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

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The SEGUE Framework for teaching and assessing communication skills

Makoul, Gregory·2001·Patient Education and Counseling

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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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Authors: Makoul, G.
Affiliations: Northwestern University (US)
Corresponding author: Makoul, Gregory
ORCID: 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)
DOI: 10.1016/s0738-3991(01)00136-7
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Patient Education and Counseling (publishedVersion)
PubMed (publishedVersion)
Funders: Arthur Vining Davis Foundations
Northwestern University
Topics: Social Sciences › Education › 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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