Department of Medical Education, Faculty of Medicine, Universitas Islam Bandung, Bandung, Indonesia.
Department of Psychiatry, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia.
Korean J Med Educ. 2020 Mar;32(1):1-11. doi: 10.3946/kjme.2020.148. Epub 2020 Mar 1.
This study was designed to develop an evaluation tool for assessing professional behavior and clinical competencies from the graduates' perspective.
This study employed mixed method in a sequential exploratory design. The semi-structured interviews were conducted with three graduates from different cohorts. The qualitative analysis of the interviews found six emerging themes for professional behavior and clinical competencies development. These themes were then developed into a 55-item questionnaire. The questionnaire was then distributed to 84 medical graduates for exploratory factor analysis (EFA) from February to April 2019. The quantitative data were analyzed using IBM SPSS ver. 21.0 (IBM Corp., Armonk, USA) for principal axis factoring. After conducting EFA, we proceeded with confirmatory factor analysis (CFA) with another 120 graduates to validate the tool.
Eighty-four graduates completed the questionnaire for EFA. Upon completion of EFA, 35 out of 55 items of the questionnaire were found to be valid and reliable. The most appropriate fit was seven factors, which explained 58.18% of variance between them after 15 iterations with Cronbach's α of 0.916. The personal satisfaction factor was noted to be weak. It was therefore added to patient management factor due to its similar intention. The final EFA factor after the modification was six. The CFA found that 34 out of 35 items was valid and reliable that representation of the latent variables.
The questionnaire has achieved the desired construct validity score and can be used as an evaluation tool to assess professional behavior and clinical competencies from the graduates' perspective.
本研究旨在开发一种评估工具，从毕业生的角度评估专业行为和临床能力。
本研究采用混合方法，顺序探索性设计。对来自不同队列的 3 名毕业生进行半结构式访谈。访谈的定性分析发现了 6 个专业行为和临床能力发展的新兴主题。然后将这些主题发展成一个包含 55 个项目的问卷。该问卷于 2019 年 2 月至 4 月分发给 84 名医学毕业生进行探索性因素分析（EFA）。使用 IBM SPSS ver. 21.0（IBM 公司，美国阿蒙克）对定量数据进行主轴因子分析。进行 EFA 后，我们使用另外 120 名毕业生进行验证性因素分析（CFA）来验证该工具。
84 名毕业生完成了 EFA 问卷。EFA 完成后，问卷的 55 个项目中有 35 个被认为是有效和可靠的。最适合的拟合是 7 个因素，经过 15 次迭代后，这 7 个因素解释了它们之间 58.18%的方差，Cronbach's α 为 0.916。个人满意度因素被认为较弱。因此，由于其相似的意图，将其添加到患者管理因素中。修改后的最终 EFA 因素有 6 个。CFA 发现 34 个项目中的 34 个是有效的和可靠的，即代表潜在变量。
该问卷已达到预期的结构有效性得分，可以作为一种评估工具，从毕业生的角度评估专业行为和临床能力。
