Assessing students’ communication skills: validation of a global rating
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Communication skills training is an accepted part of undergraduate medical programs nowadays. In addition to learning experiences its importance should be emphasised by performance-based assessment. As detailed checklists have been shown to be not well suited for the assessment of communication skills for different reasons, this study aimed to validate a global rating scale. A Canadian instrument was translated to German and adapted to assess students’ communication skills during an end-of-semester-OSCE. Subjects were second and third year medical students at the reformed track of the Charité-Universitaetsmedizin Berlin. Different groups of raters were trained to assess students’ communication skills using the global rating scale. Validity testing included concurrent validity and construct validity: Judgements of different groups of raters were compared to expert ratings as a defined gold standard. Furthermore, the amount of agreement between scores obtained with this global rating scale and a different instrument for assessing communication skills was determined. Results show that communication skills can be validly assessed by trained non-expert raters as well as standardised patients using this instrument.
- Aspegren, K. (1999). BEME Guide No.2: Teaching and learning communication skills in medicine—a review with quality grading of articles. Medical Teacher, 21(6), 563–570. CrossRef
- Boon, H., & Stewart, M. (1998). Patient–physician communication assessment instruments: 1986 to 1996 in review. Patient Education and Counseling, 35, 161–176. CrossRef
- Burger, W., & Froemmel, C. (2002). Der Berliner Reformstudiengang Medizin, Zielsetzung und erste Erfahrungen. Bundesgesundheitsblatt, 45, 152–158. CrossRef
- Cate ten, T. J., & De Haes, J. C. J. M. (2000). Summative assessment of medical students in the affective domain. Medical Teacher, 22, 40–43. CrossRef
- Cohen, D. S., Colliver, J. A., Marcy, M. S., Fried, E. D., & Swartz, M. H. (1996). Psychometric properties of a standardised-patient checklist and rating-scale form used to assess interpersonal and communication skills. Academic Medicine, 71, S87–S89. CrossRef
- Cunnington, J. P. W., Neville, A. J., & Norman, G. R. (1997). The risks of thoroughness: Reliability and validity of global ratings and checklists in an OSCE. In A. J. J. A. Scherpbier, C. P. M. van der Vleuten, J. J. Rethans & A. F. W. van der Steeg (Eds.), Advances in medical education (pp. 143–145). Dordrecht: Kluwer Academic Publishers.
- Cushing, A. (2002). Assessment of non-cognitive factors. In G.R Norman, C. P. M. van der Vleuten, & D. I. Newble (Eds.), International handbook of research in medical education, (pp. 711–755). Dordrecht: Kluwer Academic Publishers.
- Duffy, F. D., Geoffrey, H. G., Whelan, G., Cole-Kelly, K., & Frankel, R. (2004). Assessing competence in communication and interpersonal skills: The Kalamazoo II Report. Academic Medicine, 79, 495–507. CrossRef
- Heine, N., Garman, K., Wallace, P., Bartos, R., & Richards, A. (2003). An analysis of standardised patient checklist errors and their effect on student scores. Medical Education, 37, 99–104. CrossRef
- Hodges, B., & McIlroy, J. H. (2003). Analytic global OSCE ratings are sensitive to level of training. Medical Education, 37, 1012–1016. CrossRef
- Hodges, B., Regehr, G., McNaughton, N., Tiberius, R., & Hanson, M. (1999). OSCE checklists do not capture increasing levels of expertise. Academic Medicine, 74, 1129–1134. CrossRef
- Humphris, G. M., & Kaney, S. (2001). The Liverpool brief assessment for communication skills in the making of doctors. Advances in Health Sciences Education, 6, 69–80. CrossRef
- Kurtz, S., Silverman, J., & Draper, J. (1998). Teaching and learning communication skills in medicine. Abingdon, Oxon, UK: Radcliffe Medical Press Ltd.
- Lang, F., McCord, R., Harvill, L., & Anderson, D. S. (2004). Communication assessment using the common ground instrument: Psychometric properties. Family Medicine; 36, 189–198.
- Mazor, K. M., Ockene, J. K., Rogers, H. J., Carlin, M. M., & Quirk, M. E. (2005). The relationship between checklist scores on a communication OSCE and analogue patients’ perceptions of communication. Advances in Health Sciences Education, 10, 37–51. CrossRef
- Miller, S. J., Hope, T., & Talbot, D. C. (1999). The development of a structured rating schedule (the BAS) to assess skills in breaking bad news. British Journal of Cancer, 80, 792–800. CrossRef
- Newble, D. (2004). Techniques for measuring clinical competence: Objective structured clinical examination. Medical Education, 38, 199–203. CrossRef
- Regehr, G., MacRae, H., Reznick, R., & Szalay, D. (1998). Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Academic Medicine, 79, 993–997. CrossRef
- Simpson, M., Buckman, R., Stewart, M., Maguire, P., Lipkin, M., & Novack, D. (1991). Doctor–patient communication: the Toronto consensus statement. British Medical Journal, 303, 1385–1387.
- Spencer, J. A., & Silverman, J. (2004). Communication education and assessment: Taking account of diversity. Medical Education, 38, 116–118. CrossRef
- Swartz, M. D., Colliver, J. A., Bardes, C. L., Charon, R., Fried, E. D., & Moroff, S. (1999). Global ratings of videotaped performance versus global ratings of actions recorded on checklists: A criterion for performance assessment with standardised patients. Academic Medicine, 74, 1028–1032. CrossRef
- Van Dalen, J., Prince, C. J. A. H., Scherpbier, A. J. J. A., & Van der Vleuten, C. P. M. (1998). Evaluating communication skills. Advances in Health Sciences Education, 3, 187–195. CrossRef
- Van der Vleuten, C. P. M., Dolmans, D. H. J. M., & Scherpbier, A. J. J. A. (2000). The need for evidence in education. Medical Teacher, 22, 246–250. CrossRef
- Van der Vleuten, C. P. M., Norman, G. R., & De Graaf, E. (1991). Pitfalls in the pursuit of objectivity: Issues of reliability. Medical Education, 25, 110–118. CrossRef
- Yedidia, M., Gillespie, C. C., Kachur, E., Schwartz, M. D., & Ockene, J. et al. (2003). Effect of communication training on medical student performance. JAMA, 290, 1157–1165. CrossRef
- Assessing students’ communication skills: validation of a global rating
Advances in Health Sciences Education
Volume 13, Issue 5 , pp 583-592
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Communication skills
- Global rating scale
- Medical education
- Industry Sectors
- Author Affiliations
- 1. Reformstudiengang Medizin, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
- 2. Klinik fuer Anaesthesiologie und Intensivmedizin, Campus Virchow-Klinikum und Campus Charité Mitte, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany