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As emphasized by Silberman et al [ 24], when examining which RPBs are applied, consultation length should be taken into account.
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Family practitioner diagnostic labels applied in consultation provide a signpost for treatment and management.
This was evident within the context of empowering the student to take up educational opportunities, including: a) consulting the statistician early on - a recommendation which could be suitably applied to consultations involving the supervisor, the student or both the supervisor and the student and b) encouraging the student to interact with patients and their families.
The scale can only be applied to consultations where a treatment option has been considered.
This could apply to consultation on resource projects like pipelines, a contentious issue where indigenous communities hold significant power at the bargaining table.
The self-administered screening questionnaire is sent to the patient's home address and includes the instruments that PNs apply during consultation.
Blankenstein et al. found that GPs needed 20 hours of training and feedback sessions to learn how to apply new consultation skills aimed at somatising patients [ 31].
The underlying assumptions that generic communication skills should be applied in any consultation and that every consultation can be treated as if it requires the same communication performance seem unjustified.
Previous research has shown that general practitioners are reluctant to discuss self-management with patients with one long term condition for fear of alienating patients and disrupting the consultation [ 54]; this also equally applies to consultations with patients with multimorbidity [ 30].
- An educational component for background reading - Key messages which can be internalised and applied in the consultation - Clear indications of where and how shared decision making can be incorporated into referral consultations - An accessible format to allow for easy location of information at the time of the consultation especially when a difficult or unfamiliar situation occurs.
The exclusion criteria were applied within the consultation, at the discretion of the general practitioner.
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