Table 2.

Items agreed upon with highest mean score (25 % superior, mean score > 8.34)

N° item	CAT		$\overline{\mathrm{x}}$	M	IQR	% out M
8	A	Conducts a clinical interview by integrating the content (medical history, exam, diagnosis, care plan and evolution) with the process (communication or relational skills).	8,7	9,0	0,0	2,3
10	A	Demonstrates a willingness to involve the patient in the interaction, establishing a therapeutic relationship using a patient-centred approach.	8,6	9,0	1,0	2,3
11	A	Knows the most relevant aspects of non-verbal communication (eye contact, gestures, facial expressions, proxemics, paralanguage…) and their influence on the establishment of an effective relationship.	8,4	9,0	1,0	6,8
12	A	Verifies the patient feels attended and listened to using techniques such as active listening, questions, checks, etc.	8,8	9,0	0,0	0,0
13	A	Perceives the patient’s non-verbal language and responds adequately given the context.	8,6	9,0	1,0	2,3
15	A	Applies social communication skills to welcome patients that foster an effective relationship (greeting, calling the patient by name, making them feel comfortable…).	8,7	9,0	0,0	2,3
16	A	Applies social communication skills to take leave of patients that foster an effective relationship (saying goodbye, accompanying them to the door…).	8,7	9,0	0,0	2,3
17	A	Demonstrates empathy at the right times (emotional reactions, difficult situations…).	8,6	9,0	0,5	2,3
18	A	Recognises difficult situations and communication challenges (crying, strong emotions, interruptions, aggression, anger, anxiety, sensitive or embarrassing topics, cognitive difficulties, bad news, first meeting…).	8,6	9,0	1,0	4,6
19	A	Uses techniques to sensitively and constructively handle difficult situations and communication challenges.	8,4	9,0	1,0	4,6
20	A	Relates with the patient in a respectful manner considering their rights (confidentiality, privacy, autonomy, respect for their values and beliefs).	8,8	9,0	0,0	2,3
24	A	Differentiates illness from disease, recognising the importance of exploring both perspectives.	8,4	9,0	1,0	2,3
26	A	Accurately establishes the reasons for the patient’s visit (open question, no interruptions, explores different reasons…).	8,4	9,0	1,0	4,6
30	A	Uses verbal and non-verbal active listening techniques (reflection, picks up on clues from the patient, paraphrasing, eliciting, summarising…).	8,6	9,0	1,0	0,0
32	A	Assesses how the illness affects the patient’s daily life, socio-family environment and work environment.	8,5	9,0	1,0	4,6
33	A	Considers other factors that can influence a patient’s needs when enquiring (ideas, fears, feelings, preferences, prior experiences…).	8,5	9,0	1,0	2,3
34	A	Establishes adequate support for the physical exam (requesting permission, explaining what is going to be done and why, sharing findings with the patient…).	8,5	9,0	1,0	2,3
35	A	Recognises the divergences between medical and a patient’s values and standards, respecting them without judgement.	8,4	9,0	1,0	2,3
41	A	Estimates the patient’s level of knowledge of their problem and to what extent the patient wishes to be informed to provide the information the patient actually requires.	8,5	9,0	1,0	2,3
43	A	Adapts communication to the patient’s level of understanding and language, avoiding any medical jargon.	8,7	9,0	0,0	0,0
44	A	Provides patient-centred information from their perspective and making it meaningful for the patient.	8,4	9,0	1,0	4,6
46	A	Verifies the patient understands the information provided by eliciting any questions.	8,6	9,0	0,0	2,3
62	A	Adapts the plan/treatment to the patient’s resources and strengths.	8,5	9,0	1,0	0,0
63	A	Closes the process at the end of the visit by using the adequate communication strategies (summarising, highlighting key aspects, anticipating possible evolutions and offering guidance…).	8,7	9,0	0,5	0,0
72	B	Establishes effective communication with the patient and their family to identify problems, detect resources and implement action plans that benefit the patient.	8,4	9,0	1,0	2,3
73	B	Helps the family make decisions when the patient is a minor or incapacitated (dementias, patients in a coma, incapacitating mental illnesses…).	8,5	9,0	1,0	2,3
74	B	Recognises specific family-related communication challenges (confidentiality, secrecy, ill companions…).	8,4	9,0	1,0	0,0
87	C	Recognises own errors (and those of others), assumes them as a part of the job and seeks solutions for them (assistance from superiors…).	8,5	9,0	1,0	0,0
103	D	Helps create a positive working atmosphere (supports and includes the different members of the team, mentions the positive side of unpleasant aspects, values the team’s success…).	8,4	9,0	1,0	6,8
104	D	Respects individuality, the subjective perspectives of the members of the team and the mastery (expert skills) of the various healthcare professionals.	8,4	9,0	1,0	6,8
105	D	Maintains confidentiality when making decisions as a team.	8,5	9,0	1,0	6,8
123	F	Recognises delicate situations that represent communication challenges (giving bad news, handling end-of-life topics, grief situations, sexual history, gender violence, child abuse, HIV infection, explaining situations of clinical uncertainty…).	8,5	9,0	1,0	4,5
128	F	Recognises patients’ cultural and social diversity (ethnicity, nationality, socio-economic status, language, religion, gender, values, sexuality…) and the communication difficulties involved.	8,4	9,0	1,0	6,8
134	F	Assumes a prevention and health promotion approach when caring for patients and uses adequate behaviours.	8,4	9,0	1,0	2,3

$\overline{\mathrm{x}}$ Mean, M Median, IQR Interquartile range, % out the M Percentage of responders outside the region including median