Evaluating professionalism in medical undergraduates using selected response questions: findings from an item response modelling study
2011

Evaluating Professionalism in Medical Students

Sample size: 194 publication Evidence: moderate

Author Information

Author(s): Tiffin Paul A, Finn Gabrielle M, McLachlan John C

Primary Institution: Durham University

Hypothesis

Ratings of professionalism and conscientiousness would be more strongly associated with performance on SRQs probing knowledge of professional conduct compared to other types of item.

Conclusion

SRQs related to professionalism are likely to have relatively poor psychometric properties and lack associations with other constructs associated with undergraduate professional behaviour.

Supporting Evidence

  • Professionalism items were less difficult compared to anatomy and skills SRQs.
  • Professionalism item performance was uncorrelated with the standardised Conscientiousness Index scores.
  • There were modest but significant correlations between standardised Conscientiousness Index scores and performance at anatomy items.

Takeaway

This study looked at how well medical students understand professionalism. It found that the questions about professionalism didn't really help tell who was doing well or poorly in medical school.

Methodology

Item Response Theory (IRT) was used to analyze question and student performance for SRQs relating to professionalism, anatomy, and skills.

Potential Biases

The study's reliance on peer nominations for professionalism may introduce bias.

Limitations

The study did not include sociodemographic variables, making it impossible to assess response bias according to characteristics like gender and ethnicity.

Participant Demographics

The study involved two cohorts of medical undergraduates, with 96 students in the first cohort and 98 in the second.

Statistical Information

P-Value

0.006

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6920-11-43

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