Table 2 Global rating score for overall communication

1

Requires frequent prompting, no economy of words, speaks too quickly or rarely pauses, not structured or clear. Uncertain urgency.

2

Requires significant prompting, recognises important aspects but includes irrelevant information. Urgency was unclear.

3

Some prompting required, concise at times, hesitant or too rapid periodically. Some logical order.

4

Occasional prompting needed. Appropriate pace and pauses. Understanding of patient state, urgency, and likely diagnosis. Some confusion about action required.

5

Reasoned, coherent, and concise delivery. No prompting needed. Pauses appropriately and clarifies (closes the loop).