Review Article
The art and science of consultations in bovine medicine: use of modified Calgary – Cambridge guides, Part 2
Amanda Nicole Carr,
Roy Neville Kirkwood,
Kiro R. Petrovski*

Mac Vet Rev 2023; 46 (1): i - xii

10.2478/macvetrev-2023-0011

Received: 30 November 2021

Received in revised form: 10 October 2022

Accepted: 24 November 2022

Available Online First: 11 January 2023

Published on: 15 March 2023

Correspondence: Kiro R. Petrovski, kiro.petrovski@adelaide.edu.au

Abstract

This article, part 2 of a 2-part series, describes the next two steps in the application of the Modified Calgary-Cambridge Guides (MCCG) to consultations in bovine medicine, ‘explanation and planning’, and ‘closing the consultation’, and introduces concepts that are associated with all the components of the guide, ‘building the relationship with the client’ and ‘providing structure to the consultation’. Part 1 introduced the aim and framework of the MCCG which enables the practitioner to gain an insight into the client’s understanding of the problem, including understanding aetiology, epidemiology and pathophysiology. Part 2 introduces the framework that provides the opportunity to understand the client’s expectations regarding the outcome, their motivation and willingness to adhere to recommendations. It also describes how to engage and acknowledge the client as an important part of the decision-making process, how to establish responsibilities of both the client and practitioner, and how to reach out to the client at the conclusion of the consultation to make certain that the client’s expectations were met.

Keywords: bovine practitioner, client-centred, Modified Calgary-Cambridge guide, veterinary communication, veterinary consultation


