Dissecting the Consultation - Roger Kneebone

1,321 views · Published 18 December 2018 · 51:24 · Indexed 5 October 2026

Channel: Gresham College · 2018 · Education

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00:00 – Medicine as Science, Skill… and Performance
02:10 – The Consultation: The Core of Medicine
05:00 – From “Taking History” to Real Connection
08:10 – Trauma Surgery vs General Practice Mindset
11:00 – The 5 Stages of a Great Consultation
15:30 – Shifting Focus: From Doctor to Patient
18:40 – Improvisation in Medicine (Like Jazz 🎷)
22:00 – What Magicians Understand About People
26:30 – Live Magic Demonstration (Coin Tricks)
31:30 – Creating Comfort in Awkward Situations
36:30 – Attention Control & Human Psychology
42:00 – Practice, Mastery & Internalising Skill
48:00 – What People Actually Remember
53:00 – Storytelling, Memory & Perception
57:30 – Why Doctors Can Learn from Magicians

The consultation is the focal point of medicine. A clinician and a patient, held together in a relationship of care, collaborate in identifying that patient's needs and finding a solution. Scientific knowledge and clinical skill only make sense in the context of that interaction. Each consultation is unique, a close-up live performance with a very small audience.

After describing key elements of the consultation, an expert in a different kind of close-up live performance will be introduced - Will Houstoun, a leading magician. After watching Will perform, similarities and differences will be explored through conversation.

This lecture was recorded by Professor Roger Kneebone on the 5th December 2018

Roger Kneebone was Visiting Professor of Medical Education at Gresham College and Professor of Surgical Education and Engagement Science at Imperial College London. His clinical career has ranged from trauma surgery in Southern Africa to general practice in Wiltshire and he has a longstanding fascination with education and simulation. His academic interests cross disciplinary boundaries and he is Director of the Imperial College Centre for Engagement and Simulation Science (ICCESS) and the Royal College of Music - Imperial College Centre for Performance Science. 

In recognition of his innovative work combining medicine, music and the arts, Roger has been awarded Honorary Membership of the Royal College of Music, received the City & Guilds of London Art School’s first Honorary Fellowship, and been elected a full member of the Art Workers Guild. In 2012 he was awarded a Wellcome Trust Engagement Fellowship.

The transcript of the lecture is available from the Gresham College website: https://www.gresham.ac.uk/watch-now/dissecting-consultation

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