School of Medicine, Virginia Commonwealth University , Richmond, VA, USA.
School of Education, Virginia Commonwealth University , Richmond, VA, USA.
J Interprof Care. 2021 Jan-Feb;35(1):107-113. doi: 10.1080/13561820.2019.1699037. Epub 2019 Dec 18.
To guide interprofessional education (IPE), a variety of frameworks have been suggested for defining competency in interprofessional practice, but competency-based assessment remains challenging. One self-report measure developed to facilitate competency-based assessment in IPE is the IPEC Competency Self-Assessment. It was originally described as a 42-item measure constructed on the four domains defined by the Interprofessional Education Collaborative (IPEC) Expert Panel. Response data, however, identified only two factors labeled and . In this study, we tested a revised 19-item, two-factor scale based on these prior findings with a new sample ( = 608) and found good model fit with three items not loading on either factor. This led to a 16-item instrument, which was then tested with an additional sample ( = 676). Internal consistency was high, and scores for both subscales showed variance based on prior healthcare experience. The interprofessional interaction subscale was primarily comprised of items from the Teams and Teamwork domain, with one item each based on competencies from the Interprofessional Communication and Values/Ethics domains; and scores varied by year of enrollment. The interprofessional values subscale was comprised solely of items from the Values/Ethics domain. Scores for both subscales were strongly correlated with scores from the Interprofessional Socialization and Valuing Scale. This study further establishes the validity, reliability, and usability of an assessment tool based on interprofessional competency. The findings also suggest the constructs underlying the subscales may be affected differently by experience and training. Additional study using longitudinal data is needed to test this hypothesis.
为了指导医学生的跨专业教育(IPE),已经提出了多种框架来定义跨专业实践的能力,但基于能力的评估仍然具有挑战性。为了促进 IPE 中的基于能力的评估,开发了一种自我报告措施,即 IPEC 能力自我评估。它最初被描述为一个由跨专业教育合作组织(IPEC)专家小组定义的四个领域组成的 42 项措施。然而,响应数据仅确定了两个标记为 和 的因素。在这项研究中,我们根据这些先前的发现,使用新的样本(= 608)测试了一个经过修订的 19 项、两因素量表,并发现有三个项目未加载到任何一个因素上,模型拟合良好。这导致了一个 16 项的工具,然后用另一个样本(= 676)进行了测试。内部一致性很高,两个子量表的分数都根据之前的医疗保健经验有所不同。跨专业互动子量表主要由团队和团队合作领域的项目组成,每个项目都基于跨专业沟通和价值观/道德领域的能力;并且分数因入学年份而异。跨专业价值观子量表仅由价值观/道德领域的项目组成。两个子量表的分数与跨专业社会化和重视量表的分数高度相关。这项研究进一步确立了基于跨专业能力的评估工具的有效性、可靠性和可用性。研究结果还表明,子量表的结构可能会受到经验和培训的不同影响。需要使用纵向数据进行进一步研究,以检验这一假设。