Table 2.

Key skills identified for community-based consultants.

Skills areasQuotation (interview ID)
Acceptance and management of risk…you're having to accept that you're taking greater risks in some ways. And also I think it's almost going back to your basics, your clinical skills cause that's what you rely on. Because you can't always get everything else around you to say well actually it's not x, y and z. Which might not be a bad thing but it's a different way of working… (GM 03)
TeamworkCommunication is a huge one, managing a team is another big one, you know, being able to work well within a team environment and being able to trust your other team members is absolutely key… (RM 09)
Holistic management of patients at home…the biggest point of learning is to think much more broadly than simple medicine. So it's dealing with the whole psychosocial components of a presentation because in frail older people living in the community simply fixing the medicine doesn't solve their issues, doesn't solve the problem, more broad base problem solving approach, than you would traditionally get in acute medicine, so it's much more challenging. That's what makes it interesting… (GM 08)
And I have a much better insight into you know how difficult it is assessing somebody at home sometimes. You know you've got the dog or you've got whatever and trying to examine abdomens, it's very hard at home. Yes all of those things is very difficult… (GM 03)