Table 7. Judges’ Scoring Sheet.

During the simulated patient encounter, the observing residents were given this score sheet to evaluate the interaction between the actors and the lead resident, guided by the main objectives of the simulated patient encounter.

Team Names:
Judge:
Positive, clear communication in the presence of an interpreter - Introduces self; speaks directly to patient; smiling at the patient, keeping eye contact with patient, speaking slowly, engages in rapport building
1: Delayed or incorrect performance of most criteria	2: Delayed or incorrect performance of many criteria	3: Delayed or complete performance of some criteria	4: Competent performance of most criteria	5: Efficient and rapid performance of all criteria
Performs an adolescent interview - Asks questions related to the HEEADSSS questionnaire: home, education, eating, activities, drugs, sexuality, suicidality, and safety
1: Delayed or incorrect performance of most criteria	2: Delayed or incorrect performance of many criteria	3: Delayed or complete performance of some criteria	4: Competent performance of most criteria	5: Efficient and rapid performance of all criteria
Probes for reason behind hesitancy and discomfort of patient - Asks open-ended questions about patient’s concerns, demonstrates awareness of patient’s demeanor change
1: Delayed or incorrect performance of most criteria	2: Delayed or incorrect performance of many criteria	3: Delayed or complete performance of some criteria	4: Competent performance of most criteria	5: Efficient and rapid performance of all criteria
Explores adolescent’s beliefs with cultural humility – Asks about how the story made her feel, empathize with her, asks about her thoughts (and/or community’s stance) on confidentiality in a non-threatening or non-accusatory manner
1: Delayed or incorrect performance of most criteria	2: Delayed or incorrect performance of many criteria	3: Delayed or complete performance of some criteria	4: Competent performance of most criteria	5: Efficient and rapid performance of all criteria
Engages in supportive interactions around the topic of confidentiality – Acknowledges the importance of adolescent’s knowledge/feelings, expresses shared goals for adolescent
1: Delayed or incorrect performance of most criteria	2: Delayed or incorrect performance of many criteria	3: Delayed or complete performance of some criteria	4: Competent performance of most criteria	5: Efficient and rapid performance of all criteria
Additional Comments: