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Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries

Routine surveys are used to understand the training quality and experiences of junior doctors but there are lack of tools designed to evaluate the training experiences of interns in low-income and middle-income countries (LMICs) where working conditions and resource constraints are challenging. We d...

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Autores principales: Zhao, Yingxi, Jalloh, Sulaiman, Lam, Phung Khanh, Kwarshak, Yakubu Kevin, Mbuthia, Daniel, Misago, Nadine, Namedre, Mesulame, Phương, Nguyễn Thị Bé, Qaloewa, Sefanaia, Summers, Richard, Tang, Kun, Tweheyo, Raymond, Wills, Bridget, Zhang, Fang, Nicodemo, Catia, Gathara, David, English, Mike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632816/
https://www.ncbi.nlm.nih.gov/pubmed/37940205
http://dx.doi.org/10.1136/bmjgh-2023-013399
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author Zhao, Yingxi
Jalloh, Sulaiman
Lam, Phung Khanh
Kwarshak, Yakubu Kevin
Mbuthia, Daniel
Misago, Nadine
Namedre, Mesulame
Phương, Nguyễn Thị Bé
Qaloewa, Sefanaia
Summers, Richard
Tang, Kun
Tweheyo, Raymond
Wills, Bridget
Zhang, Fang
Nicodemo, Catia
Gathara, David
English, Mike
author_facet Zhao, Yingxi
Jalloh, Sulaiman
Lam, Phung Khanh
Kwarshak, Yakubu Kevin
Mbuthia, Daniel
Misago, Nadine
Namedre, Mesulame
Phương, Nguyễn Thị Bé
Qaloewa, Sefanaia
Summers, Richard
Tang, Kun
Tweheyo, Raymond
Wills, Bridget
Zhang, Fang
Nicodemo, Catia
Gathara, David
English, Mike
author_sort Zhao, Yingxi
collection PubMed
description Routine surveys are used to understand the training quality and experiences of junior doctors but there are lack of tools designed to evaluate the training experiences of interns in low-income and middle-income countries (LMICs) where working conditions and resource constraints are challenging. We describe our process developing and validating a ‘medical internship experience scale’ to address this gap, work involving nine LMICs that varied in geographical locations, income-level and internship training models. We used a scoping review of existing tools, content validity discussions with target populations and an expert panel, back-and-forth translations into four language versions and cognitive interviews to develop and test the tool. Using data collected from 1646 interns and junior medical doctors, we assessed factor structure and assessed its reliability and validity. Fifty items about experiences of medical internship were retained from an initial pool of 102 items. These 50 items represent 6 major factors (constructs): (1) clinical learning and supervision, (2) patient safety, (3) job satisfaction, (4) stress and burnout, (5) mental well-being, and (6) fairness and discrimination. We reflect on the process of multicountry scale development and highlight some considerations for others who may use our scale, using preliminary analyses of the 1646 responses to illustrate that the tool may produce useful data to identify priorities for action. We suggest this tool could enable LMICs to assess key metrics regarding intern straining and initial work experiences and possibly allow comparison across countries and over time, to inform better internship planning and management.
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spelling pubmed-106328162023-11-10 Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries Zhao, Yingxi Jalloh, Sulaiman Lam, Phung Khanh Kwarshak, Yakubu Kevin Mbuthia, Daniel Misago, Nadine Namedre, Mesulame Phương, Nguyễn Thị Bé Qaloewa, Sefanaia Summers, Richard Tang, Kun Tweheyo, Raymond Wills, Bridget Zhang, Fang Nicodemo, Catia Gathara, David English, Mike BMJ Glob Health Practice Routine surveys are used to understand the training quality and experiences of junior doctors but there are lack of tools designed to evaluate the training experiences of interns in low-income and middle-income countries (LMICs) where working conditions and resource constraints are challenging. We describe our process developing and validating a ‘medical internship experience scale’ to address this gap, work involving nine LMICs that varied in geographical locations, income-level and internship training models. We used a scoping review of existing tools, content validity discussions with target populations and an expert panel, back-and-forth translations into four language versions and cognitive interviews to develop and test the tool. Using data collected from 1646 interns and junior medical doctors, we assessed factor structure and assessed its reliability and validity. Fifty items about experiences of medical internship were retained from an initial pool of 102 items. These 50 items represent 6 major factors (constructs): (1) clinical learning and supervision, (2) patient safety, (3) job satisfaction, (4) stress and burnout, (5) mental well-being, and (6) fairness and discrimination. We reflect on the process of multicountry scale development and highlight some considerations for others who may use our scale, using preliminary analyses of the 1646 responses to illustrate that the tool may produce useful data to identify priorities for action. We suggest this tool could enable LMICs to assess key metrics regarding intern straining and initial work experiences and possibly allow comparison across countries and over time, to inform better internship planning and management. BMJ Publishing Group 2023-11-08 /pmc/articles/PMC10632816/ /pubmed/37940205 http://dx.doi.org/10.1136/bmjgh-2023-013399 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Practice
Zhao, Yingxi
Jalloh, Sulaiman
Lam, Phung Khanh
Kwarshak, Yakubu Kevin
Mbuthia, Daniel
Misago, Nadine
Namedre, Mesulame
Phương, Nguyễn Thị Bé
Qaloewa, Sefanaia
Summers, Richard
Tang, Kun
Tweheyo, Raymond
Wills, Bridget
Zhang, Fang
Nicodemo, Catia
Gathara, David
English, Mike
Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title_full Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title_fullStr Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title_full_unstemmed Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title_short Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
title_sort development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632816/
https://www.ncbi.nlm.nih.gov/pubmed/37940205
http://dx.doi.org/10.1136/bmjgh-2023-013399
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