The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
The SEGUE Framework for teaching and assessing communication skills
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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“To our knowledge, this is the first study to generate such triangulated, rubric-based evidence in Spanish-speaking medical students, within a Latin American setting (Makoul, 2001a, 2001b).”
From DIALOGUE: A Generative AI-Based Pre–Post Simulation Study to Enhance Diagnostic Communication in Medical Students Through Virtual Type 2 Diabetes Scenarios (2025) · cites this paper as Makoul, 2001b
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Cites
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398
Statistical Methods for Rates and Proportions
Fleiss, J. L., Levin, B., & Paik, M. C. (2003) · Wiley Series in Probability and Statistics · doi:10.1002/0471445428 · Cited by 18,646
The Association of American Medical Colleges
ZAPFFE, F. C. (1938) · Academic Medicine · doi:10.1097/00001888-193801000-00007 · Cited by 5,527
Effective physician-patient communication and health outcomes: a review.
(1995) · Europe PMC (PubMed Central) · Cited by 4,085
Conventional wisdom on measurement: A structural equation perspective.
Bollen, K., & Lennox, R. (1991) · Psychological Bulletin · doi:10.1037/0033-2909.110.2.305 · Cited by 3,618
Doctor-patient communication: a review of the literature
Ong, L. M. L., de Haes, J. C. J. M., Hoos, A. M., & Lammes, F. B. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)00155-m · Cited by 2,430
Observing Interaction: An Introduction to Sequential Analysis
Willson, V. L., Bakeman, R. A., & Gottman, J. M. (1988) · Journal of Educational Statistics · doi:10.2307/1164658 · Cited by 2,301
Coefficient Kappa: Some Uses, Misuses, and Alternatives
Brennan, R. L., & Prediger, D. J. (1981) · Educational and Psychological Measurement · doi:10.1177/001316448104100307 · Cited by 1,676
Patient-Centered Medicine: Transforming the Clinical Method
Stewart, M., Brown, J. B., Weston, W. W., McWhinney, I. R., McWilliam, C. L., & Freeman, T. R. (1995) · Cited by 1,299
Essential Elements of Communication in Medical Encounters: The Kalamazoo Consensus Statement
Makoul, G. (2001) · Academic Medicine · doi:10.1097/00001888-200104000-00021 · Cited by 917
Self-citation
Research works printed but not linked: 4
- Lancaster, 1989, Where patients are partners, Wall Street J., 24, 5D
- Nunnally J, Psychometric theory. New York: McGraw-Hill, 1978.
- Makoul G, Sliwa J. A context-based communication training program for resident physicians. Presented at the Teaching about Communication in Medicine Conference. Oxford, 1996.
- Bourke T, Power K, McDermot E, Crown J, Fennelly D, Carr A. Improved doctor/patient indices in oncology: results of a prospective, controlled evaluation and intervention based on the E4 model. Presented to the European Society for Medical Oncology (23rd ESMO Conference). Athens, 1998.
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Assessing Competence in Communication and Interpersonal Skills: The Kalamazoo II Report
Duffy, F. D., Gordon, G. H., Whelan, G. P., Cole‐Kelly, K., & Frankel, R. M. (2004) · Academic Medicine · doi:10.1097/00001888-200406000-00002 · Cited by 664
Makoul, G. T., Krupat, E., & Chang, C. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.05.005 · Cited by 442
Self-citationUK consensus statement on the content of communication curricula in undergraduate medical education
Von Fragstein, M., Silverman, J., Cushing, A., Quilligan, S., Salisbury, H., Wiskin, C., & on behalf of the UK Council for Clinical Communication Skills Teaching in Undergraduate Medical Education (2008) · Medical Education · doi:10.1111/j.1365-2923.2008.03137.x · Cited by 330
Literacy, self-efficacy, and HIV medication adherence
Wolf, M. S., Davis, T. C., Osborn, C. Y., Skripkauskas, S., Bennett, C. L., & Makoul, G. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2006.08.006 · Cited by 292
Self-citationTraining health professionals in shared decision-making: An international environmental scan
Légaré, F., Politi, M. C., Drolet, R., Desroches, S., Stacey, D., & Bekker, H. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.01.002 · Cited by 288
Metadata
- 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)
- 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
- 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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