Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China.
Department of Clinical Data Center, the 3rd Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.
Curr Med Sci. 2019 Aug;39(4):670-678. doi: 10.1007/s11596-019-2090-7. Epub 2019 Jul 25.
Professionalism is crucial in all professions and is particularly important in the medical field. Measuring students' perceptions of professionalism can help to form education targeting the enhancement of professionalism. This study aimed to validate an effective assessment tool for the measurement of medical students' perceptions of medical professionalism in mainland China. The cross-sectional survey was conducted in three medical colleges in Guangdong, China. Of the 2103 eligible medical students, 1976 responded, and 1856 questionnaires were deemed valid. Students from clinical medicine in these three medical colleges were randomly selected by cluster sampling. First, a Simplified Chinese Version questionnaire to measure Student's Perception of Medical Professionalism (SCV-SPMP) was constructed. Second, questionnaires from 1856 students majoring in clinical medicine at three medical colleges were included in the analysis. Third, exploratory factor analysis, Cronbach's alpha, item-subscale correlation, and confirmatory factor analysis were conducted to test the validity and reliability of the SCV-SPMP. Nine items were eliminated following exploratory factor analysis, and four subscales were extracted from the analysis. All internal consistency reliability exceeded the minimum standard. The overall Cronbach's alpha was 0.94, and four subscales' alphas were 0.82 (Accountability and excellence), 0.81 (Duty), 0.89 (Honor and integrity), and 0.85 (Practice habits and respect for others), respectively. The model fit was good. The convergent validity and discriminant validity were acceptable. The modified SCV-SPMP was found to be a valid and reliable tool to capture the main features of Chinese students' perceptions of medical professionalism in four dimensions, and it provides a quantitative method for the measurement of the students' perceptions in mainland China..
专业性在所有职业中都至关重要，尤其在医疗领域更是如此。衡量学生对专业性的看法有助于制定针对提高专业性的教育目标。本研究旨在验证一种有效的评估工具，用于测量中国大陆医学生对医学专业性的看法。该横断面调查在中国广东的三所医学院进行。在 2103 名符合条件的医学生中，有 1976 名学生做出了回应，其中 1856 份问卷被认为是有效的。这三所医学院的临床医学专业学生采用整群抽样的方法随机抽取。首先，构建了用于测量医学生专业性看法的简体中文版本问卷（SCV-SPMP）。其次，对三所医学院的 1856 名临床医学专业学生的问卷进行分析。然后，进行探索性因子分析、克朗巴赫α系数、项目-分量表相关性以及验证性因子分析，以检验 SCV-SPMP 的有效性和可靠性。经过探索性因子分析，删除了 9 个项目，从分析中提取了 4 个分量表。所有内部一致性信度均超过最低标准。总量表克朗巴赫α系数为 0.94，4 个分量表的α系数分别为 0.82（问责制和卓越）、0.81（责任）、0.89（荣誉和正直）和 0.85（实践习惯和尊重他人）。模型拟合度良好。收敛有效性和判别有效性可接受。改良后的 SCV-SPMP 是一种有效且可靠的工具，可捕捉中国学生对医学专业性看法的四个维度的主要特征，为中国大陆学生的看法提供了一种定量测量方法。
