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Assessment of doctors' consultation skills in the paediatric setting: the Paediatric Consultation Assessment Tool

R J Howells1, H A Davies, J D Silverman

  • 1Plymouth Hospitals NHS Trust, Plymouth, Devon, UK. rachel.howells@phnt.swest.nhs.uk

Archives of Disease in Childhood
|November 21, 2008
PubMed

Insights

The Paediatric Consultation Assessment Tool (PCAT) reliably measures clinician communication skills with children and parents. This novel tool is valid and feasible for assessing triadic consultation skills through direct observation.

Area of Science:

  • Medical Education
  • Clinical Communication
  • Paediatric Healthcare

Background:

  • Effective communication is crucial in paediatric healthcare.
  • Assessing clinician communication skills with children and parents is challenging.
  • Existing tools may not adequately capture the nuances of triadic consultations.

Purpose of the Study:

  • To determine the utility of a novel Paediatric Consultation Assessment Tool (PCAT).
  • To evaluate PCAT's reliability, validity, and feasibility for assessing paediatric consultation skills.
  • To analyze clinicians' communication behaviors and clinical skills in paediatric settings.

Main Methods:

  • The Paediatric Consultation Assessment Tool (PCAT) was developed based on consensus guidelines.
  • Volunteer clinicians provided videotaped real paediatric consultations.
  • Trained assessors scored communication skills using PCAT, with data analyzed for measurement characteristics and generalizability.

Main Results:

  • 188 consultations were analyzed, indicating 3-4 videos are needed for reliable assessment of doctor's skills using PCAT.
  • Factor analysis revealed two main components: "clinical skills" and "communication behaviour".
  • Significant differences were found in scores for parent versus child communication and for information-sharing versus relationship-building skills.

Conclusions:

  • The Paediatric Consultation Assessment Tool (PCAT) is a reliable, valid, and feasible instrument.
  • PCAT effectively assesses triadic consultation skills through direct observation in paediatric settings.
  • The tool provides valuable insights into clinician communication dynamics in paediatric care.
Abstract

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