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医学教育中的职业素养:一种用于评估对职业素养态度的调查工具的开发与验证

Professionalism in medical education: the development and validation of a survey instrument to assess attitudes toward professionalism.

作者信息

Blackall George F, Melnick Steven A, Shoop Glenda H, George John, Lerner Susan M, Wilson Philip K, Pees Richard C, Kreher Margaret

机构信息

The Pennsylvania State University College of Medicine, USA.

出版信息

Med Teach. 2007 Mar;29(2-3):e58-62. doi: 10.1080/01421590601044984.

DOI:10.1080/01421590601044984
PMID:17701611
Abstract

BACKGROUND AND AIM

This study examined attitudes toward professionalism in an academic medical center. The paper will describe the development and factorial validity of an instrument to measure attitudes toward professionalism in medical education among students, residents and faculty.

METHODS

A factor analysis of the intercorrelations of responses to 36 items reflecting the American Board of Internal Medicine (ABIM) elements of professionalism for a sample of 765 medical students, residents and faculty was carried out. Data were collected during the spring of 2004. The study was conducted at the Penn State College of Medicine in Hershey, PA, USA.

RESULTS

Main outcome measures include internal consistency reliability estimates (Cronbach's alpha) for each element of professionalism and a principal components analysis of the intercorrelations of responses to the 36 items in the questionnaire. Analysis of responses reveals seven identifiable factors of professionalism: accountability, altruism, duty, enrichment, equity, honor and integrity, and respect.

CONCLUSIONS

The Penn State College of Medicine Professionalism Questionnaire is one of the first valid and reliable surveys of attitudes among medical students, residents, and faculty that reflects seven elements of professionalism.

摘要

背景与目的

本研究调查了一所学术性医学中心对职业素养的态度。本文将描述一种用于测量医学生、住院医师和教职员工对医学教育中职业素养态度的工具的开发及其因子效度。

方法

对765名医学生、住院医师和教职员工样本中反映美国内科医学委员会(ABIM)职业素养要素的36个项目的回答进行了相互关联的因子分析。数据于2004年春季收集。该研究在美国宾夕法尼亚州赫尔希的宾夕法尼亚州立医学院进行。

结果

主要结果指标包括职业素养各要素的内部一致性信度估计值(克朗巴哈系数)以及对问卷中36个项目回答的相互关联的主成分分析。对回答的分析揭示了职业素养的七个可识别因素:问责制、利他主义、职责、充实感、公平、荣誉与正直以及尊重。

结论

宾夕法尼亚州立医学院职业素养问卷是首批有效且可靠的针对医学生、住院医师和教职员工态度的调查之一,它反映了职业素养的七个要素。

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