Helping doctors to improve the 'Patient's Part' of consultation using the 'Macro-Micro Supervision' teaching method

Educ Prim Care. 2019 Mar;30(2):117-121. doi: 10.1080/14739879.2019.1565926. Epub 2019 Jan 20.


A doctor-patient consultation can be viewed as consisting of three parts: Patient's Part, Doctor's Part and Shared Part. Macro-Micro Supervision is a teaching method developed to train doctors in consultation techniques for the initial Patient's Part and to become more patient-centred. Doctors find the Patient's Part of our consultation method the most difficult. Macro-Micro Supervision is used when groups review video-recorded role-plays of real consultations or of simulated consultations, where participants alternate between playing doctor and patient. It can also be used in one-to-one supervision.

Keywords: Consultation; communication; feedback; role-play; supervision; video.

MeSH terms

  • Communication
  • Humans
  • Physician-Patient Relations*
  • Physicians / psychology*
  • Role Playing*
  • Teaching*
  • Video Recording