Exploration of constructs of professionalism identified in the ABIM framework as perceived by the faculty fitting the Pakistani context

Khan, Humaira Fayyaz; Yasmeen, Rahila

doi:10.12669/pjms.36.3.1573

Cited by 3 publications

(4 citation statements)

References 11 publications

(11 reference statements)

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“…18 In accordance with our study, this study has also highlighted accountability as domain and its importance was discussed in Islamic context supporting the fact that Muslim medical students are self-accountable because of fear of Allah Almighty and Islamic teachings provide us the code of conduct and focused on being self-accountable in our deeds and actions. 18 This is also in accordance with the study conducted in Arabian Context labelled as Arabian Learners’ Attitude of Medical Professionalism Scale (LAMPS), 19 which also highlighted six domains as ABIM framework with addition of professional autonomy, which was therefore considered as the seventh element of professionalism in the Arabian context. 19 Professional autonomy is due to cultural influence as in Arabian context, physician has more autonomy and power balance is more towards patients as compared to western world where there is concept of patient autonomy.…”

Section: Discussionsupporting

confidence: 75%

“…18 This is also in accordance with the study conducted in Arabian Context labelled as Arabian Learners’ Attitude of Medical Professionalism Scale (LAMPS), 19 which also highlighted six domains as ABIM framework with addition of professional autonomy, which was therefore considered as the seventh element of professionalism in the Arabian context. 19 Professional autonomy is due to cultural influence as in Arabian context, physician has more autonomy and power balance is more towards patients as compared to western world where there is concept of patient autonomy. 17 …”

Section: Discussionsupporting

confidence: 75%

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Assessment of Medical Professionalism: Development and psychometric analysis of Professionalism Assessment Tool (PAT) in Pakistani context using Delphi Techniques

Noreen

Zuberi²,

Aftab³

et al. 2023

Pak J Med Sci

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Objective: This study aims to develop and assess the content validity along with the reliability of a Professionalism Assessment Tool (PAT) with an intention to measure professionalism among undergraduate medical students. Methods: This psychometric analytical study validation study was carried out at Rawalpindi Medical University from 1st February to 1st June, 2021 after establishing feasibility and obtaining ethical approval. The non-probability convince sampling was employed to collect data. Using Nunnally’s, the ratio of e subjects per item was selected, as our preliminary tool has 48 items so 384 sample size was estimated for scale validation. The preliminary 48-item tool with five subscales(cSS) developed through mutual consensus by the Delphi technique namely Communication skill(cSS1),-7 item, Accountability(cSS2)-8 item, Altruism(cSS3)-13 item, Self-Directed Learning (cSS4)-10 item and Ethics(cSS5),-10 item was labelled as Professionalism Assessment Tool (PAT). The tool was administered to 4th year MBBS students, the data obtained was analyzed by calculating Cronbach’s alpha to estimate the reliability. The SPSS version 26 was used for data analysis. Results: The 48-item PAT had an overall reliability (Cronbach’s alpha) of 0.783. The Reliability of the new Subscales were communication skills (0.405), self-directed learning (0.527), Accountability (0.378), Altruism (0.486) and Ethics (0.715). Conclusion: The final tool developed for assessment of professionalism had 48 items on a seven point Likert like scale, across five Subscales. Results showed that it was determined as a useful tool in assessing professionalism in undergraduate medical students to generate reliable results for valid decision-making. doi: https://doi.org/10.12669/pjms.39.2.6608 How to cite this: Noreen K, Zuberi RW, Aftab K, Fatima S. Assessment of Medical Professionalism: Development and psychometric analysis of Professionalism Assessment Tool (PAT) in Pakistani context using Delphi Techniques. Pak J Med Sci. 2023;39(2):---------. doi: https://doi.org/10.12669/pjms.39.2.6608 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 75%

Assessment of Medical Professionalism: Development and psychometric analysis of Professionalism Assessment Tool (PAT) in Pakistani context using Delphi Techniques

Noreen

Zuberi²,

Aftab³

et al. 2023

Pak J Med Sci

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“…It is noteworthy that the elements described by ABIM 21 can be used to build consensus on the domains of professionalism, but cultural differences must be considered.…”

Section: Discussionmentioning

confidence: 99%

Validation of the brazilian version of the Penn State College of Medicine Professionalism Questionnaire

Valadão,

Lins-Kusterer,

Silva

et al. 2023

Rev. bras. educ. med.

