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Applying the complete consultation model is a complex learning scenario.
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Our results show that dealing with the complexity of a complete consultation forces students to transfer their theoretical medical knowledge into applicable clinical knowledge.
After practicing communication skills, physical examination skills, and clinical reasoning separately in the previous years, students felt motivated to integrate their consultation skills within the structure of a complete consultation with simulated patients.
Due to competing pressures for time many practice nurses found it difficult to conform to the trial protocol, as is seen with the lower completed consultation rates compared with the lay educators.
All following data refer to patients with complete consultation data and who returned the postal questionnaire.
"The key here is to do the resolution in a way that is right, that allows full and complete consultation".
– This study emphasizes the importance of incorporating the practice of complete consultations early within medical curricula, in order to give students the time to reorganize their knowledge before they are immersed into the real world.
Although there is a wealth of studies evaluating methods to train communication skills, clinical reasoning skills and physical examination skills separately, there is yet little empirical information on the best methods to learn the complex task of executing complete consultations.
The complex task of conducting complete consultations should be implemented early within medical curricula because students need time to organize their medical knowledge into applicable clinical knowledge.
This practice of longitudinal learning, performing complete consultations including the explicit focus on pharmacotherapy is very different from common practice in regular clerkships, were the focus generally lies on diagnostics instead of (pharmaco therapeutics [ 17, 18].
Recruitment started in large urban centres, with participants being recommended through sources such as key informants in the Mental Health Commission's recently completed consultation on housing and the At Home study.
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