Context
We received the following information. The questioner had received conflicting advice from multiple sources.
Shared Medical Appointments (SMA) are a type of group medical appointment that typically lasts 90 minutes during which 8-12 patients have individual and consecutive consultations with a GP, while other participants listen and can participate.
SMAs are not group education, they are individual and consecutive medical appointments, usually with a GP. There is also a trained facilitator present to manage the overall flow of each session.
The typical SMA workflow is as follows:
- Patients arrive at the nominated time and are greeted by a trained facilitator.
- For the first 20-30 minutes the facilitator conducts welcome formalities. There is no GP present during this period.
- A GP joins the SMA after welcome formalities have been completed.
- The GP commences the first consultation with the first patient, with other patients being present who are listening and able to participate.
- A timekeeper rings a bell (or similar) at 5 minutes and 6 minutes to notify the GP that it is time to complete the first patient consultation and move on to the second.
- This continues for approximately 1 hour during which all patients have had their one-on-one consultation with the GP.