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    The feasibility of a multi-format Web-based assessment of physicians' communication skills

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    Authors
    Kim, Sara
    Brock, Douglas M.
    Hess, Brian J.
    Holmboe, Eric S.
    Gallagher, Thomas H.
    Lipner, Rebecca S.
    Mazor, Kathleen M.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    2011-09-10
    Keywords
    Clinical Competence
    *Communication
    Educational Measurement
    Educational Status
    Feasibility Studies
    Feedback
    Female
    Health Care Surveys
    Humans
    *Internet
    Male
    Online Systems
    Physician's Practice Patterns
    *Physician-Patient Relations
    Physicians
    Questionnaires
    Reproducibility of Results
    Statistics as Topic
    United States
    Videotape Recording
    Health Services Research
    Primary Care
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    Link to Full Text
    http://dx.doi.org/10.1016/j.pec.2011.04.003
    Abstract
    OBJECTIVE: Little is known about the best approaches and format for measuring physicians' communication skills in an online environment. This study examines the reliability and validity of scores from two Web-based communication skill assessment formats. METHODS: We created two online communication skill assessment formats: (a) MCQ (multiple-choice questions) consisting of video-based multiple-choice questions; (b) multi-format including video-based multiple-choice questions with rationales, Likert-type scales, and free text responses of what physicians would say to a patient. We randomized 100 general internists to each test format. Peer and patient ratings collected via the American Board of Internal Medicine (ABIM) served as validity sources. RESULTS: Seventy-seven internists completed the tests (MCQ: 38; multi-format: 39). The adjusted reliability was 0.74 for both formats. Excellent communicators, as based on their peer and patient ratings, performed slightly better on both tests than adequate communicators, though this difference was not statistically significant. Physicians in both groups rated test format innovative (4.2 out of 5.0). CONCLUSION: The acceptable reliability and participants' overall positive experiences point to the value of ongoing research into rigorous Web-based communication skills assessment. PRACTICE IMPLICATIONS: With efficient and reliable scoring, the Web offers an important way to measure and potentially enhance physicians' communication skills.
    Source
    Patient Educ Couns. 2011 Sep;84(3):359-67. Epub 2011 May 6. Link to article on publisher's site
    DOI
    10.1016/j.pec.2011.04.003
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37133
    PubMed ID
    21550197
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.pec.2011.04.003
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