0056/2025 - “A consulta em 7 passos: o que aprendemos e como melhorar?”
Publicado
Author:
• Victor Manuel Borges Ramos - Ramos, V.M.B - <vramos@ensp.unl.pt>ORCID: 0009-0007-2235-3287
Co-author(s):
• Eunice Isabel do Nascimento Carrapiço - Carrapiço, EIN - <eunicecarrapico@gmail.com>ORCID: https://orcid.org/0000-0002-2703-0563
Abstract:
In 2008, the book A Consulta em 7 passos was published in Portugal. This work proposes, for training and learning purposes, the structuring of medical consultations into three phases and seven steps: preparation; first minutes; exploration; evaluation; plan; closing; and final reflection.This article aims to briefly assess “what we have learned and what we believe can be improved”.
Over the years, the authors have gathered new ideas, criticisms and suggestions on the application of the method in dozens of meetings and training sessions with interns and residents. They highlight the most important ones: the method should be applied with flexibly; the consultation should be considered just one piece of the broader and more complex mosaic that is healthcare for each person; it is important to emphasize the perspective of the meeting of people, agendas and objectives; the existence of a personal, unified and integrative clinical record; the optimal use of information and communication technologies; the need to develop a “personal/individual care plan” and the concept of “personal self-management of health”; include the person-centered clinical method in a more comprehensive systemic model (the “integrated clinical model”); develop collaborative intelligence and action in multidisciplinary teams dedicated to caring for each person and family, including them as active and central members of that team.
