A competency history - an additional model of history taking

Bridge, Simon (2011) A competency history - an additional model of history taking. Australian Family Physician, 40 (9). pp. 735-738.

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Background: Taking a medical history is an effective way of finding out important information about the patient and their presenting problem/s but this approach may inadvertently be disempowering for the patient. An increased sense of agency can increase the likelihood of behavioural change, so facilitating empowerment of the patient in the context of a medical consultation is an important challenge for general practitioners.

Objective: This article describes an alternative or additional model of history taking – the 'competency history'. It describes its theoretical base, components and appropriate use, and gives examples of how a competency history can be used in general practice.

Discussion A competency history uses strength based empowerment approaches and is especially appropriate with patients who have a poor sense of agency. The core elements of a competency history include an understanding of the patient's past and current context, respect for the patient's expertise and strength based interventions, including alternative narratives and solution focused conversations. Another important aspect of this approach is to allow the patient to take the initiative in making a change in their behaviour, and to take responsibility for their health. Taking a competency history is a useful additional skill for GPs, and may be a valuable addition to undergraduate medical training.

Item ID: 19527
Item Type: Article (Research - C1)
ISSN: 0300-8495
Keywords: medical history taking/methods; general practice; physician-patient relations
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Date Deposited: 16 Jan 2012 23:30
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified @ 100%
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