The 7-step consultation: what we learned and how to improve it?

Area of Science:

• Medical Education
• Clinical Practice
• Healthcare Management

Background:

• The book "A Consulta em 7 passos" (Consultation in 7 Steps) was published in 2008, proposing a structured approach to medical consultations for training.
• This article reflects on learnings and potential improvements for the method based on practical application and feedback.

Purpose of the Study:

• To assess the practical application and identify areas for improvement of the "Consultation in 7 Steps" method.
• To incorporate new insights into the training and practice of medical consultations.

Main Methods:

• The study is a reflective assessment based on years of experience with the "Consultation in 7 Steps" method.
• Gathering feedback and suggestions from interns and residents through meetings and training sessions.

Main Results:

• The method requires flexible application and should be viewed as part of a larger healthcare picture.
• Key improvements include emphasizing personal care plans, self-management of health, and integrating information technology.
• The importance of a unified clinical record and collaborative intelligence in multidisciplinary teams is highlighted.

Conclusions:

• The "Consultation in 7 Steps" method can be enhanced by a flexible, person-centered, and technologically integrated approach.
• Future improvements should focus on systemic integration, collaborative intelligence, and personal health management.
• The method's adaptability supports comprehensive, team-based patient care.