MAAS-MH Global
MAAS-MH Global is an ideal training tool. It helps experienced interviewers to evaluate medical interviews by medical students or trainee doctors.
The interview coach is guided in assessing the student by precise descriptions of how to conduct each phase of an interview. Scoring is on a simple 5-point scale.
MAAS-MH Global allows you to keep an eye on the entire interview. You can also of course pay specific attention to one interview phase, or a particular process skill.
MAAS-MH Global is useful for coaching inexperienced interviewers or for establishing points for improvement for trainee doctors. Read more in Can Medical Interview Skills Be Taught? and consider combining MAAS-MH Global with MAAS-MH or MAAS-MH-Self.
Content Scales
1Exploring Reasons for Encounter
1.1The physician adequately explored the Reasons for Encounter, e.g. clarified the complaint, the significance of the complaint to the patient, and the desired help
2History-taking, Psychiatric Examination & Socio-emotial Exploration
2.1The physician collected all the data necessary for medical problem-solving, e.g. for establishing and understanding diagnosis, and for aetiological and maintaining factors
2.2The physician collected all the data necessary for medical problem-solving, e.g. for generating action-hypotheses and establishing a treatment plan
3Presenting Solutions
3.1The physician adequately performed Presenting Solutions, e.g. conveyed information about causes and consequences of the complaint, about further management, and involved the patient in the decision about treatment plan
Process Scales
aStructuring the Interview
a.1The physician structured the interview, e.g. introduced themself and formulated an agenda, announced transitions, and organized the different phases of the interview
bInterpersonal Skills
b.1The physician tried to empathize with the patient to establish a relationship and to respond on concerns and emotions
cCommunication Skills
c.1The physician communicated effectively with the patient, e.g. made sure that patient and physician understood the meaning of their words
dBasic Interviewing Skills
d.1The physician adequately used interpersonal and communicative skills, e.g. facilitated communication, asked closed-ended questions in a proper way, summarized and concretized well, confronted adequately, reflected emotions in a proper way, and made appropriate meta-communicative remarks
eOverall Competency
e.1In my opinion, this interview proceeded satisfactorily
fFeedback
f.1Report meaningful comments including clues for improvement
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g.1Instructions for use
Experienced physicians and educators in the medical interview are requested to score their student’s or resident’s interview on a five-point Likert scale:
- Strongly agree;
- Partially agree;
- Indifferent;
- Partially disagree;
- Strongly disagree.
MAAS-MH-Global can be applied for instruction as well as for evaluation and assessment in medical education and residency training as an instrument for feedback and evaluation.
MAAS-MH-Global was carefully constructed as a global assessment whereby important goals of the medical interview are included as behavioral anchor points. And this scale can also be applied easily in combination with the MAAS-MH, for example when students focus in their early years of training on one phase at a time, e.g. Exploring Reasons for Encounter or History-taking, or on one process skill, e.g. Interpersonal Skills, while they are still informed about their performance on other domains.
We, however, advise you to take the limitations of the instrument into account; MAAS-MH and MAAS-MH-Self are more demanding, but feature better instrumental utility. Read further about Instrumental Utility and MAAS-MH-Global
MAAS-MH-Global was constructed by the authors for the Medical Interview section of the Competency in Medical and Psychomedical Education project (Crijnen & Kraan, 1983).
MAAS-MH-Global © Crijnen & Kraan 1984
