Introduction:
A concerted effort has been put forth in the past 20 years to improve veterinary communication skills and communication skills training, including use of the Calgary-Cambridge consultation model.

Objectives:
To determine the utility of the Calgary-Cambridge and Patient-centred Clinical Method consultation models for veterinary communication skills training.

Methods:
Fifty-five veterinary consultations were videotaped, 28 in the United Kingdom and 27 in the United States of America.  Each consultation was reviewed, transcribed and coded for the elements in the two models to analyse for alignment of the consultation with the model. Frequency and proportion of the consultation were recorded for each model element, as well as percent of potential model elements represented in each consultation.

Findings:
Dominant elements of both models were exploration of the problem and planning, with less time spent exploring emotional impact. Median alignment with the Calgary-Cambridge and Patient-centred Clinical Method models was 86.67%, and 62.50% respectively.  The flow of dialogue varied constantly between elements of both models rather than progressing in a linear fashion.

Discussion:
The Calgary-Cambridge model is well established as the primary model used in veterinary communication skills training.  Our findings suggest the Calgary-Cambridge model could be even more effective in enhancing veterinary communication skills by revising it (and/or how it is used in training) to incorporate the client perspective elements from the Patient-centred Clinical Method, and to address the iterative and random flow of dialogue that occurs in veterinary consultations.  



Authors:

*McDermott, Michael1 Cobb, Malcolm,1 Robbé, Iain,2 and Dean, Rachel1  
1. University of Nottingham School of Veterinary Medicine and Science, Sutton Bonington, UK
2. Memorial University, Newfoundland, Canada, and Centre for Medical Education, Dundee University, Dundee, UK