Editor – The study on attitudes and perceptions of rheumatologists regarding consultation skills raised important points (Clin Med February 2010 pp 8–12). Standardised approaches to assessment would help maintain both trainee and trainer acceptability and reliability. However, this must require training from both sides. Thus, it would be interesting to note if a larger survey would still show all consultants feeling confident to provide feedback irrespective of levels of formal training in consultation skills.
Videotaped consultations can sometimes be just as intimidating as directly observed consultations.1 They do, however, provide opportunities for self-observation and re-evaluation in cases of controversial feedback. Using several consultations for assessments and opportunities to view simulated consultations for training purposes can help increase trainee confidence and reduce apprehension.2 I agree, however, that there is still a need for directly observed training as consultation skills are developed in various settings including ward areas where videotaping may be more difficult.
References
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