Where to buy the book
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About Two Houses GP
Two Houses GP is the home of the Two Houses Consultation Model, a new way of thinking about the GP Consultation devised by Dr Martin Brunet and described in his book:
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The GP Consultation Reimagined: A Tale of Two Houses
published in 2020 by Scion Publishing.
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Martin is a GP and GP Trainer near Guildford and was a Training Programme Director on the Guildford GP Training scheme from 2009-2019. Having taught on the consultation over these 10 years, and developed the model over that time, he stepped down from his TPD role in order to write the book.
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Martin can be found on twitter @docmartin68
This book will not teach you to improve your consultations. That is its great merit. Instead, it will encourage you to learn how to consult better
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From the Foreword by Roger Neighbour
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An extraordinarily persuasive new way of imagining the consultation and the relationship between doctor and patient that sustains it. This book makes me feel as if I'd like to start my career all over again
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Iona Heath, retired GP, essayist and former RCGP President
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Written with beautiful clarity, and with compelling examples. This is one of the most comprehensive accounts of GP tradecraft that I have ever read. It is also endearingly personal, and as such I hope it will become a classic of our profession
John Launer, GP, medical educator and author
The House of Discovery
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The House of Discovery is where doctor and patient work together on the first major objective of the consultation:
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WORKING OUT WHAT MATTERS
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This part of the consultation can be envisaged as though the doctor is visiting the patient's home, where the problem the patient brings is explored in the context of their unique situation, beliefs, preferences and priorities. This House of Discovery is visited repeatedly, with each consultation building on the last. Different skills are required for exploring regular areas of the house, compared with heading down to the hidden depths of the basement, or the unruly nature of the garden.
The House of Decision
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The House of Discovery is where doctor and patient work together on the second major objective of the consultation:
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DECIDING TOGETHER WHAT TO DO ABOUT IT​
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This second part of the consultation is imagined as the doctor taking the patient on a tour of a medical house where every room contains a possible action that could be taken, whether it is an explanation of the problem, a test to arrange or a treatment to consider. Some of the rooms are simple to navigate, while others pose significant challenges. The model explores the nature of specific rooms including Empty, Locked and Hidden Rooms as well as the dreaded Room 101.
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Key Concepts in the House of Discovery
Transition
