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SIGNPOSTING

Transitional statement which allows the doctor to signal a change in direction, and move from one section of the consultation to another.

 It is the twin statement of SUMMARISING.

 Benefits.

        the patient knows where the doctor is going and why

        the doctor shares his thoughts and plans with the patient

        permission seeking - promotes rapport

        consultation is structured overtly for both patient and doctor

        uncertainty is reduced on both sides

        collaboration is promoted

        mutually common ground is established

 It can be used: 

        to move from the beginning of the consultation into information gathering

        open to closed questions

        eliciting specific answers to questions on ideas, concerns and expectations

        moving on to the examination

        moving into explanation and planning

 

 

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