Transcription of THE ENHANCED CALGARY-CAMBRIDGE GUIDE TO …
1 THE ENHANCED CALGARY-CAMBRIDGE GUIDE TO THE MEDICAL INTERVIEW Kurtz SM, Silverman JD, Benson J and Draper J (2003) Marrying Content and Process in Clinical Method Teaching: Enhancing the CALGARY-CAMBRIDGE Guides Academic Medicine In press THE BASIC FRAMEWORK ProvidingStructureInitiatingtheSessionCl osingtheSessionPhysical ExaminationExplanation and planningGathering informationBuilding the relationship THE EXPANDED FRAMEWORK ProvidingStructureInitiatingtheSessionpr eparationestablishinginitialrapportident ifyingthereason(s)fortheconsultationprov idingthecorrectamountandtypeofinformatio naidingaccuraterecallandunderstandingach ievingasharedunderstanding:incorporating thepatient sillnessframeworkplanning:shareddecision makingClosingtheSessionBuildingtherelati onship Gathering informationPhysical examinationExplanation and planningmaking organisation overtattending to flow exploration of the patient s problems to discover the:obiomedical perspective othe patient s perspective obackground information -context ensuring appropriate point of closure forward planningusing appropriate non-verbal behaviourdeveloping rapportinvolving the patient