9: Exploring a New Paradigm for Achieving Shared Decision-making  in Clinical Practice - "Skilled Helping" 
 
Facilitators
Rakesh Patel, Gordon French, Nicola Walker, Hema Gandecha, James Hambridge, Sophie Wheatcroft, Rahil Mandalia - University of Leicester and East Midlands Deanery 
 
 
Workshop Description
This workshop aims to give participants an insight into the nature of higher consultations skills and uses the Egan Skilled Helper model to structure conversations with patients where achieving shared decision-making with patients is a goal of clinical practice.
 
 
Workshop Objective 
The aim of the workshop is to give participants an understanding of the Egan’s skilled helper model, describe its application to professional clinical practice as well as its potential for the managing clinical consultations where the achievement of shared-understanding and decision-making is crucial.
 
By the end of the workshop, participants will have a greater understanding about:
  • the stages of the Egan’s skilled helper model
  • the usefulness and usability of the model for structuring patient consultations
  • the advantages and disadvantages of the model over a conventional consultation models for history-taking or managing ‘complex’ patients in clinical practice.
By the end of the workshop participants will have the skills to

  • Differentiate ‘diagnostic listening’ from ‘active listening’
  • Use the model for discovering what is going for the patient, what the patient ‘really’ wants instead of their problem and how to help the patient achieve their goals
By the end of the workshop participants will have the opportunity to:

  • Discuss the advantages and disadvantages of existing consultation models for structuring ‘complex’ consultations
  • Evaluate the attributes of a ‘good’ consultation and a ‘better’ consultation with clinicians and non-clinicians involved in under- and post-graduate medical education