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- Title
Defining competency-based evaluation objectives in family medicine: communication skills.
- Authors
Laughlin T; Wetmore S; Allen T; Brailovsky C; Crichton T; Bethune C; Donoff M; Lawrence K; Laughlin, Tom; Wetmore, Stephen; Allen, Tim; Brailovsky, Carlos; Crichton, Tom; Bethune, Cheri; Donoff, Michel; Lawrence, Kathrine
- Abstract
<bold>Objective: </bold>To provide a pragmatic approach to the evaluation of communication skills using observable behaviours, as part of a multiyear project to develop competency-based evaluation objectives for Certification in family medicine.<bold>Design: </bold>A nominal group technique was used to develop themes and subthemes and to identify positive and negative observable behaviours that demonstrate competence in communication in family medicine.<bold>Setting: </bold>The College of Family Physicians of Canada in Mississauga, Ont.<bold>Participants: </bold>An expert group of 7 family physicians and 1 educational consultant, all of whom had experience in assessing competence in family medicine. Group members represented the Canadian context with respect to region, sex, language, community type, and experience.<bold>Methods: </bold>The group used the nominal group technique to derive a list of observable behaviours that would constitute a detailed operational definition of competence in communication skills; multiple iterations were used until saturation was achieved. The group met several times a year, and membership remained unchanged during the 4 years in which the work was conducted. The iterative process was undertaken twice--once for communication with patients and once for communication with colleagues.<bold>Main Findings: </bold>Five themes, 5 subthemes, and 106 positive and negative observable behaviours were generated. The subtheme of charting skills was defined using a key-features analysis.<bold>Conclusion: </bold>Communication skills were defined in terms of themes and observable behaviours. These definitions were intended to help assess family physicians' competence at the start of independent practice.
- Publication
Canadian Family Physician / Médecin de Famille Canadien, 2012, Vol 58, Issue 4, pe217
- ISSN
0008-350X
- Publication type
journal article