However, they are not necessarily trained to reflect on the cultural competence of their Registrars or practiced at debriefing consultations which demonstrate learning needs in managing Aboriginal patients.
At the end of each observed consultation they conducted a debriefing interview with the GP noting: the sequence of events during the consultation, whether objectives were attained, and information adequately passed on as well as the quality of the relationship, all from the GP's perspective.
Ethnographic study drawing on observations of practice routines and consultations, debriefing interviews with staff and patients and review of patient records.
The Diabetes MILES--Australia 2011 survey was developed through the following process: initial measure selection occurred after phases of measure identification, assessment and consultation, cognitive debriefing of standardised measures and survey-specific items before survey distribution.
Based on literature reviews, a previous qualitative study and cognitive debriefing interviews, and in consultation with an expert panel, a 45-item (pregnancy) and a 49-item (postnatal) self-report questionnaire were designed, enabling assessment of important psychosocial issues for women with T1DM during pregnancy and in the immediate postnatal period.
Interview data included short debriefs after each recorded consultation and full semi-structured exit interviews with key participants at the end of the six-month data collection period.
An Australian randomized study using postpartum debriefing, a special form of postpartum consultation, shows that 94% of the women were positive about this debriefing [ 15].
Analysis entailed open coding and progressive categorisation of issues in an iterative process that included debriefing sessions with respondents and regular consultations with the research team [ 12].
In the view of the GP reviewers at debriefing after being unblinded, PAs made more thorough consultation records.
Many of the clinical ethicists shared personal experiences of morally distressing situations and modeled the need for broad consultation through the JCB consultation group and debriefing with colleagues as a way to cope with stress.
