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The CanMEDS competency "collaboration" and "professional" were attributed to this EPA, because fast and efficient consultation with the cardiologist is required.
We conducted a clustered randomised trial (PERFECT D: Primary care Electronic Referrals: Focus on Efficient Consultation using Telemedicine in Dermatology, trial registration: Current Controlled Trials No: ISRCTN57478950) to assess whether teledermatology, used as an electronic SAF referral system, could decrease the number of outpatient hospital referrals by the general practitioner (GP) [ 5].
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The intervention was derived from motivational interviewing, defined as "a person-centered counselling style for addressing the common problem of ambivalence about change," 23 and refined over 15 years into a method for addressing the challenge of efficient, respectful, and effective consultations in primary care about multiple behaviours.
Electronic health records can facilitate these consultations through more flexible and efficient electronic consultation processes that minimize delays (i.e., "information-only" referrals that do not require a patient visit).
A pointer function is also developed to maintain the cursor consistency in a more efficient manner during consultation when a detail indication of the examined image is needed.
This might make the consultation more efficient, but reducing the need for routine questions to focus on patients' particular needs.
Knowing patients' previous perception on certain treatment options can help clinicians to explain certain things more clearly and makes clinical consultation more efficient.
With this in mind, the therapeutic treatment algorithms were edited and the web-based platform was designed in such a way that the GPs in the intervention arm would see only the therapeutic treatment algorithm(s) relevant to each patient, making the most efficient use of the consultation time.
As well as providing quality care for patients, it is efficient, with 90% of consultations taking place in general practice for less than 9% of the total NHS budget.
Many GPs therefore do not routinely use optimal communication skills to efficiently implement a non-antibiotic management strategy that patients would find acceptable and is time efficient in time pressured consultations[ 29].
The goal of a diagnostic accuracy approaching 100% sensitivity and specificity should be reached in a time-, cost-, and consultation-efficient manner [ 4].
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