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    Tips on Efficient Consulting from Five ‘Fast’ GPs (How to consult quickly Book 2)

    By Dr Deen Mirza

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    This is the second part of a series on time management in the consultation. The author is an experienced GP educationalist and assessor, who is now using his skills to write self help guides for other GPs. These short, to the point guides are designed to give a helping hand to full time clinical GPs who find themselves overwhelmed by the increasing demands of the job.

    In the first part of this series Dr Mirza presented a self help summary of how GPs who run behind in clinic can adjust their consultation techniques and clinical practice in order to run to time. In that book he challenged many of the paradigms which GPs traditionally work within, for example that being patient centred and empathic is the most important priority for the GP consultation.

    In this book the author goes even further into the reality of consultation management today by providing transcripts of interviews with 'fast GPs'. Several GPs have been selected who have efficient consultation styles, and in these indepth interviews carried out by the author, they reveal their secrets on how to run to time. By keeping the interviewees anonymous, these GPs have been frank and honest, and so provide a different approach to that presented within politically correct 'official' teaching for the profession. This invaluable experiential advice has been analysed by the author at the end, providing a unique alternative insight into the consultation which will help many GPs today.

    Outline of How to Consult Quickly Part 2 (from Part 1 of the series)

    'How to Consult Quickly was supposed to be a single book in a 4 volume series about the 21st century GP consultation. The aim with each of these books was to have a short bite sized summary that could be read in one sitting. Most GPs don’t have time to wade through 300 pages of musing on the consultation. Indeed several GPs have fed back their appreciation on how quick it was to read FRAYED.
    However while researching for this book, I realised that there was a lot more useful material than I have been able to put into this book to meet the Amazon publishing deadline. I have carried out interviews of several fast and some slow GPs with the original intention that I would quote excerpts from this in the main text. After completing the interviews, I appreciated that each GP had a different way of working which was difficult to bring together with one cohesive guide. I think that a lot of GPs out there would benefit from reading the full interviews. I have thus opted to present what I normally teach GPs about time keeping in this part and in part 2 I will present and analyse the various approaches from these different GPs who have kindly offered their insights. On the basis of these interviews I will also spend some time discussing how we should deal with patients who present with multiple problems- the current mantra that we should ‘get the list early and prioritise it’ is very simplistic and often doesn’t work. In Part 2 I will also be giving some analysis of an audit into my own consultation data as an example for others to use.'

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