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Table 1 Frequency distribution of the scores of the test- version of the BOCC-tool, n = 1344 (in %)

From: Assessment of medical students’ integrated clinical communication skills: development of a tailor-made assessment tool

Area

Generated items

Good

Moderate

Poor

Not shown

Not scored

Content of problem clarification

Reason for visit

67.0

31.6

0.3

0.4

0.7

Somatic information

56.5

38.4

0.3

0.0

4.8

Cognition

49.3

45.3

1.0

2.2

2.2

Emotion

33.7

46.1

4.1

13.0

3.1

Behaviour

45.5

46.2

2.8

2.8

2.8

Social

49.7

45.8

1.3

1.2

2.0

Content specific history

Main problem

62.7

33.3

0.1

0.1

3.8

Time start

52.6

42.4

1.2

1.1

2.7

Evolution in time

52.8

36.7

3.1

2.6

4.9

Other symptoms

42.3

32.4

5.4

9.0

11.0

Circumstances that worsen problem

44.5

35.7

2.9

12.9

3.9

Circumstances that alleviate problem

26.9

38.2

5.5

23.4

5.9

Effort to relieve problem

50.5

34.9

1.9

10.5

2.2

System review concerning main problem

31.8

35.5

14.1

14.7

3.8

Structure interview

Introduces him/herself

72.8

24.3

0.9

1.3

0.7

Summary

33.7

41.2

5.7

15.0

4.4

Integrates problem clarification with specific history

40.0

46.7

3.2

2.4

7.7

Verbal communication skills

Follows patient

58.7

36.7

1.1

0.1

3.4

Reflects on emotions

46.9

42.8

4.7

1.7

3.9

Directs patient

46.1

43.9

1.3

0.3

8.4

Tests own ideas

44.6

43.7

0.7

2.2

8.8

Concretizing questions

51.9

40.6

3.0

0.1

4.4

Responds adequate

48.8

39.7

2.7

0.0

8.9

  

Moderate

Poor

 

Treatment of patient

External presentation

93.8

0.8

5.4

Facial expression

94.9

1.5

3.6

Paraverbal features

90.8

0.7

8.5

Spatial proximity

91.0

0.7

8.3

Looks at patient

95.5

0.9

3.6

Body position

93.8

1.2

5.0

Body movement and gestures

91.1

1.0

7.8