Calgary-cambridge-guides-(fillable) 2025

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Structured model (Cambridge-Calgary) It incorporates elements of the disease-illness model in terms of the interplay between clinician and patient, but with an explicit focus on structure and flow and building an effective patient-clinician relationship (Silverman et al, 2013) (Box 3).
Several models recognise the value of having specific steps to follow in navigating a consultation, which can be useful for the emerging practitioner. The 1996 Cambridge-Calgary model is considered the most comprehensive and evidence-based of these (Silverman et al, 2013).
The CCG breaks down a consultation into seven separate stages: initiating the session, gathering information, building the relationship, providing structure, explanation and planning, and closing the session. Each stage of the CCG awards points based on how well micro-skills are demonstrated.
Disadvantages. The CalgaryCambridge model has been criticized for creating a separation between the process of interviewing a patient and the information gained. The 71 skills are very difficult to incorporate simultaneously, making it more difficult to learn for clinicians than other techniques.
The first diagram (Figure 1) summarises the medical interview as a sequential five-step process: initiation of the session; gathering information; physical examination; explanation and planning; and closing the session.
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One criticism of all consultation models is that they risk over-simplifying the highly complex interaction that is the doctor/patient consultation. However, using a suitable model in the correct context can be beneficial for both patients and doctors.
The Calgary-Cambridge model provides a practical, integrated method of teaching both the process of communication, as well as the effective gaining of content information. It incorporates the importance of patient-centred medicine including the building of a relationship and shared decision making.

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