PMID: 8594406Nov 1, 1995Paper

The assessment of communication skills in palliative medicine: a comparison of the scores of examiners and simulated patients

Medical Education
I G FinlayP Kinnersley

Abstract

The Diploma in Palliative Medicine was established in 1991 and included communication skills as a major part of the curriculum. In order to assess the efficacy of doctors' communication skills in the Diploma examination, an assessment tool was developed based on the modified Prevara Score. Simulated (actor) patients are used for the consultation in the examination; the doctors' performance is assessed independently by the examiner and by the actor. This provides an opportunity to consider the methods used for describing agreement between raters. There was high correlation between examiners' and actors' scores and high acceptability of the scoring method. However, satisfactory agreement in terms of the mean differences between scores and their standard deviation between examiners' and actors' scores was not achieved. We have found the simulated patient interview to be a useful teaching and assessment tool. The good correlation between the observer's (examiner) and the recipient's (actor-patient) perception of the doctor's interviewing skills provides evidence of the validity of the assessment. However the actor-patients' ratings tended to be higher and the two groups of assessors could not be used interchangeably. We conclude th...Continue Reading

References

Oct 1, 1988·BMJ : British Medical Journal·P Maguire, A Faulkner
Oct 8, 1988·BMJ : British Medical Journal·P Maguire, A Faulkner
Oct 15, 1988·BMJ : British Medical Journal·P Maguire, A Faulkner
Jun 1, 1986·Family Practice·J BrownJ Levenstein
Mar 1, 1985·Journal of Medical Ethics·A H Crisp
May 25, 1974·British Medical Journal
Jan 10, 1981·British Medical Journal·D W PettingaleM Watson
Dec 1, 1982·Culture, Medicine and Psychiatry·A Kleinman, J L Gale
Nov 29, 1980·British Medical Journal·P MaguireR Sellwood
Mar 7, 1993·British Journal of Nursing : BJN·S Hinchliff
Apr 17, 1993·BMJ : British Medical Journal·J Cox, H Mulholland
May 25, 2002·Journal of the Royal Army Medical Corps·M D Coombe, A J Leach

❮ Previous
Next ❯

Citations

Dec 7, 2000·Medical Education·G M Humphris, S Kaney
Oct 14, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·M B DonnellyR Schwartz
Feb 23, 2005·Archives of Disease in Childhood·H DaviesC Pullan
Sep 28, 2002·BMJ : British Medical Journal·Jeff Luck, John W Peabody
May 19, 2007·International Journal of Nursing Studies·Marian Adriaansen, Theo van Achterberg
Mar 22, 2014·The Journal of Continuing Education in the Health Professions·Michael ConnollyCathy Heaven
May 3, 2014·Medical Teacher·Siaw-Cheok LiewAnkur Barua
Apr 20, 2011·Patient Education and Counseling·Jan C Wouda, Harry B M van de Wiel
Jan 11, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Philip E M SmithGlyn Elwyn
Jun 19, 2016·BMJ Supportive & Palliative Care·Lucy N Walker, Lynne Russon
Aug 18, 2004·Evaluation & the Health Professions·Lisa D Howley
Feb 3, 2006·Journal of Immunoassay & Immunochemistry·A B KleinC M Reilly
Jun 13, 2006·Journal of Veterinary Medical Education·Suzanne Kurtz
Feb 6, 2008·Topics in Stroke Rehabilitation·Marian W Roman
Sep 19, 2017·Neuropsychological Rehabilitation·John E PierceMiranda L Rose
Jan 10, 2014·International Journal of Speech-language Pathology·Kerryn AldousAlison Ferguson
Aug 17, 2012·Journal of Speech, Language, and Hearing Research : JSLHR·Anna CauteJane Marshall
Jan 31, 2008·Journal of Speech, Language, and Hearing Research : JSLHR·Lisa H MilmanSteve Rapcsak
Mar 4, 2021·Medical Teacher·Syed GilaniSiddharth Sinha
Sep 18, 2021·BMJ Supportive & Palliative Care·Felicity DewhurstKerry Waterfield

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.