Developing a comprehensive tool to assess professional attitude among physicians and medical students
Abstract
It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.
Kirk LM. Professionalism in medicine: definitions and considerations for teaching. Proc (Bayl Univ Med Cent). 2007; 20(1): 13–16.
Hammer PD. Professional attitudes and behaviors: the “A's and B's” of professionalism. [cited Dec 2021]; Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.533.2723&rep=rep1&type=pdf
Wong LP. Focus group discussion: a tool for health and medical research. Singapore Med J. 2008; 49(3): 256-60
Lawshe CH. A quantitative approach to content validity. Personnel Psychology. 1975; 28(4): 563-75
Polite DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? appraisal and recommendations. Res Nurs Health 2007; 30(4), 459-67.
Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci. 2018; 25(6): 85-99.
Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA 2002; 287(2): 226-35.
Reiser SJ, Banner RS. The Charter on medical professionalism and the limits of medical power. Ann Intern Med. 2003; 138(10): 844-6.
Jahan F, Siddiqui MA, Mohammed Al Zadjali N, Qasim R. Recognition of core elements of medical professionalism among medical students and faculty members. Oman Med J. 2016; 31(3):196-204.
Johnston JL, Cupples ME, McGlade KJ, Steele K. Medical students' attitudes to professionalism: an opportunity for the GP tutor? Educ Prim Care. 2011; 22(5): 321-7.
Anonymous. Design professionalism: Definition- what is a profession? [cited Dec 2021]; Available from: http://designprofessionalism.com/defining-design-professionalism-1.php
Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000; 75(6): 612-6.
Hilton SR, Slotnick HB. Proto-professionalism: how professionalization occurs across the continuum of medical education. Med Educ. 2005; 39(1): 58-65.
Chisholm MA, Cobb H, Duke L, McDuffie C, Kennedy WK. Development of an instrument to measure professionalism. Am J Pharm Educ. 2006; 70(4): 85.
Ren GGS, Yi Min JT, Ping YS, et al. Complex and novel determinants of empathy change in medical students. Korean J Med Educ. 2016; 28(1): 67–78.
Santos AM, Grosseman S, Morelli CT, Giuliano ICB, Erdmann TR. Empathy differences by gender and specialty preference in medical students: a study in Brazil. Int J Med Educ. 2016; 7: 149-53.
Mostafa A, Hoque R, Mostafa M, Rana MdM, Mostafa F. Empathy in undergraduate medical students of Bangladesh: psychometric analysis and differences by gender, academic year, and specialty preferences. ISRN Psychiatry. 2014; 2014: 375439.
Raof AM, Yassin BA. Measuring empathy levels among Kurdish medical students in Erbil city, Iraq. Sultan Qaboos Univ Med J. 2016; 16(1): e62–67
Newton WB, Barber L, Clardy J, Cleveland E, O'Sullivan P. Is there hardening of the heart during medical school? Acad Med. 2008; 83(3): 244-9.
Au KW, Man DWK. Attitudes toward people with disabilities: a comparison between health care professionals and students. Int J Rehabil Res. 2006; 29(2):155-60.
Wicks L, Noor S, Rajaratnam V. Altruism and medicine. BMJ Careers. 2011; 343: d4537.
Tsimtsiou Z, Kerasidou O, Efstathiou N, Papaharitou S, Hatzimouratidis K, Hatzichristou D. Medical students' attitudes toward patient-centred care: a longitudinal survey. Med Educ. 2007; 41(2):146-53.
Danacı AE, Balıkçı K, Aydın O, Cengisiz C, A Uykur B. The effect of medical education on attitudes toward schizophrenia: a five-year follow-up study. Turk Psikiyatri Derg. 2016; 27(3):176-84.
Satterwhite CR, Satterwhite 3rd MW, Enarson C. An ethical paradox: the effect of unethical conduct on medical students’ values. J Med Ethics. 2000; 26(6): 462-5.
Coverdale JH, Thomson AN, White GE. Social and sexual contact between general practitioners and patients in New Zealand: attitudes and prevalence. Br J Gen Pract. 1995; 45(394): 245-7.
Coverdale J, Henning M. An analysis of cheating behaviors during training by medical students. Medical Teacher. 2000; 22(6): 582.
Busch A, Rockenbauch K, Schmutzer G, Brahler E. Do medical students like communication? Validation of the German CSAS (Communication Skills Attitude Scale). GMS Z Med Ausbild. 2015; 32(1): Doc11.
de Haes JC, Oort F, Oosterveld P, ten Cate O. Assessment of medical students' communicative behavior and attitudes: estimating the reliability of the use of the Amsterdam attitudes and communication scale. Patient Educ Couns. 2001; 45(1): 35-42.
Hojat M, Fields S, Veloski JJ, Griffiths M, Cohen MJ, Plumb JD. Psychometric properties of an attitude scale measuring physician-nurse collaboration. Eval Health Prof. 1999; 22(2): 208-20.
Crandall S, Volk RJ, Loemker V. Medical students' attitudes toward providing care for the underserved. are we training socially responsible physicians? JAMA. 1993; 269(19): 2519-23.
Crandall S, Volk R, Cacy D. A longitudinal investigation of medical student attitudes toward the medically indigent. Teach Learn Med. 1997; 9(4): 254-60.
Carruthers S, Lawton R, Sandars J, Howe A, Perry M. Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. Med Teach. 2009; 31(8): e370-6.
| Files | ||
| Issue | Vol 14 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jmehm.v14i27.8283 | |
| Keywords | ||
| Professionalism Professional attitude Tool development Medical students | ||
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