The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals

Abstract Background Attending physicians exhibit varied patterns in enacting educational roles, but no standardized framework or measurement tools currently exist to evaluate these roles and associated behaviors. This study aimed to create an analytical framework and develop an instrument to measure...

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Main Authors: Ling-Chun Ou, Yu-Chih Lin
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-025-06812-9
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author Ling-Chun Ou
Yu-Chih Lin
author_facet Ling-Chun Ou
Yu-Chih Lin
author_sort Ling-Chun Ou
collection DOAJ
description Abstract Background Attending physicians exhibit varied patterns in enacting educational roles, but no standardized framework or measurement tools currently exist to evaluate these roles and associated behaviors. This study aimed to create an analytical framework and develop an instrument to measure the educational role enactment of attending physicians through a questionnaire survey and detailed descriptions of educational behaviors. Methods A 15-item questionnaire was designed based on a literature review to examine the enactment of three educational roles within the role set of attending physicians. Experts assessed its content validity, while feasibility and readability were tested in a pilot study involving 100 attending physicians from seven teaching hospitals and medical centers in Kaohsiung City. In the formal study, purposive sampling from the same institutions yielded 364 valid responses, achieving a response rate of 91%. Data analysis included item analysis, factor analysis, and evaluation of internal consistency reliability. Results All questionnaire items related to the enactment of attending physicians’ educational roles as clinical teachers met the retention criteria, including composite reliability (CR) and homogeneity. Factor analysis revealed a three-factor structure with acceptable reliability, representing three educational roles within the role set: “Clinical Teaching,” “Supportive Counseling,” and “Job Supervision.” Conclusion The Teaching Hospitals Attending Physician Educational Role Enactment Scale is a reliable and comprehensive tool for assessing the educational roles enacted by attending physicians in the teaching hospital. It encompasses a range of educational roles and aligns with diverse teaching behaviors, offering a self-evaluation tool supported by an analytical framework for clinical teaching practices.
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spelling doaj-art-4a4f9325b8a946dea66c645f4e1e7cab2025-02-09T12:42:32ZengBMCBMC Medical Education1472-69202025-02-012511910.1186/s12909-025-06812-9The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitalsLing-Chun Ou0Yu-Chih Lin1Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityDivision of General Internal Medicine, Department of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityAbstract Background Attending physicians exhibit varied patterns in enacting educational roles, but no standardized framework or measurement tools currently exist to evaluate these roles and associated behaviors. This study aimed to create an analytical framework and develop an instrument to measure the educational role enactment of attending physicians through a questionnaire survey and detailed descriptions of educational behaviors. Methods A 15-item questionnaire was designed based on a literature review to examine the enactment of three educational roles within the role set of attending physicians. Experts assessed its content validity, while feasibility and readability were tested in a pilot study involving 100 attending physicians from seven teaching hospitals and medical centers in Kaohsiung City. In the formal study, purposive sampling from the same institutions yielded 364 valid responses, achieving a response rate of 91%. Data analysis included item analysis, factor analysis, and evaluation of internal consistency reliability. Results All questionnaire items related to the enactment of attending physicians’ educational roles as clinical teachers met the retention criteria, including composite reliability (CR) and homogeneity. Factor analysis revealed a three-factor structure with acceptable reliability, representing three educational roles within the role set: “Clinical Teaching,” “Supportive Counseling,” and “Job Supervision.” Conclusion The Teaching Hospitals Attending Physician Educational Role Enactment Scale is a reliable and comprehensive tool for assessing the educational roles enacted by attending physicians in the teaching hospital. It encompasses a range of educational roles and aligns with diverse teaching behaviors, offering a self-evaluation tool supported by an analytical framework for clinical teaching practices.https://doi.org/10.1186/s12909-025-06812-9Educational rolesRole enactmentAttending physicianClinical teachersTeaching hospitals
spellingShingle Ling-Chun Ou
Yu-Chih Lin
The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
BMC Medical Education
Educational roles
Role enactment
Attending physician
Clinical teachers
Teaching hospitals
title The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
title_full The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
title_fullStr The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
title_full_unstemmed The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
title_short The construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
title_sort construction of a psychometric instrument for the educational role enactment of attending physicians in teaching hospitals
topic Educational roles
Role enactment
Attending physician
Clinical teachers
Teaching hospitals
url https://doi.org/10.1186/s12909-025-06812-9
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