Michael Farrell|Pramita Kuruvilla|Kerry L. Eskra|Stephanie Christopher|Rebecca Brienza
A method to quantify and compare clinicians’ assessments of patient understanding during counseling of standardized patients
Medical College of Wisconsin|Contra Costa Regional Medical Center|Medical College of Wisconsin|Medical College of Wisconsin|VA Connecticut Healthcare System
introduce method quantifying clinicians use assessment understanding au questions examine medicine residents au usage counseling standardized patients prostate breast cancer screening explicitcriteria abstraction done 86 transcripts using data dictionary 4 au types also developed procedure estimating load informational content clinician yet assessed understanding duplicate abstraction revealed reliability 096 definite criteria least one au found 6886 transcripts 79 2 transcripts contained request teachback understanding 2 contained openended au 46 54 contained closeended au 18 21 contained ok question load calculation identified long stretches conversation without au many residents transcripts lacked aus included aus often ineffectively phrased inefficiently timed many patients may understand clinicians many clinicians may unaware patients confusion effective au usage important enough encouraged training programs targeted populationscale quality improvement programs quantitative method useful populationscale measurement au usage