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Develop and evaluate the reliability and validity of a novel assessment tool for triadic communication. We developed the tool using published opinions of patients and companions regarding effective communication, and used it in a four-station Objective Standardized Clinical Examination (OSCE) with 140 medical students, including one triadic interview station. We conducted multitrait-multimethod (MTMM) and generalizability (G) analyses to assess its performance. MTMM analyses demonstrated the validity of the instrument in assessing two sep