Table 1 The eight steps of the ACA (availability, current issues, anticipation) training programme

Step 1

Videotaped GP-patient interview with a trained actor simulating a patient in an advanced stage of lung (role A) or colon (role B) cancer, according to detailed scripts; immediately after the interview the participant receives general feedback on communication style from the actor.

Step 2

Instructions on the ACA checklist, using oral presentations and written information (ACA booklet).

Step 3

Feedback according to the ACA checklist on GP performance during the videotaped GP-patient interview in step 1.

Step 4

Studying the ACA checklist, discussing this material with peers in small groups, and trying out newly acquired skills in their own general practice to identify problem areas from their own experience.

Step 5

Formulating learning goals based on the previous steps.

Step 6

Role-play exercises tailored to the GP’s individual learning goals.

Step 7

A second videotaped interview with an actor simulating a patient.

Step 8

Using the second videotaped interview and the ACA checklist as tools for self-assessment of their communication skills.