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Table 3 Average resident performance on each checklist overall and each checklist item

From: Development of a telehealth obesity OSCE and reliable checklist for assessment of resident physicians: a pilot study

 

Standardized Patient Assessment

Resident Self-Assessment

History Taking Checklist, N (%) [SE]

N = 643

N = 359

 

417 (64.8) [1.2]

258 (71.9) [2.4]*

History Taking Skills Checklist Items

N = 46

N = 26

1. Asked when the patient first began struggling with weight

43 (93.5) [3.7]

23 (92.0) [5.5]

2. Asked the patient’s highest and lowest weights

7 (15.2) [5.4]

2 (7.7) [5.3]

3. Asked about the patient’s past attempts to lose weight

41 (89.1) [4.6]

23 (92.0) [5.5]

4. Asked why the patient thinks he/she is gaining/gained weight

22 (47.8) [7.4]

12 (46.2) [10]

5. Asked a 24-hour diet recall

39 (84.8) [5.4]

21 (80.8) [7.9]

6. Asked about beverage consumption

22 (47.8) [7.4]

14 (53.8) [10)]

7. Asked about prior attempts to change his/her diet

40 (87.0) [5.0]

21 (80.8) [7.9]

8. Asked about barriers to healthier eating

27 (58.7) [7.4]

19 (73.1) [8.9]*

9. Asked about the type of physical activity the patient performs

45 (97.8) [2.2]

26 (100.0) [0.0]

10. Asked about the amount of physical activity the patient performs

16 (35.6) [8.3]

25 (96.2) [3.8]*

11. Asked about barriers to performing more physical activity

22 (47.8) [7.2]

17 (65.4) [9.5]*

12. Asked about the patient’s concerns regarding his/her excess weight

39 (84.8) [5.4]

19 (82.6) [8.1]

13. Asked if the patient feels supported by his/her family or partner

22 (47.8) [7.4]

10 (38.5) [9.7]

14. Completed the encounter in the allotted time

32 (69.6) [6.9]

26 (100.0)[0.0]*

Communication Skills Checklist Overall, Mean (SE)

3.8 (0.0)

3.9 (0.1)*

Communication Skills Checklist Items, Mean (SE)

 1. Eye contact

4 (0.1)

n/a§

 2. Facial expressions

3.7 (0.1)

n/a§

 3. Body language

3.9 (0.1)

n/a§

 4. Language and vocabulary

3.8 (0.1)

4.2 (0.1)*

 5. Attention

3.9 (0.1)

3.8 (0.1)

 6. Verbalizing understanding of history

3.7 (0.1)

4.1 (0.1)*

 7. Asking open ended questions

3.9 (0.1)

3.9 (0.2)

 8. Using people first language

3.9 (0.0)

4 (0.2)

 9. Organization

3.6 (0.1)

3.6 (0.2)

Professionalism Checklist Overall, Mean (SE)

3.9 (0.0)

4.1 (0.1)*

Professionalism Checklist Items, Mean (SE)

 1. Respect

4.0 (0.1)

4.2 (0.2)

 2. Empathy

4.0 (0.1)

4.2 (0.1)

 3. Honesty/integrity

3.9 (0.1)

4.3 (0.1)*

 4. Responsibility/accountability

3.8 (0.1)

3.8 (0.1)

 5. Promoting a collaborative environment

3.8 (0.1)

4.1 (0.1)

 6. Demonstrating lack of bias

3.9 (0.1)

n/a§

  1. * p < 0.05 for t-test comparing standardized patient and resident self-assessment
  2. N = 45 given missing SP data point
  3. N = 25 given missing resident data point
  4. § Item not included on resident self-assessment checklist
  5. Residents asked 65–70% of items on the history taking checklist with <50% receiving credit on 6/14 items. Overall performance on communication and professionalism checklists ranged from 3.8–4.1/5