PDF(Pubmed)
Abstract：
BACKGROUND: Medical professionalism is a core competency for medical students during clerkships for further professional development. Given that the behavior-based framework could provide clear insight and is easy to assess, the study aimed to create a self-administered scale to measure the professional behaviors of medical students during their clerkships.
METHODS: A comprehensive literature review on medical professional behaviors in English or Chinese and Delphi interviews were used to develop the initial version of the Self-Administered Scale for Professional Behavior of Medical Students During Clerkships. The reliability and validity analysis based on a survey of medical students from China, Cronbach\'s α calculations, and Confirmatory Factor Analysis (CFA) specifically were conducted to finalize the scale. The associations of professional behaviors with gender, medical programs, and clerkship duration were examined using Wilcoxon rank-sum tests.
RESULTS: We included 121 studies and extracted 57 medical professionalism assessment tools, initially forming a pool of 48 items. To refine these items, eighteen experts participated in two rounds of Delphi interviews, ultimately narrowing down the item pool to 24 items. A total of 492 participants effectively completed the questionnaire. One item was removed due to its correlated item-total correlation (CITC) value, resulting in a final scale containing 23 items with six domains: Respect, Altruism, Communication and Collaboration, Integrity, Duty, and Excellence. The overall Cronbach\'s alpha value was 0.98, ranging from 0.88 to 0.95 for each domain. The fit indices (χ2/df = 4.07, CFI = 0.96, TLI = 0.95, RMSEA = 0.08, and SRMR = 0.02) signified a good fit for the six-domain model. Medical students\' professional behavior was significantly associated with gender (p = 0.03) and clerkship duration (p = 0.001).
CONCLUSIONS: The scale was demonstrated to be reliable and valid in assessing the professional behaviors of Chinese medical students during clerkships.
METHODS: A comprehensive literature review on medical professional behaviors in English or Chinese and Delphi interviews were used to develop the initial version of the Self-Administered Scale for Professional Behavior of Medical Students During Clerkships. The reliability and validity analysis based on a survey of medical students from China, Cronbach\'s α calculations, and Confirmatory Factor Analysis (CFA) specifically were conducted to finalize the scale. The associations of professional behaviors with gender, medical programs, and clerkship duration were examined using Wilcoxon rank-sum tests.
RESULTS: We included 121 studies and extracted 57 medical professionalism assessment tools, initially forming a pool of 48 items. To refine these items, eighteen experts participated in two rounds of Delphi interviews, ultimately narrowing down the item pool to 24 items. A total of 492 participants effectively completed the questionnaire. One item was removed due to its correlated item-total correlation (CITC) value, resulting in a final scale containing 23 items with six domains: Respect, Altruism, Communication and Collaboration, Integrity, Duty, and Excellence. The overall Cronbach\'s alpha value was 0.98, ranging from 0.88 to 0.95 for each domain. The fit indices (χ2/df = 4.07, CFI = 0.96, TLI = 0.95, RMSEA = 0.08, and SRMR = 0.02) signified a good fit for the six-domain model. Medical students\' professional behavior was significantly associated with gender (p = 0.03) and clerkship duration (p = 0.001).
CONCLUSIONS: The scale was demonstrated to be reliable and valid in assessing the professional behaviors of Chinese medical students during clerkships.
摘要：
背景：医学专业精神是医学生在实习期间进一步专业发展的核心能力。鉴于基于行为的框架可以提供清晰的洞察力并且易于评估，该研究旨在创建一个自我管理量表来衡量医学生在担任职员期间的职业行为。
方法：通过对中英文医学专业行为的综合文献综述和德尔菲访谈，开发了《医务人员职业行为自我管理量表》的初始版本。基于对中国医学生调查的信度和效度分析,克朗巴赫的α计算，具体进行了验证性因素分析(CFA)以最终确定量表。职业行为与性别的关联，医疗项目,使用Wilcoxon秩和检验检查了职员的持续时间。
结果：我们纳入了121项研究，提取了57种医学专业评估工具，最初形成一个48个项目的池。为了改进这些项目，18位专家参加了两轮德尔福访谈,最终将项目池缩小到24个项目。共有492名参与者有效地完成了问卷。一个项目因其相关项目-总相关性(CITC)值而被删除，最终形成一个包含23个项目和六个领域的量表：尊重，利他主义,沟通与协作,诚信,Duty,和卓越。Cronbach的总体α值为0.98，每个域的范围为0.88至0.95。拟合指数（χ2/df=4.07，CFI=0.96，TLI=0.95，RMSEA=0.08和SRMR=0.02）表示六域模型的良好拟合。医学生的职业行为与性别（p=0.03）和任职时间（p=0.001）显着相关。
结论：该量表在评估中国医学生实习期间的职业行为方面被证明是可靠和有效的。
方法：通过对中英文医学专业行为的综合文献综述和德尔菲访谈，开发了《医务人员职业行为自我管理量表》的初始版本。基于对中国医学生调查的信度和效度分析,克朗巴赫的α计算，具体进行了验证性因素分析(CFA)以最终确定量表。职业行为与性别的关联，医疗项目,使用Wilcoxon秩和检验检查了职员的持续时间。
结果：我们纳入了121项研究，提取了57种医学专业评估工具，最初形成一个48个项目的池。为了改进这些项目，18位专家参加了两轮德尔福访谈,最终将项目池缩小到24个项目。共有492名参与者有效地完成了问卷。一个项目因其相关项目-总相关性(CITC)值而被删除，最终形成一个包含23个项目和六个领域的量表：尊重，利他主义,沟通与协作,诚信,Duty,和卓越。Cronbach的总体α值为0.98，每个域的范围为0.88至0.95。拟合指数（χ2/df=4.07，CFI=0.96，TLI=0.95，RMSEA=0.08和SRMR=0.02）表示六域模型的良好拟合。医学生的职业行为与性别（p=0.03）和任职时间（p=0.001）显着相关。
结论：该量表在评估中国医学生实习期间的职业行为方面被证明是可靠和有效的。
