Video in Family Medicine Training

1
Video in Family Medicine Training

• Yonah Yaphe
• Department of Family Medicine
• Rabin Medical Centre

2
Purpose

• Why use video in family medicine training?

3
Advantages of Video

• Tool for giving feedback
• Non-verbal communication
• Available, inexpensive, simple
• Instant replay, stop and go
• Choice of selection
• Permanent record

4
Disadvantages of Video

• Expensive
• Complicated
• Unavailable
• Inhibits performance
• Consent

5
Uses of Video

• Taping consultations for feedback
• Learning procedures
• Lectures
• Assessment (MRCGP)

6
Requirements for Video Review

• Get consent of patient and trainee
• Place camera in unobtrusive location
• Run over extended period of time
• Reassure that it can be turned off
• Check sound, light, battery, focus, frame, tape,
  cables

7
Running a video review

• Let trainee pick consultation
• Give remote control to trainee
• Let trainee stop tape at key points
• Let the trainee frame the question
• Facilitate the discussion with questions relating
  to changeable behaviours

8
Pendletons rules

• Start with factual clarifications (context)
• Trainees go first
• Trainees start by listing strengths
• Others contribute Start with strengths
• Trainees say what they would have done
  differently
• Others say what they would do differently

9
Focus on content

• Kagan - Interpersonal process recall (IPR)
• Active listening
• Open questions
• Honest labelling
• Confrontation

10
Focus on Process

• Mapping the consultation (Neighbour)
• Joining
• Listening
• Negotiating
• Summarising
• Housekeeping, Safety nets, Prevention

11
Conclusions

• Versatile technique
• Useful at all levels of training
• Requires skill and practice