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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...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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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. |
format | Online Article Text |
id | pubmed-10632816 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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