The Communication Learning Assessment

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Help students develop the communication skills needed for effective patient care

Grounded in nearly two decades of research, the Communication Learning Assessment (CLA) is a formative learning solution that helps pre-clerkship medical students practice patient-centered communication through realistic video vignettes, guided self-reflection, and exemplar-based feedback.

What does CLA provide?

A safe, simulated environment to prepare for real-world patient encounters.

CLA provides a scalable, evidence-based way to help students improve patient-centered communication skills before they enter clerkship. Students practice responding to a diverse range of communication challenges in a simulated environment that mirrors real clinical conversations. With a mobile-first design, learners can practice communication skills anytime, anywhere, increasing accessibility and flexibility within busy curricula.

Proven Outcomes

43%

Students who used CLA with the full feedback model were significantly (43%) more likely to demonstrate patient-centered communication behaviors during a 2nd session as compared to 1st session, indicating improved skills over the 1-2 week interval between assessments. Each assessment included 4 CLA vignettes.

9 out of 10

Students reported feeling more confident in their ability to communicate effectively with patients after completing the CLA full feedback model over two sessions 1-2 weeks apart.

30+

Informed by scholarly contributions, including over 30 publications, conference presentations, and manuscripts (under review).

$0

Cost to medical schools — CLA is available free of charge.

Key Benefits

  • 29 diverse, simulated patient cases that expose students to a broad range of communication scenarios.
  • NEW! Individual performance data for students (available January 2027).
  • NEW! Individual student reporting for instructors (available January 2027).
  • Built for pre-clerkship, transition-to-clerkship/bootcamp courses, supporting readiness for real patient encounters.
  • Mobile-first, formative learning that enables practice anytime, anywhere.
  • Confidence-building opportunities before students engage with real patients.
  • Immediate, actionable self-reflection through guided feedback and exemplars.
  • Curriculum enhancement extends learning beyond the classroom with simulated practice.
  • Alignment with national competency frameworks, supporting competency-based medical education and future practice readiness.

Flexible by design, relevant to every role

Many experiences. One shared goal.

Research and Evidence

Nearly two decades of research. One learning assessment.

Reflecting nearly two decades of research, CLA emerged through a rigorous scientific process of conceptual framing, construct development, prototype testing, feedback design, and efficacy evaluation.

Medical students studying with a doctor

The Research Journey (Mid-2000s → 2025)

Nearly two decades of research. One learning assessment.

Reflecting nearly two decades of research, CLA emerged through a rigorous scientific process of conceptual framing, construct development, prototype testing, feedback design, and efficacy evaluation.

  1. Conceptual framework developed — work anchored in the six-function model of patient-centered communication
  2. Construct operationalized — communication functions translated into observable behaviors.
  3. Prototype developed — video-based formative assessment created and tested
  4. Feedback model designed — ratings, exemplars, and learning points incorporated
  5. Efficacy demonstrated — initial improvement shown experimentally
  6. Competency alignment established — grounded in empirical evidence and aligned with national competency frameworks
  7. CLA developed — research translated into assessment innovation

Grounded in Rigorous Research

Informed by peer-reviewed research and diverse stakeholder perspectives.

  • Populations Studied: Students · Residents · Faculty · Physicians
  • Perspectives Included: Educators · Researchers · Patients
  • Evidence Base: 30+ peer-reviewed studies, presentations, and manuscripts (under review or in preparation)
Medical students studying

Built for Competency-Based Medical Education

CLA’s alignment with Foundational Competencies

CLA supports a competency-based approach to medical education, with skills aligned to the Foundational Competencies for Undergraduate Medical Education, helping programs prepare learners for the communication demands of future clinical practice.

The skills can be mapped to competencies associated with Professionalism, Patient Care and Interpersonal Communication Skills.

Explore CLA in Action

Hear from the experts behind CLA

Learn how CLA was designed, the research that informs it, and how faculty can use it to support communication skills development.

Give your students a head start on building their clinical skills

Putting CLA into Practice

CLA is available through the MyNBME® Services Portal at no cost.

We recommend the following steps to plan for and implement CLA in your program:

  • Leverage NBME instructional design support to plan how CLA can be incorporated into your curriculum.
  • Distribute complimentary CLA vouchers through MyNBME® to grant student access.
  • Administer CLA to your students. Each assessment takes approximately 70-80 minutes and can be done independently, outside of class time.
  • Review aggregate results to identify cohort-level strengths and gaps in communication behaviors.
Doctor and patient reviewing results

A Community of Practice

You're not adopting CLA alone.

Teacher and medical students

Join the CLA Community of Practice to:`

  • Share implementation strategies and lessons learned
  • Discuss best practices and challenges with faculty at other institutions
  • Access consultative support from NBME staff, including a former curriculum dean and a learning specialist who will work with you to tailor CLA implementation to your educational context

For more information, contact cla@nbme.org.

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