Professionalism in general practice: development of an instrument to assess professional behaviour in general practitioner trainees

Camp, Kalinka van de; Vernooij‐Dassen, Myrra; Grol, Richard; Bottema, Ben

doi:10.1111/j.1365-2929.2005.02346.x

Cited by 51 publications

(12 citation statements)

References 26 publications

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“…37 studies developed new instruments. The number of participants in a study ranged from 12 [38] to 18,564 [39], with about 10% of the studies having less than 100 participants each.…”

Section: Resultsmentioning

confidence: 99%

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Ding

Zhang

et al. 2017

PLoS ONE

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BackgroundOver the last three decades, various instruments were developed and employed to assess medical professionalism, but their measurement properties have yet to be fully evaluated. This study aimed to systematically evaluate these instruments’ measurement properties and the methodological quality of their related studies within a universally acceptable standardized framework and then provide corresponding recommendations.MethodsA systematic search of the electronic databases PubMed, Web of Science, and PsycINFO was conducted to collect studies published from 1990–2015. After screening titles, abstracts, and full texts for eligibility, the articles included in this study were classified according to their respective instrument’s usage. A two-phase assessment was conducted: 1) methodological quality was assessed by following the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist; and 2) the quality of measurement properties was assessed according to Terwee’s criteria. Results were integrated using best-evidence synthesis to look for recommendable instruments.ResultsAfter screening 2,959 records, 74 instruments from 80 existing studies were included. The overall methodological quality of these studies was unsatisfactory, with reasons including but not limited to unknown missing data, inadequate sample sizes, and vague hypotheses. Content validity, cross-cultural validity, and criterion validity were either unreported or negative ratings in most studies. Based on best-evidence synthesis, three instruments were recommended: Hisar’s instrument for nursing students, Nurse Practitioners’ Roles and Competencies Scale, and Perceived Faculty Competency Inventory.ConclusionAlthough instruments measuring medical professionalism are diverse, only a limited number of studies were methodologically sound. Future studies should give priority to systematically improving the performance of existing instruments and to longitudinal studies.

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“…37 studies developed new instruments. The number of participants in a study ranged from 12 [38] to 18,564 [39], with about 10% of the studies having less than 100 participants each.…”

Section: Resultsmentioning

confidence: 99%

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Ding

Zhang

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

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“… 13 , 14 So far, many studies have tried to assess the professionalism of medical students at different levels. 7 , 15 - 20 These studies have shown that students and trainees do have a clear insight into professionalism. Undergraduate students cited the following aspects of professionalism as important: confidentiality, good medical knowledge, practical skills, 18 accountability to patients, respect for patients and their families, integrity, and prudence.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a professionalism assessment scale for medical students

Klemenc–Ketiš

Vrecko

2014

Int J Med Educ

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ObjectivesTo develop and validate a scale for the assess-ment of professionalism in medical students based on students' perceptions of and attitudes towards professional-ism in medicine.MethodsThis was a mixed methods study with under-graduate medical students. Two focus groups were carried out with 12 students, followed by a transcript analysis (grounded theory method with open coding). Then, a 3-round Delphi with 20 family medicine experts was carried out. A psychometric assessment of the scale was performed with a group of 449 students. The items of the Professional-ism Assessment Scale could be answered on a five-point Likert scale.ResultsAfter the focus groups, the first version of the PAS consisted of 56 items and after the Delphi study, 30 items remained. The final sample for quantitative study consisted of 122 students (27.2% response rate). There were 95 (77.9%) female students in the sample. The mean age of the sample was 22.1 ± 2.1 years. After the principal component analysis, we removed 8 items and produced the final version of the PAS (22 items). The Cronbach's alpha of the scale was 0.88. Factor analysis revealed three factors: empathy and humanism, professional relationships and development and responsibility.ConclusionsThe new Professionalism Assessment Scale proved to be valid and reliable. It can be used for the assessment of professionalism in undergraduate medical students.

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“…In comparison with other competency assessment instruments for GPs in urban areas ( 31 , 32 ), besides the skills related to the daily work of general practice, the CMRGP emphasized comprehensive medical service competencies, communication and self-improvement. As shown in a study conducted in Beijing, GPs in rural areas delivered care for patients of all age groups and the reasons for encounters were distributed in almost all organs systems ( 33 ).…”

Section: Discussionmentioning

confidence: 97%

Development and preliminary validation of the competency model for rural general practitioner in China

Wei¹,

Zhao³

et al. 2020

Family Practice

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Background There is a shortage of rural general practitioners (GPs) in China. Training programs have been initiated to meet the needs of GP workforce in the rural areas; however, there is an absence of validated tool to assess their competencies. Objective This study aimed to develop a competency model for rural general practitioner (CMRGP) after training in China and to examine its validity and reliability. Methods A multistage process was adopted to develop the CMRGP comprised literature review, panel discussion and expert consultation, and the initial version of CMRGP was reduced from 10 domains and 77 items to 7 domains and 54 items. A pilot study was conducted among 202 rural GPs for the psychometric evaluation and application of the initial version of CMRGP, in which a questionnaire on the importance of items and self-evaluation was completed by the GPs. Results In the pilot study, 132 completed questionnaires (65.3%) were returned. Acceptability and face validity of the CMRGP were supported by high importance scores of the items, in which 52 out of 54 items achieved score higher than 4.00 (possible score from 0 to 5). Factor analysis supported the construct validity. After the modification, the final version of CMRGP contained 6 domains and 47 items. Good reliability was supported by internal consistency reliability (Cronbach’s α was 0.98) and split-half reliability (Spearman–Brown coefficient was 0.99). Conclusions The CMRGP demonstrated good reliability and validity. Pilot study showed its potential for application in the rural general practice and training program.

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Professionalism in general practice: development of an instrument to assess professional behaviour in general practitioner trainees

Abstract: Our results support the content validity of the EPRO-GP instrument as well as its feasibility as a tool to educate for professionalism in general practice.

Cited by 51 publications

References 26 publications

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Assessing medical professionalism: A systematic review of instruments and their measurement properties

Development and validation of a professionalism assessment scale for medical students

Development and preliminary validation of the competency model for rural general practitioner in China

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