Development of a Family Meeting Assessment Tool

Topic: Education

Learning how to lead family meetings is an important skill for physicians, nurses, and others who care for patients with serious illnesses and their families. There is limited evidence exploring methods to assess the skill to perform family meetings. Our goal was to develop and validate an observational tool to assess trainees’ ability to perform and lead family meetings. Building on evidence from literature search, the Family Meeting Objective Structured Clinical Examination Assessment Tool (FMOSCEAT) was developed by our expert panel to evaluate best practice behaviors when leading a family meeting. As part of our palliative care curriculum, 4th year medical students completed a Family Meeting OSCE, where each student assumed the physician role leading a complex family meeting with two standardized family members. Two interdisciplinary evaluators were paired to observe and rate randomly chosen students’ performances in the OSCE using the FMOSCEAT. Inter-rater reliability was measured using percent agreement. Internal consistency was measured using Cronbach’s alpha.133 trainees and 26 interdisciplinary evaluators participated. Overall rater agreement was 84% and Cronbach’s alpha of 0.85. Evidence and expert-based content, high interrater reliability, and good internal consistency provided initial evidence of validity for this novel assessment tool.


  • Yuya Hagiwara, MD
  • University of Texas Health Science Center at San Antonio
  • 7703 Floyd Curl Dr. MSC 7875
  • San Antonio, TX 78229

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