Time ◽  
Brain States ◽  
Tone Of Voice ◽  
Different Parts ◽  
Average State ◽  
Complete Match

Compared with ordinary humans, it is much easier to directly read the internal state of an em mind. This should allow some types of “mindreading.” Consider taking two ems and trying to match parts in one of them to parts in the other, to say which parts are the “same.” during the early opaque em era it will usually not be possible to make a complete match. Even so, some parts could be matched, such as the parts that receive initial inputs from eyes and ears. For matched parts, it should be possible to put the parts of one emulation into the same brain activation state as that of the matching parts in another emulation. So, for example, one might force an emulation to see and hear exactly what another emulation sees and hears. More parts can be matched for emulations of the same original human, especially if they have diverged for a shorter subjective time. Such more closely matched emulations could thus be arranged to more fully “read” each other’s minds. Mild mindreading might be used to allow ems to better intuit and share their reaction to a particular topic or person. For example, a group of ems might all try to think at the same time about a particular person, say “George.” Then their brain states in the region of their minds associated with this thought might be weakly driven toward the average state of this group. In this way this group might come to intuitively feel how the group feels on average about George. Of course this should work better for closer copies, and after this exercise participating individuals might still return to something close to their previous opinions of George. Even when minds cannot be matched part for part, statistical analysis of how activation in different parts and situations correlates with actions and stated feelings should allow cheap partial mindreading, at least for some shallow “surface” aspects of emulation minds. Both of these types of mindreading require access to the internal state of an emulation process. Those not granted such access have an even weaker ability to read minds than do humans today. Today, humans routinely leak many features of their brain states via tone of voice, gaze, facial expressions, muscle vibrations, etc.

Get Through MRCGP: Clinical Skills Assessment 2E

2012 ◽  
Author(s):  
Bruno Rushforth ◽  
Valerie Wass ◽  
Adam Firth
Keyword(s):  
Clinical Skills ◽  
Skills Assessment ◽  
Clinical Skills Assessment
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