Audio COT - the new kid on the block
Abid Iqbal
What 1-2 things are you taking home? Write more if you wish. Scroll to the bottom and leave a comment below; then hit the POST COMMENT button.
If you do not wish to use your name or email address – just make one up like bart and bart@simpson.com
– how to conduct the audio COT
– rcgp guidelines
One audio COT needed in ST3 but up to 3 will count towards the total number of COTs. They can be done in ST1 and ST2 but won’t count towards the overall total.
Use of audio COT- think about different types of tel consult ie triage vs routine. Needs to be 5-15 mins as a guide. Marking criteria slightly different. Discussion around potential pitfalls including difficulty in communication without the non verbal aspects and also more risk- not seeing the patient/ harder to check their understanding. Safety net even more important
This was really useful because it is a topic I knew nothing about. It was interactive and well delivered. Loved the Lego building exercise which cleverly demonstrated the importance of visual cues.
Abid got two people back to back. gave one a lego shaped object and asked them to direct the other person (who can’t see them) to make it through verbal instruction alone. The result – a totally different object! The importance of vision is incredible to data gathering and clinical management.
Ram x
Aware of the requirement for audio COT (minimum of 1 in ST3 but can count for up to 3 of total)
Can do in ST1/2 but don’t count towards COTs
Useful to get reception to warn patients when book tel apptmt that there will be a trainee listening in so that when trainee asks for consent too they are already aware of the situation.
– Added importance of tone and empathy in phone consultations
– Increased importance of safety netting
– Importance of checking patient I.D carefully!
There lego model was an excellent way of demonstrating how hard communication can be without visual cues.
Importance of choosing a suitable case and the marking sheme.
A useful clearly delivered session
Well done Abid. Sounds like u did a fab job. And thank you for helping out.
Ram x