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Introduction: Assessing professionalism represents a challenge for medical educators given the nature of its construct, which comprises diverse values, beliefs, and principles. Understanding this psychological phenomenon is fundamental for reaching the goals in medical education. Objective: This study aimed to translate into Brazilian Portuguese and to validate the Penn State College of Medicine Professionalism Questionnaire. Method: The questionnaire was translated, and cross-culturally adapted into Brazilian Portuguese using data from 249 medical students. An exploratory factor analysis was conducted, using a polychoric matrix and the Robust Diagonally Weighted Least Squares method of extraction. The following model adequacy indexes and criteria were used: Root Mean Square Error of Approximation (RMSEA) adjustment indexes <0.08, Comparative Fit Index (CFI) and Tucker-Lewis Index (TLI) >0.90. Result: The exploratory factor analysis obtained a KMO = 0.920, and a significant Bartlett’s test of sphericity (2719.0, gl = 630; P <0.001). The parallel analysis yielded a three-factor solution, which showed adequate levels of reliability: Professional-Patient Relationship, Professional Development and Ethical Commitment. The three-factor solution was the best one found to represent the data. Conclusion: The questionnaire evidenced good psychometric properties and appropriateness to evaluate medical students’ professionalism, contributing to reach more desirable ethical standards in medical education.

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“…2,11 Focus group discussion (FGD) was conducted with nine qualified medical educationists having more than 3 years' experience. 12 This phase comprised of micro-scenario were developed on the basis of quotes of the participants depicting possible professional situations for a preliminary tool in the local context.…”

Section: Methodsmentioning

confidence: 99%

Validation of an assessment tool for professionalism in medical students: a mixed method study

Khan,

Yasmeen,

Ali

2023

J Pak Med Assoc

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Objective: To develop and validate a tool for the assessment of professionalism in medical students during clerkship. Method: The mixed-method study was confucted from February to September 2018 at the Islamic International Medical College, Riphah University, Islamabad, Pakistan. A preliminary focus group discussion ws followed by two rounds of Delphi technique to validate micro-scenarios for the relevance of each item of the instrument alongside its content validity. For content and construct validation of the tool, content validity, cognitive validity, cognitive pretesting, confirmatory factor analysis and reliability assessment was done. Piloting was done on medical students doing clerkship. Data was analysed using SPSS 21 and AMOS 21. Results: A 35-item preliminary tool from micro-scenarios generated after focus group discussion was developed for the first Delphi round. For the second round, a 29-item tool was resent to the experts for validation. After the second round, the content validity scale was 0.94. Removal of 1 item produced a 28-item tool. Pre-cognitive testing of the 28 items resulted in rephrasing of 4, modification of 2, and deletion of 1 and a tool with 27 items. Piloting was carried out and after CFA resulted in a reduced 21 item tool. Cronbach’s alpha value was 0.96. A good to excellent model fit was produced after performing confirmatory factor analysis. Conclusion: A tool comprising of 21 items scored on a 5-point Likert scale that had acceptable construct validity and good content validity was developed. It can be used to evaluate the level of professionalism of local medical students doing clerkship. Key Words: Professionalism, Delphi, Focus group, Medical students, Factor analysis.

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Exploration of constructs of professionalism identified in the ABIM framework as perceived by the faculty fitting the Pakistani context

Cited by 3 publications

References 11 publications

Assessment of Medical Professionalism: Development and psychometric analysis of Professionalism Assessment Tool (PAT) in Pakistani context using Delphi Techniques

Assessment of Medical Professionalism: Development and psychometric analysis of Professionalism Assessment Tool (PAT) in Pakistani context using Delphi Techniques

Validation of the brazilian version of the Penn State College of Medicine Professionalism Questionnaire

Validation of an assessment tool for professionalism in medical students: a mixed method study

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