Cited by 457Innovations in Medical EducationPatient-Provider Communication in HealthcareEmpathy and Medical Education

The SEGUE Framework for teaching and assessing communication skills

Makoul, Gregory·2001·Patient Education and Counseling

Abstract

This article examines uses and characteristics of the SEGUE Framework, a research-based checklist of medical communication tasks. A recent survey of US and Canadian medical schools indicates that the SEGUE Framework is the most widely used structure for communication skills teaching and assessment in North America. Student and faculty response to the SEGUE Framework as a teaching tool has been positive. Data drawn from clinical skills assessments with standardized patients provide evidence of concurrent and construct validity. Analysis of visits between general internists and their patients reinforces validity of the SEGUE Framework in an actual practice setting. Interrater reliability is high when standardized patients are recording student performance immediately after a live encounter, and when coders are evaluating videotaped or audiotaped encounters; intrarater reliability is strong as well. The SEGUE Framework has a high degree of acceptability, can be used reliably, has evidence of validity, and is applicable to a variety of contexts. Studies of predictive validity are needed.

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Crossref · 10.1016/s0738-3991(01)00136-7

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Authors
Makoul, G.
Affiliations
Northwestern University (US)
Corresponding author
Makoul, Gregory
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2001-10
Volume
45
Issue
1
Pages
23-34
ISSN
0738-3991 (ISSN-L)
OpenAlex
W1964919450
Cited by
457
References
36
Citations by year
2026: 22 · 2025: 22 · 2024: 22 · 2023: 25 · 2022: 20 · 2021: 20 · 2020: 22 · 2019: 28 · 2018: 13 · 2017: 27 · 2016: 21 · 2015: 40 · 2014: 22 · 2013: 18 · 2012: 22
FWCI
5.40
Type
journal article
Language
en
Open access
closed
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Arthur Vining Davis Foundations
  • Northwestern University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
medical communication skills, communication skills assessment, standardized patients, clinical skills assessment, inter-rater reliability, construct validity, concurrent validity, medical education, physician-patient communication
MeSH terms
Clinical Competence, Communication, Education, Medical, Undergraduate, Humans, Physician-Patient Relations, Predictive Value of Tests, Teaching, Videotape Recording, Observer Variation, Models, Educational

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