Post teaching session worksheet
>click here for printable version<Part A. How do we deal with the time demands?
For the next 3 mental health consultations make a checklist after the consult has finished, identifying
- How long was the consult?
- Who ended the visit, the patient or you?
- Were the “need to be covered” points discussed with your Supervisor actually covered in the consult?
- Is there a follow up plan that is clear to both you and the patient?
Reflect on the outcome and make appropriate reminder notes for future consults.
Next, identify an appropriate patient with depression who is returning for a review appointment. Videotape the consultation and view the tape with the above checklist in mind, either by yourself or in conjunction with your Supervisor.
Part B. Dealing with emotional response
Seek out several colleagues and discuss with them how they deal with their emotional responses to patients in their daily practice and lives.
Part C. Real world versus EBM
If you want to find out more about evidence based treatment of depression in a primary care setting the NPS have a review article available at
http://www.nps.org.au/__data/assets/pdf_file/0007/15838/news42.pdf
An NPS audit that focuses on prescription of antidepressants is available at http://www.nps.org.au/__data/assets/pdf_file/0015/22830/Depression2004ClinicalAuditPack.pdf
Part D. Identifying and dealing with "Blocks"
Review a case note from a patient with a depressed presentation that you have seen at least a couple of times.
Look through the notes and consider:
- What factors do you look at to monitor patient progress?
- Is this patient progressing as you would hope?
- If not then what other factors might be at play?
- How might you realign your management? When?