medigraphic.com
ISSN 1405-8871 (Print)

2012, Number 2

<< Back Next >>

Aten Fam 2012; 19 (2)

Making and Validation of an Instrument for Evaluating Knowledge of Medical Professionalism

Martínez TAL, Bautista-Samperio L, Quiroz PJR

Language: Spanish
References: 16
Page: 43-46
PDF size: 230.65 Kb.


ABSTRACT

Objective: to construct and validate an instrument to explore cognitive resources related to medical professionalism. Material and methods: methodological and observational, longitudinal and prolective study. Piloting of 85 workers of the Family Medicine Unit (UMF) no. 94 of the Mexican Social Security Institute (IMSS). A designed questionnaire based on four dimensions of professionalism: concepts, principles, characteristics and responsibilities. Validation of content and construct by experts in Family Medicine, education, ethics and research; reliability with piloting of 32 line-level physicians, 32 residents and 21 of the administrative staff. A statistical analysis with Kappa, Alfa of Cronbach test and difficulty and discrimination index. Results: the final version of the questionnaire consisted of 26 items, after the validity of construct and content, with a concordance of 0.5; reliability in line-level physicians was of 0.99; administrative staff of 0.60; index of difficulty with average of 0.46 and discrimination of 0.25. Conclusions: it was attained the construction of an instrument called: “Assessment of Knowledge on Medical Professionalism”, which determined validity of construct and content with a medium consistency, high reliability on line-level physicians and residents, as well as media in the administrative staff. Index of normal difficulty and slight discrimination.


REFERENCES

  1. Wojtczak A. Medical Professionalism: a Global Headache. Med. Educ. 2006 Sep; 9(3):144-45.

  2. Federación Europea de Medicina Interna: American College of Physicians- American Society of Internal Medicine, American Board of Internal Medicine. Profesionalismo Médico en el Nuevo milenio: Un estatuto para el ejercicio de la medicina. Rev.med. Chile. 2003;131(4).

  3. Brater DC. Viewpoint: infusing professionalism into a school of medicine: perpectives from the dean. Acad Med. 2007;82(11):1094-7.

  4. Peinado-Herreros JM. Competencias médicas. Med Educ. 2005;8(Supl. 2):S4-6.

  5. Comisión Nacional de Arbitraje Médico. Dirección General de Calidad e Informática. Sistema de Atención de Quejas Médicas y Dictámenes (SAQMED). Sistema de Estadística Institucional. Disponible en: http://www.conamed.gob.mx/estadistica/estadística_2011.php.

  6. Jha V, Bekker HL, Duffy SR, Roberts TE. A systematic review of studies assessing and facilitating attitudes towards professionalism in medicine. Med Educ. 2007 Aug;41(8):822-9.

  7. Saitua F. Profesionalismo Médico. Clínica Alemana de Santiago. 2007.

  8. McLachlan JC, Finn G, Macnaughton J. The Conscientiousness index: A Novel Tool to Explore Student´s Professionalism. Acad Med. 2009 may;84(5):559-65.

  9. Comité de Profesionalismo en Medicina. Profesionalismo en Medicina: su relevancia en la formación médica. Escuela de Medicina del Tecnológico de Monterrey.2002. Disponible en: http://emcs.mty.itesm.mx/educacion/profesionalismo/conceptos.php

  10. Kinghorn WA, McEvoy MD, Michel A, Balboni M. Professionalism in modern medicine: does the emperor have any clothes?. Acad Med. 2007 jan;82(1):40-5.

  11. Wilkinson TJ, Wade WB, Knock LD. A blueprint to assess professionalism: results of a systematic review. Acad Med. 2009 may;84(5):551-80.

  12. Ruiz-Pérez LC, Sánchez-Mendiola M. Profesión y profesionalismo en medicina. Seminario. El ejercicio actual de la Medicina. Facultad de Medicina, unam,2006.

  13. Hernández-Sampieri R, Fernández-Collado C, Baptista-Lucio P. Metodología de la investigación. México:McGrawHill;2006.

  14. Reed DA, West CP, Mueller PS, Ficarola RD, Engstler GJ. Behaviors of highly professional resident physicians. jama. 2008 sep;300(11):1326-330.

  15. Quaintance JL, Arnold L, Thompson GS. Development of an instrument to measure the climate of professionalism in a clinical teaching environment. Acad Med. 2008 oct;83(10 Suppl):S5-8.

  16. Reed DA, Levine RB, Miller RG, Ashar BH, Bass EB, Cofrancesco JJr y col. Effect of residency dutyhour limits: views ok key clinical facultaty. Arch Intern Med. 2007 jul 23;167(14):1482-92.




2020     |     www.medigraphic.com