Ideas, concerns, and expectations
Yesterday I was a foundation year 1 doctor in cardiology, today I am a foundation year 2 doctor in general practice. I have my own office, computer, chlamydia screening kits, and even a secretary. I also, however, have my own patients. The problem here is that they arrive expecting to see a confident and experienced general practitioner. Unfortunately, I am neither. Luckily my tutor, who is both, is on hand to help during my consulting sessions, and also offers a weekly tutorial.
This week the tutorial was on consultation skills, and in particular how a doctor should elicit a patient’s ideas, concerns, and expectations during a consultation. After the tutorial, I am keen to put this into practice. My next patient seems an ideal candidate: he is an elderly man who has come to see me about his constipation. There are no worrying features in the history, and it would