The multisite field trial of the consultation-liaison psychiatry assessment instrument

Philip R. Muskin, Elisabeth S.J. Kunkel, Linda L.M. Worley, Teresita A. McCarty, Emelia Bagiella, Joel Wallack, Judith Milne, James R. McCartney, Robert B. Santulli, Frances Stewart, Bernard Frankel, Geoffry Margo, Arnold Goldman, Ronald O. Rieder, Allan Tasman

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

A multisite field trial was conducted at 11 institutions to test the clinical reliability of a 29-item consultation-liaison (C-L) psychiatry assessment instrument. Twenty-five raters viewed videotapes of two 'trainees' conducting clinical interviews with a simulated patient. One trainee was a medical student, the other was a fellow in psychiatry. Raters completed the 29-item assessment instrument for each trainee. The mean value scores reflected the skill of each trainee. The medical student had a mean score of 1.93, whereas the C-L fellow had a mean score of 3.13 which parallels the expected level of skill for the two interviewers. Eighty-six percent of the items (25/29) had a standard deviation (SD) of less than 1.0. Each of the remaining four items (14%) had a SD minimally greater than 1.0. These results reflect clear wording of items with measurable parameters defined for assessing trainees' skills. The authors present different uses for the assessment instrument, including giving feedback to trainees regarding interviewing techniques and skills; setting 'gold' and 'lead' standards for clinical C-L interviewing skills; and training supervisors in evaluation using a standardized assessment instrument.

Original languageEnglish (US)
Pages (from-to)16-23
Number of pages8
JournalGeneral Hospital Psychiatry
Volume19
Issue number1
DOIs
StatePublished - Jan 1997

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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