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Table 3 Final version of the BOCC-tool

From: Assessment of medical students’ integrated clinical communication skills: development of a tailor-made assessment tool

Problem clarification

Good

Mode-Rate

Poor

Not Shown

Reason for visit

    

Cognition (attribution, expectations)

    

Emotion

    

Behaviour

    

Social

    

Specific history

 Introduction him/herself

    

 Somatic information

    

 Main problem

    

 Time start

    

 Evolution in time

    

 Other symptoms

    

Influence problem

 Circumstances that worsen problem

    

 Circumstances that alleviate problem

    

 Effort to relieve problem

    

Communication skills

 Follows patient (open-ended questions, exploration, affirmation)

    

 Dealing with emotions: reflection, paraphrases, uses silence

    

 Directs patient (closed-ended questions, multiple choice questions)

    

 Tests own ideas (closed-ended questions, multiple choice questions)

    

 Asks concretizing questions

    

 Responds adequate: non-suggestive, rhetoric, multiple, yes-buts, medical jargon

    

Integration skills

 Gives summary at end

    

 Integrates problem clarification with specific history

    

 Finishes system review main problem

    

Treatment patient

MODERATE

POOR

Judgement on treatment patient

  

ONLY FILL OUT WHEN TREATMENT NEEDS ATTENTION

 External presentation conform behavioural code

  

 Facial expression

  

 Paraverbal features*

  

 Spatial proximity/distance, touch

  

 Looks at patient

  

 Body position

  

 Body movement and gestures

  

Final Grade (1--10)

 
  1. *tone of voice, intonation, speed of speaking, pauses