References

  1. Petrovski, K. (2014). Use of modified Calgary- Cambridge Guides in bovine consultations, in D.S. Beggs (Ed.), World Buiatrics Congress, Cairns, QLD, Australia.
  2. Petrovski, K.R., McArthur, M. (2015). The art and science of consultations in bovine medicine: Use of modified Calgary - Cambridge guides. Mac Vet Rev. 38(2): 137-147. https://doi.org/10.14432/j.macvetrev.2015.05.044
  3. Simmenroth-Nayda, A., Weiss, C., Fischer, T., Himmel, W. (2012). Do communication training programs improve students communication skills? - a follow-up study. BMC Res Notes. 5, 486. https://doi.org/10.1186/1756-0500-5-486 PMid:22947372 PMCid:PMC3495627
  4. Kurtz, S. (2006). Teaching and learning communication in veterinary medicine. J Vet Med Educ. 33(1): 11-19. https://doi.org/10.3138/jvme.33.1.11 PMid:16767633
  5. Kurtz, S., Silverman, J. Benson, J., Draper, J. (2003). Marrying content and process in clinical method teaching: Enhancing the Calgary-Cambridge guides. Acad Med. 78(8): 802-809. https://doi.org/10.1097/00001888-200308000-00011 PMid:12915371
  6. Kurtz, S.M. (2002). Doctor-patient communication: principles and practices. Can J Neurol Sci. 29(Suppl. 2): S23-S29. https://doi.org/10.1017/S0317167100001906 PMid:12139082
  7. Kurtz, S.M., Silverman, J.D. (1996). The Calgary- Cambridge Referenced Observation Guides: an aid to defining the curriculum and organizing the teaching in communication training programmes. Med Educ. 30(2): 83-89. https://doi.org/10.1111/j.1365-2923.1996.tb00724.x PMid:8736242
  8. Adams, C.L., Kurtz, S. (2012). Coaching and feedback: enhancing communication teaching and learning in veterinary practice settings. J Vet Med Educ. 39(3): 217-228. https://doi.org/10.3138/jvme.0512-038R PMid:22951457
  9. Mossop, L., Gray, C. (2008). Teaching communication skills. In Practice, 30(6): 340-343. https://doi.org/10.1136/inpract.30.6.340
  10. Manalastas, G., Noble, L.M., Viney, R., Griffin, A.E. (2021). What does the structure of a medical consultation look like? A new method for visualising doctor-patient communication. Patient Educ Couns. 104(6): 1387-1397. https://doi.org/10.1016/j.pec.2020.11.026 PMid:33272747
  11. Adams, C.L., Kurtz, S.M. (2006). Building on existing models from human medical education to develop a communication curriculum in veterinary medicine. J Vet Med Educ. 33(1): 28-37. https://doi.org/10.3138/jvme.33.1.28 PMid:16767635
  12. McArthur, M.L., Fitzgerald, J.R. (2013). Companion animal veterinarians’ use of clinical communication skills. Aust Vet J. 91(9): 374-380. https://doi.org/10.1111/avj.12083 PMid:23980830
  13. Show, A., Englar, R.E. (2018). Evaluating dog- and cat-owner preferences for Calgary-Cambridge communication skills: results of a questionnaire. J Vet Med Educ. 45(4): 534-543. https://doi.org/10.3138/jvme.0117-002r1 PMid:30285592
  14. Bosse, H.M., Schultz, J.-H., Nickel, M., Lutz, T., Möltner, A., Jünger, J., Huwendiek, S., Nikendei, C. (2012). The effect of using standardized patients or peer role play on ratings of undergraduate communication training: a randomized controlled trial. Patient Educ Couns. 87(3): 300-306. https://doi.org/10.1016/j.pec.2011.10.007 PMid:22137189
  15. Bagacean, C., Cousin, I., Ubertini, A.-H., et al. (2020). Simulatedpatientandroleplaymethodologies for communication skills and empathy training of undergraduate medical students. BMC Med Educ. 20, 491.
    https://doi.org/10.1186/s12909-020-02401-0 PMid:33276777 PMCid:PMC7716460
  16. Meehan, M.P., Menniti, M.F. (2014). Final- year veterinary students’ perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb’s experiential learning theory. J Vet Med Educ. 41(4): 371-383. https://doi.org/10.3138/jvme.1213-162R1 PMid:25148880
  17. Da Costa, D.L., Corlett, S.A., Dodds, L.J. (2020). A narrative review on the consultation tools available for pharmacists in the United Kingdom: do they facilitate person-centred care? Int J Pharm Pract. 28(4): 301-311.
  18. Englar, R.E. (2019). Tracking veterinary students’ acquisition of communication skills and clinical communication confidence by comparing student performance in the first and twenty-seventh standardized client encounters. J Vet Med Educ. 46(2): 235-257. https://doi.org/10.3138/jvme.0917-117r1 PMid:30285598
  19. Meryn, S. (1998). Improving doctor patient communication. BMJ 316(7149): 1922-1930. https://doi.org/10.1136/bmj.316.7149.1922 PMid:9641926 PMCid:PMC1113402
  20. Simpson, M., Buckman, R., Steward, M., Maguire, P., Lipkin, M., Novack, D., Till, J. (1991). Doctor- patient communication: the Toronto concensus statement. BMJ 303(6814): 1385-1387. https://doi.org/10.1136/bmj.303.6814.1385 PMid:1760608 PMCid:PMC1671610
  21. Gabriel, J., Dutton, G. (2009). Basic interviewing skills for medical students. Florida State University Libraries
  22. LTSN Workshop. A guide to a veterinary consultation based on a Calgary-Cambridge model. (2002). http://www.nuvacs.co.uk/pdf/Aguidetothev eterinaryconsultationbasedontheCCmodel.pdf
  23. Radford, A., Stockley, P., Silverman, J., Kaney, S., Taylor, I., Turner, R., Gray, C. (2006). Development, teaching and evaluation of the consultation structure model for use in veterinary education. J Vet Med Educ. 33(1): 38-44. https://doi.org/10.3138/jvme.33.1.38 PMid:16767636


Copyright

© 2023 Carr A.N. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Conflict of Interest Statement

The authors declared that they have no potential lict of interest with respect to the authorship and/or publication of this article.

Citation Information

Macedonian Veterinary Review. Volume 46, Issue 1, Pages i-xii, e-ISSN 1857-7415, p-ISSN 1409-7621, DOI: 10.2478/macvetrev-2023-0011, 2023