title: Resident Ratings of Communication Skills Using the Kalamazoo Adapted Checklist.
abstract: BACKGROUND
  The Kalamazoo Essential Elements Communication Checklist-Adapted (KEECC-A) is a well-regarded instrument for evaluating communication and interpersonal skills. To date, little research has been conducted that assesses the accuracy of resident self-ratings of their communication skills.
  
  
  OBJECTIVE
  To assess whether residents can accurately self-rate communication skills, using the KEECC-A, during an objective structured clinical examination (OSCE).
  
  
  METHODS
  A group of 104 residents from 8 specialties completed a multistation OSCE as part of an institutional communication skills curriculum conducted at a single institution. Standardized patients (SPs) and observers were trained in rating communication skills using the KEECC-A. Standardized patient ratings and resident self-ratings were completed immediately following each OSCE encounter, and trained observers rated archived videotapes of the encounters.
  
  
  RESULTS
  Resident self-ratings and SP ratings using the KEECC-A were significantly correlated (r104  = 0.238, P = .02), as were resident self-ratings and observer ratings (r104  = 0.284, P = .004). The correlation between the SP ratings and observer (r104  = 0.378, P = .001) ratings were larger in magnitude, but not significantly different (P > .05) from resident/SP or resident/observer correlations.
  
  
  CONCLUSIONS
  The results suggest that residents, with a modicum of training using the KEECC-A, can accurately rate their own communication and interpersonal skills during an OSCE. Using trained observers to rate resident communication skills provides a unique opportunity for evaluating SP and resident self-ratings. Our findings also lend further support for the reliability and validity of the KEECC-A.
authors.forename: John H
authors.initials: JH
authors.lastname: Porcerelli
authors.forename: Simone
authors.initials: S
authors.lastname: Brennan
authors.forename: Jennifer
authors.initials: J
authors.lastname: Carty
authors.forename: Maisa
authors.initials: M
authors.lastname: Ziadni
authors.forename: Tsveti
authors.initials: T
authors.lastname: Markova
mesh_terms: D057189:Checklist; D003142:Communication; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency; D016544:Patient Simulation; D010817:Physician-Patient Relations; D015203:Reproducibility of Results; D012647:Self-Assessment; D066107:Social Skills