Adopting the legal standpoint
Some may try to justify this stance as making clear the professional boundaries and setting out clear roles and responsibilities. There's not much value to being technically sound when it's applied with such limited interpersonal skills. This version of the consultation focuses on Relating to Others.
The entrenched views become confrontative on who holds the upper hand, and as the tension escalates, the consultation deteriorates.
If you ended up going down this path with another professional- how could you recover? What phrase would you use to reset the consultation and try a more beneficial strategy?
Think about Transactional Analysis- Parent, Adult and Child states in the dynamics of the conversation:
Discuss with your Trainer what transaction this version of the consultation represents.
Adult-Adult? Parent-Child?
For Shared Decision Making to be effective, we need to facilitate Adult-Adult interactions, between professionals as in this case, and enabling patients who may present in a passive, child-like or dependent state, to take ownership in the shared decision and become active in generating their way forward through the problem.
SCA Feedback Statements
Teamwork and or understanding of others roles was insufficiently recognised or responded to
The examiners felt you did not demonstrate an adequate understanding or application of teamwork.
This may mean you did not recognise, value or involve the various team members who work in primary care. Perhaps you did not demonstrate an understanding of the context within which different team members are working, for examples Health Visitors and their role in safeguarding. Or perhaps your communication with team members did not enhance team-work or patient care.
For example, should the palliative care team be involved when cancer treatment comes to an end? Or might the physiotherapist have a role to play for shoulder pain? On the other hand, is it reasonable to ask your practice mental health practitioner to offer weekly appointments to someone with mild anxiety?
Suggestions
Attend and contribute to MDT meetings in your practice. Sit in with Allied Health Professionals in your practice or beyond. Try to develop an understanding of the context of their work, including how best to liaise and collaborate in the best interest of patient care.