Saying 'So what I am hearing is…' to a patient is an example of which part of the OARS motivational interviewing framework?

OARS = Open-ended questions, Affirmations, Reflective listening, Summarizing. 'So what I am hearing is...' reflects back what the patient just said in your own words to confirm understanding — this is reflective listening, not a final summary (which typically recaps the whole conversation) and not an affirmation (which highlights a patient's strength or effort).