East Meets West: A Multisite Validity Study of the China Medical Professionalism Inventory.

IF 3.9 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Perspectives on Medical Education Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI:10.5334/pme.1682
Honghe Li, David A Hirsh, Xinzhi Song, Edward Krupat, Xue Yang, Ming-Jung Ho, Dianne Manning, Deliang Wen
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引用次数: 0

Abstract

Introduction: The characteristics of medical professionalism (MP) vary across cultural contexts. Professionalism constructs and MP tools currently rely on Western cultural perspectives. Chinese leaders are calling for MP tools that connect to historical traditions, current culture, and modern conceptualizations of MP inside and outside China.

Methods: The authors developed the China Medical Professionalism Inventory using standard processes in two steps. Phase I, "development of item pool," involved reviewing the literature to generate an item pool and conducting a first survey of Chinese clinical experts to develop content evidence. Phase II, "delineation of validity evidence," included three psychometric studies of practicing physicians and a second expert survey to create the final version of the tool; these processes aimed to determine validity evidence for content, internal structure, and relationships to other variables.

Results: Systematic review of the English- and Chinese-language literature identified 1537 professionalism-specific items from 63 sources to form the item pool. The authors conducted two rounds of expert review, including surveying nationally prominent Chinese clinician-leaders (n = 34, response rate 85%, and n = 76, response rate 63%). The authors conducted three psychometric studies of practicing Chinese physicians (n = 360, response rate 92%; n = 3653, response rate 90%; and n = 955, response rate 95%). The results generated the 20-item CMPI, with four factors: "Respect, Compassion, and Communication; Integrity; Excellence; and Responsibility."

Discussion: The CMPI presented validity evidence for content, internal structure, and relationship to other variables. This study may extend the conceptualization and reach of MP measurement.

Abstract Image

Abstract Image

东西方相遇:中国医学专业精神量表的多点效度研究。
医学专业精神(MP)的特征在不同的文化背景下有所不同。专业主义建构和MP工具目前依赖于西方文化视角。中国领导人正在呼吁将中国国内外的历史传统、当前文化和现代MP概念联系起来的MP工具。方法:采用标准程序分两步编制《中国医学专业精神量表》。第一阶段,“项目库的开发”,包括回顾文献以生成项目库,并对中国临床专家进行首次调查以开发内容证据。第二阶段,“有效性证据描述”,包括对执业医生的三项心理测量研究和第二次专家调查,以创建该工具的最终版本;这些过程旨在确定内容、内部结构和与其他变量的关系的有效性证据。结果:系统回顾英文和中文文献,从63个来源中确定了1537个专业特定项目,形成项目池。作者进行了两轮专家评审,包括调查了全国知名的中国临床医生领导(n = 34,回复率85%,n = 76,回复率63%)。作者对中国执业医师进行了3项心理测量研究(n = 360,有效率92%;n = 3653,有效率90%;n = 955,有效率95%)。结果产生了包含20个项目的CMPI,包含四个因素:“尊重、同情和沟通;完整性;卓越;和责任。讨论:CMPI提供了内容、内部结构和与其他变量关系的有效性证据。本研究可扩展MP测量的概念和范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.70
自引率
8.30%
发文量
31
审稿时长
28 weeks
期刊介绍: Perspectives on Medical Education mission is support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Official journal of the The Netherlands Association of Medical Education (NVMO). Perspectives on Medical Education is a non-profit Open Access journal with no charges for authors to submit or publish an article, and the full text of all articles is freely available immediately upon publication, thanks to the sponsorship of The Netherlands Association for Medical Education. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
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