Table 1 OSCE Assessment Domains and Items
From: Associations between medical students’ beliefs about obesity and clinical counseling proficiency
OSCE Skills | Skill parameters | Cronbach’s alpha |
|---|---|---|
Communication skills: Information gathering | Used appropriate questions | 0.664 |
Managed the narrative flow | ||
Allowed you to talk without interrupting | ||
Clarified information by repeating to make sure you understood on an ongoing basis | ||
Communicated concern or intention to help | ||
Communication skills: Relationship building | Non verbal behavior enriched communication (eye contact, posture) | 0.657 |
Acknowledged your emotions/feelings appropriately | ||
Was accepting (nonjudgmental) | ||
Used words patient understood and/or explained jargon. | ||
5As counseling strategy Note: “Arrange” parameter was not assessed in this OSCE. | Assessed how much weight you wanted to lose and discussed how much you should lose. | 0.638 |
Assessed motivation and/or importance to make changes to lose weight. | ||
Assessed confidence in ability to make changes to lose weight. | ||
Allowed patient to explain reasons for current dietary choices and/or what dietary changes she would be willing to make | ||
Assessed physical activity (dancing, walking) and interest in increasing physical activity | ||
Discussed possible specific diet, exercise, self-monitoring goals | ||
Enlisted me in prioritizing a few specific goals (collaborative goal-setting) | ||
Explored barriers or obstacles to achieving goals | ||
Patient activation | How much did this visit help me understand the nature of my problem/health condition | 0.777 |
How much did this visit make you want to change your behavior (engage in the recommended behavior)? | ||
How much did this visit make you feel that you would be able to make the recommended changes/take recommended actions? | ||
Overall reccomendation | Overall, how would you rate this medical student’s professionalism? | 0.669 |
Would you recommend this medical student to a friend or family member for his/her overall communication skills? | ||
Total OSCE score | Sum of scores from all parameters | n/a |