Purpose
Behavioral and social science (BSS) competencies are needed to provide quality
health care, but psychometrically validated measures to assess these competencies are
difficult to find. Moreover, they have not been mapped to existing frameworks, like
those from the Liaison Committee on Medical Education (LCME) and Accreditation Council
for Graduate Medical Education (ACGME). This systematic review aimed to identify and
evaluate the quality of assessment tools used to measure BSS competencies.
Method
The authors searched the literature published between January 2002 and March
2014 for articles reporting psychometric or other validity/reliability testing, using
OVID, CINAHL, PubMed, ERIC, Research and Development Resource Base, SOCIOFILE, and
PsycINFO. They reviewed 5,104 potentially relevant titles and abstracts. To guide their
review, they mapped BSS competencies to existing LCME and ACGME frameworks. The final,
included articles fell into three categories: instrument development, which were of the
highest quality; educational research, which were of the second highest quality; and
curriculum evaluation, which were of lower quality.
Results
Of the 114 included articles, 33 (29%) yielded strong evidence
supporting tools to assess communication skills, cultural competence,
empathy/compassion, behavioral health counseling, professionalism, and teamwork.
Sixty-two (54%) articles yielded moderate evidence and 19 (17%) weak
evidence. Articles mapped to all LCME standards and ACGME core competencies; the most
common was communication skills.
Conclusions
These findings serve as a valuable resource for medical educators and
researchers. More rigorous measurement validation and testing and more robust study
designs are needed to understand how educational strategies contribute to BSS competency
development.