The content of each step of regular and OSCAR framework for preprocedural communication skills and the trainings for regular, intervention and control group medical clerks in this study
| Details of each step in the regular framework | Step-1:Setting the stage | Details of each step in the OSCAR framework | O-step: Opening with what, when, why and how |
| Step 2: Eliciting information | S-step: explaining Subject to be communicated | ||
| Step-3: Providing information | C-step: Check for patients’ understanding of the subjects | ||
| Step-4: Understanding the patient’s perspective | A-step: Aid patient understanding with audiovisual material | ||
| Step-5: Ending the encounter | R-step: Recheck patient understanding | ||
| Details trainings and assessment among groups | Regular group | Intervention group | Control group |
| 2-hour introductory class | √ | ||
| Training for using of five steps regular framework | √ | ||
| Training for using of five steps OSCAR framework | √ | ||
| End-of-rotation class | √ | √ | |
| Complete baseline, end-of-rotation, follow-up self-assessments | √ | √ | √ |
| Receive baseline and end-of-rotation assessments from physicians | √ | √ |