Table 1
Intern completion of checklist behaviors as assessed by experienced senior clinicians at end of academic year
|
Checklist item |
Coached |
Control |
p value |
|---|---|---|---|
|
N = 8 (% complete) |
N = 7 (% complete) | ||
|
Is fully present during encounter |
8 (100) |
7 (100) |
1.00 |
|
Listens attentively |
8 (100) |
7 (100) |
1.00 |
|
Avoids medical jargon |
8 (100) |
7 (100) |
1.00 |
|
Positions self to facilitate communication |
8 (100) |
7 (100) |
1.00 |
|
Gives undivided attention to patient before/after charting |
8 (100) |
7 (100) |
1.00 |
|
Employs adequate eye contact when using EMR |
8 (100) |
7 (100) |
1.00 |
|
Obtains adequate information to arrive at diagnosis/plan |
8 (100) |
7 (100) |
1.00 |
|
Interprets data and formulates plan appropriate for problem |
8 (100) |
7 (100) |
1.00 |
|
Creates comprehensive management plan for patient |
8 (100) |
7 (100) |
1.00 |
|
Enables patient to understand comprehensive management plan |
8 (100) |
7 (100) |
1.00 |
|
Describes evidence base to treat patient |
5 (63) |
5 (71) |
0.71 |
|
Closes visit with open-ended question |
6 (75) |
4 (57) |
0.46 |
|
Completes appropriate physical exam |
7 (88) |
7 (100) |
0.33 |
|
Asks open-ended questions |
8 (100) |
6 (86) |
0.27 |
|
Collaborates with patient using EMR |
8 (100) |
6 (86) |
0.27 |
|
Manages visit time appropriately |
8 (100) |
6 (86) |
0.27 |
|
Counsels on behavioral change |
6 (75) |
3 (43) |
0.21 |
|
Uses appropriate physical exam technique |
6 (75) |
3 (43) |
0.21 |
|
Outlines reasons to re-contact |
6 (75) |
3 (43) |
0.21 |
|
Demonstrates ability to prioritize multiple issues during visit |
7 (88) |
4 (57) |
0.19 |
|
Addresses social/financial concerns |
7 (88) |
4 (57) |
0.19 |
|
Asks thoughtful questions |
8 (100) |
5 (71) |
0.10 |
|
Assesses understanding (teach back) |
6 (75) |
2 (29) |
0.07 |
Fig. 1
Intern grade distribution
