Gürel Özge, Demirören Meral, Taşdelen Teker Gülşen
Department of Medical Education and Informatics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Department of Medical Education and Informatics, Health Sciences University Gülhane Faculty of Medicine, Ankara, Turkey.
BMC Med Educ. 2024 Dec 4;24(1):1417. doi: 10.1186/s12909-024-06404-z.
While reflection skills have been extensively studied in undergraduate medical education, research on the reflection skills of residents remains limited in the Turkish literature. Therefore, a two-phase study was conducted. In the first phase, a methodological study adapted the Groningen Reflection Ability Scale (GRAS) for residents. In the second phase, a cross-sectional study assessed the reflection skills of family medicine (FM) residents using the adapted scale, examining reflection ability scores across gender, seniority, and institution type.
GRAS has been translated into Turkish. Firstly, the Turkish version was administered to 230 residents from various specialties. Confirmatory factor analysis (CFA) was run, Cronbach's alpha and McDonald's omega coefficients were calculated. Then, the adapted scale was administered to 336 FM residents in Turkey. Skewness and kurtosis coefficients were calculated, and the Shapiro-Wilk test was applied to examine normality. Group comparisons were conducted using the Mann-Whitney U test and the Kruskal-Wallis H test.
In the first phase, GRAS-TR-pg with 20-item, single-dimension and three-factor structure has been validated for use with Turkish residents. Cronbach's alpha and McDonald's omega coefficients were found to be sufficient. In the second phase, there were no significant differences in the scores received, based on various variables.
This study reveals that the adapted GRAS-TR-pg can serve as a valid and reliable tool to measure the reflective skills of residents in Turkey. No significant differences found based on various variables regarding the reflection skill levels of Turkish FM residents.
虽然反思技能在本科医学教育中已得到广泛研究，但土耳其文献中关于住院医师反思技能的研究仍然有限。因此，开展了一项分两阶段的研究。在第一阶段，一项方法学研究对住院医师采用了格罗宁根反思能力量表（GRAS）。在第二阶段，一项横断面研究使用改编后的量表评估了家庭医学（FM）住院医师的反思技能，考察了不同性别、资历和机构类型的反思能力得分。
GRAS已被翻译成土耳其语。首先，将土耳其语版本施用于230名来自不同专业的住院医师。进行了验证性因素分析（CFA），计算了克朗巴哈系数和麦克唐纳欧米伽系数。然后，将改编后的量表施用于土耳其的336名FM住院医师。计算了偏度和峰度系数，并应用夏皮罗-威尔克检验来检验正态性。使用曼-惠特尼U检验和克鲁斯卡尔-沃利斯H检验进行组间比较。
在第一阶段，具有20个项目、单维度和三因素结构的GRAS-TR-pg已被验证可用于土耳其住院医师。发现克朗巴哈系数和麦克唐纳欧米伽系数是足够的。在第二阶段，基于各种变量，所获得的分数没有显著差异。
本研究表明，改编后的GRAS-TR-pg可作为测量土耳其住院医师反思技能的有效且可靠的工具。在土耳其FM住院医师的反思技能水平方面，基于各种变量未发现显著差异。
