stephenrollnick

Hi

I am a community dietitian based in Cardiff and working mostly with chronic disease and weight management.  I was introduced to MI in 2004 and have really embraced it in the last 2 years.  I am observing improved consultations and also improved outcomes.  My problem is this, my most effective consultations are those were the patient shares some very personal information am I afraid that by asking to tape consultations patients will hold back.

I am really keen to receive support from MI Campus, which would involve taping consultations, however I don't want to prevent progress with the patients.  I would be grateful if anyone has any suggestions or ideas they can share fom their practice.

Kind regards

Orla

Dear Orla,

we live in the same city and exchange ideas here on the internet!  I cant see any way around this other than locating a patient you already know perhaps, getting consent to tape,  and reassuring the patient that at the end of the session the two of you will make a decision whether to wipe the tape in case anything personal has come up that they would prefer to keep between you?

Or have I misunderstood you?

kind regards,

Steve

Hi Steve Thanks for taking the time to respond, it is very much appreciated. I know what you mean, it just shows the benefit of this forum. I had not thought about having a longer discussion about the taping and the option to delete it after the consultation, if the patient would prefer. I'll give it a go with a patient I have in mind this week and see what happens. Many thanks Orla

Orla, let us know how you get on!

Steve

Hi Steve

I brought up the subject of taping future consultations with my patient this morning and they were very agreeable.  They said they would be happy to do anything that would help me because I have been so helpful (blow my own trumpet). 

I have a feeling it would be best to bring up the subject of taping after I have met with the patient on a few occasions, when I have gained their trust.  Don't know what you think?

Orla

Dear Orla,

I have come across plenty situations in which practitioners ask patients at the very first consultation about taping.  You obviously need to make sure that you have adhered to good ehtical practice, which I am sure you will (consent form; clarity about exactly who will hear the tape; freedom to wipe the tape if they change their minds, and so on).

let us know how you get on?

Steve