How to make your consults more effective

These tricky consultations can be difficult to manage wihout a framework to address the problems and ways to address them.
However, it is possible to develop a structured approach to difficult consultations and this reframing may help to progress things for both patients and ourselves.
There is increasing evidence that the relationship between a doctor and their patient affects that patient’s health outcomes.2
But how can this be measured in a way that makes sense and is reproducible?