Understanding the clinical performance of physicians

Arnold, Louise; Willoughby, T. Lee; Calkins, E V

doi:10.1097/00001888-198407000-00009

Cited by 4 publications

(12 citation statements)

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“…The multichoice question results were the only form of assessment to load on this factor. It is of interest that two previous studies of medical students and recent graduates in more general settings did not separate the ability to perform multiple choice and essay‐type questions (Feletti et al 1983; Arnold et al 1984). However, Pater et al (1983) also identified the ability to solve MCQs as a distinct skill.…”

Section: Discussionmentioning

confidence: 99%

“…Another similar study of residents (Arnold et al 1984) found a four‐factor solution describing clinical competence. The first concerned knowledge and intellectual abilities; the second tapped their interpersonal skills with various professionals; the third related to data‐collecting skills, and the fourth identified their interpersonal skills with patients and families.…”

Section: Introductionmentioning

confidence: 88%

“…These findings were also consistent with the studies of Pater et al (1983) and Verhulst et al (1986), although their data combined several of the skills. The studies of Arnold et al (1984) and Pater et al (1983) did not describe amount of variance accounted for, whereas Verhulst et al (1986) accounted for 84% of the variance.…”

Section: Introductionmentioning

confidence: 98%

“…A low degree of correlation between assessments such as supervisors' reports, written examinations and interview skills has also been found in undergraduate psychiatric teaching (Goldney et al 1983; Rix et al 1985; Goldney & McFarlane 1986; Mumford et al 1987). Factor analysis has been proposed as one method of defining the ‘multidimensionality of clinical performance’ (Arnold et al 1984) and can therefore help to define what range of skills should be examined to test clinical competence.…”

Section: Introductionmentioning

confidence: 99%

“…This project is, in part, a replication study as it aims to examine the component parts of clinical competence in undergraduate medical students. Previous studies used undergraduate medical students in a general medical term (Arnold et al 1984) or the medical student body as a whole (Feletti et al 1983). Here for the first time, factor analysis was applied to a number of measures of undergraduate medical student performance in psychiatry.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A factor analytic study of clinical competence in undergraduate psychiatry

1989

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This study used factor analysis to define the components of clinical competence of medical students during their undergraduate psychiatric training. Four factors were defined; factor 1 related to cognitive and psychological problem-solving; factor 2 tapped the interpersonal and observational skills students showed with patients; factor 3 was characterized by knowledge in the examination setting, and factor 4 related to students' capacity to demonstrate their ability in an interpersonal setting. These are similar to the component skills of clinical competence demonstrated by students in other areas of the medical curriculum. They also correspond to the skills which Walton (1986) has suggested should be focused upon in undergraduate psychiatric education.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A factor analytic study of clinical competence in undergraduate psychiatry

1989

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Conceptualization and measurement of clinical competence of residents: a brief rating form and its psychometric properties

et al. 2002

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Conceptualization and measurement of clinical competence of residents are of interest to medical educators. Yet there is a scarcity of operational tools with satisfactory psychometric support for measuring clinical competence. In this study, we investigated the underlying structure, criterion-related validity and alpha reliability of a brief rating form (20 items) developed to assess clinical competence of residents. The study sample consisted of 882 physicians (654 men, 228 women) in postgraduate training at Thomas Jefferson University Hospital between 1998 and 2000. Construct validity of the form was supported by factor analysis. Two relevant factors emerged: 'Knowledge, Data-Gathering and Processing Skills', and 'Interpersonal Skills and Attitudes'. Criterion-related validity was supported by significant linear associations between factor scores and performance on the medical licensing examinations. Alpha reliability coefficients for the two factors were 0.98 and 0.97, respectively. This brief rating form can be employed as one measure to evaluate clinical competence of residents with reasonable confidence in its measurement properties.

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