General description form for assessment instruments
In order to have a comprehensive general description of the assessment
instruments, please adhere to this format.
(Fill in table at the end of the document, using the following instructions)
Name of the instrument: give the name of the instrument and if more versions
exist, specify which version will be submitted
Authors: give the names of all authors who created the instrument – in case the
submitted instrument is a translation, also provide the language and the names
of the authors of the original instrument
Year of publication: give the year the submitted instrument was first published
Type of assessment: e.g. formative or summative assessment – real
patient or simulated patient interaction with health care provider – direct
observation Topic covered: e.g. whole consultation or parts of consultation – verbal
communication – non-verbal communication – dealing with emotions –
shared decision making – breaking bad news – other specific focus
Target group: e.g. undergraduate students or postgraduate trainees or
residents – discipline (dentistry, nursing, medicine, physiotherapy, etc.) –
other specific target group
Assessors: e.g. faculty members, peers, (simulated) patients, …
Languages: Describe what language the actual instrument you are
submitting is in – we welcome instruments in all languages.
If the tool is available in other languages, please also indicate this and if
possible , submit examples of the instrument in each language available
Instrument: give a short description of the instrument emphasizing specific
characteristics like global rating (versus checklist rating), structure of the
instrument, etc.
Additional material: e.g. manual of the instrument or guiding for grading
References: provide if possible references to published articles regarding
the instrument
Contact details of author: provide detailed contact information of the author
of the instrument or of the copyright owner
Name of the instrument
Authors
Year of publication
Type of assessment
Topic covered
Target group
Assessors
Languages
Instrument
Additional material
References
Contact details of authors