TY - JOUR T1 - Evidence and the Consultation JF - British Journal of General Practice JO - Br J Gen Pract SP - 474 LP - 474 DO - 10.3399/bjgp10X514675 VL - 60 IS - 576 AU - Roger Jones Y1 - 2010/07/01 UR - http://bjgp.org/content/60/576/474.abstract N2 - Thirty years ago Stott and Davies described a structure for the content and conduct of the general practice consultation.1 This consists of four interconnected topics and tasks — understanding and dealing with the acute, presenting problem, attending when appropriate to comorbidity and other chronic medical problems, incorporating health promotion and risk management and evaluating patients' use of health services and their own engagement with their medical problems. The themes of ideas, concerns, and expectations of the biopsychosocial model of illness, and of communication, diagnostic, and negotiating skills run throughout these tasks. Papers in this issue of the BJGP illuminate and build on this approach to patient care, which is given a welcome and interesting new dimension by Ian McKelvey, who describes The Consultation Hill (page 538), a persuasive account of a model to aid the teaching of consultation skills.In terms of understanding illness presentation and of making a … ER -