Table 1 Comparison of students’ and observers’ and students’ and simulated patients’ assessment of selected items from the Calgary Cambrigde Guide checklist
Students vs. Observers | Students vs. Patients | |||||
|---|---|---|---|---|---|---|
Items | Students N=73% | Observers N=84% | Estimate* (0.95% CI) | Students N=73% | Patients N=84% | Estimate* (0.95% CI) |
1: Identify problems the patient’s wishes to address | 61.4 | 50.0 | 1.29 (0.64; 2.59) | 61.4 | 68.4 | 2.25 (0.98; 5.18) |
2: Use concise, easily understood, jargon free language | 64.3 | 78.9 | 0.47 (0.21; 1.05) | 64.3 | 64.9 | 1.13 (0.57; 2.21) |
3: Structure interview in logical sequence | 28.1 | 52.6 | 0.44 (0.22; 0.89)* | 28.1 | 50.9 | 3.00 (1.28; 7.06)* |
4: Attend to time keeping, and keeping interview on task | 33.3 | 59.6 | 0.25 (0.10; 0.61)* | 33.3 | 56.1 | 3.00 (1.28; 7.06)* |
5: Use appropriate non-verbal behaviour | 78.9 | 80.7 | 1.13 (0.43; 2.92) | 78.9 | 77.2 | 0.79 (0.36; 1.73) |
6: Provide support: express concern, understanding, and willingness to help | 82.5 | 77.2 | 1.83 (0.68; 4.96) | 82.5 | 71.9 | 0.59 (0.27; 1.28) |
7: Share thought and reflection with the patient | 52.6 | 59.6 | 0.63 (0.28; 1.38) | 52.6 | 54.4 | 1.07 (0.53; 2.16) |
8: Clarify patient’s prior knowledge and wish for information | 50.9 | 59.6 | 0.80 (0.37; 1.71) | 50.9 | 52.6 | 0.94 (0.46; 1.90) |
9: Check patient’s understanding | 49.1 | 32.1 | 2.25 (0.98; 5.18) | 49.1 | 47.4 | 0.81 (0.39; 1.69) |
10: Negotiate mutual plan of action | 45.6 | 47.4 | 0.64 (0.28; 1.49) | 45.6 | 45.6 | 0.94 (0.46; 1.90) |
11: Contract with patient the next steps for patient and physician | 61.4 | 67.9 | 0.82 (0.41; 1.67) | 61.4 | 57.9 | 0.87 (0.43; 1.79) |
12: Summarise session briefly and clarify plan of care | 43.9 | 42.9 | 1.14 (0.56; 2.34) | 43.9 | 50.9 | 1.86 (0.74; 4.66) |