Development of an instrument for medical students' self-assessment of facets of competence for patient-centred care
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Development of an instrument for medical students' self-assessment of facets of competence for patient-centred care. / Bußenius, Lisa; Harendza, Sigrid.
in: PATIENT EDUC COUNS, Jahrgang 115, 107926, 10.2023.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Development of an instrument for medical students' self-assessment of facets of competence for patient-centred care
AU - Bußenius, Lisa
AU - Harendza, Sigrid
N1 - Copyright © 2023 Elsevier B.V. All rights reserved.
PY - 2023/10
Y1 - 2023/10
N2 - OBJECTIVE: To develop a facets of competence self-assessment instrument (FOCSI) with operationalised items for ten competence facets required for patient-centred care at the beginning of residency.METHODS: We conducted focus groups and cognitive interviews with final-year medical students to develop items that match students' clinical experience. We tested 50 items in two samples and analysed model fit and internal consistency of all possible combinations to identify the optimal ten-item-solution. Item analysis was performed as well as correlation with six personality traits.RESULTS: An optimal ten-item solution for the self-assessment instrument emerged for sample 1 (n = 101, 27.2 ± 3.5 years, 75.2 % female). We validated the model fit with sample 2 (n = 135, 27.7 ± 3.9 years, 66.7 % female): χ2(35) = 49.3, p = .055, CFI = .94, RMSEA = .055, SRMR = .058, Cronbach's alpha = .78. The personality factors 'Conscientiousness' and 'Extraversion' correlate positively with most FOCSI items.CONCLUSION: The operationalised FOCSI items support undergraduate medical students close to graduation in realistic self-assessment of facets of competences for patient-centred care in their transition to residency.PRACTICE IMPLICATIONS: Realistic self-assessment of facets of competence will provide medical students with the opportunity to monitor their competence development as part of self-directed learning for gaining adaptive expertise in professional, patient-centred care.
AB - OBJECTIVE: To develop a facets of competence self-assessment instrument (FOCSI) with operationalised items for ten competence facets required for patient-centred care at the beginning of residency.METHODS: We conducted focus groups and cognitive interviews with final-year medical students to develop items that match students' clinical experience. We tested 50 items in two samples and analysed model fit and internal consistency of all possible combinations to identify the optimal ten-item-solution. Item analysis was performed as well as correlation with six personality traits.RESULTS: An optimal ten-item solution for the self-assessment instrument emerged for sample 1 (n = 101, 27.2 ± 3.5 years, 75.2 % female). We validated the model fit with sample 2 (n = 135, 27.7 ± 3.9 years, 66.7 % female): χ2(35) = 49.3, p = .055, CFI = .94, RMSEA = .055, SRMR = .058, Cronbach's alpha = .78. The personality factors 'Conscientiousness' and 'Extraversion' correlate positively with most FOCSI items.CONCLUSION: The operationalised FOCSI items support undergraduate medical students close to graduation in realistic self-assessment of facets of competences for patient-centred care in their transition to residency.PRACTICE IMPLICATIONS: Realistic self-assessment of facets of competence will provide medical students with the opportunity to monitor their competence development as part of self-directed learning for gaining adaptive expertise in professional, patient-centred care.
U2 - 10.1016/j.pec.2023.107926
DO - 10.1016/j.pec.2023.107926
M3 - SCORING: Journal article
C2 - 37536112
VL - 115
JO - PATIENT EDUC COUNS
JF - PATIENT EDUC COUNS
SN - 0738-3991
M1 - 107926
ER -
