A Construct Validity Study of Clinical Competence: A Multitrait Multimethod Matrix Approach

Autor/inn/en	Baig, Lubna; Violato, Claudio; Crutcher, Rodney
Titel	A Construct Validity Study of Clinical Competence: A Multitrait Multimethod Matrix Approach
Quelle	In: Journal of Continuing Education in the Health Professions, 30 (2010) 1, S.19-25 (7 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0894-1912
Schlagwörter	Foreign Countries; Physicians; Competence; Clinical Diagnosis; Physician Patient Relationship; Communication Skills; Measures (Individuals); Tests; Construct Validity; Multitrait Multimethod Techniques; Medical Education; Professional Continuing Education; Canada + Suchen Sie Ihr Suchwort? Ausland; Physician; Doctor; Arzt; Kompetenz; Arzt-Patient-Beziehung; Kommunikationsstil; Messdaten; Examination; Prüfung; Examen; Medizinische Ausbildung; Berufsfeldbezogener Unterricht; Weiterbildung; Kanada
Abstract	Introduction: The purpose of the study was to adduce evidence for estimating the construct validity of clinical competence measured through assessment instruments used for high-stakes examinations. Methods: Thirty-nine international physicians (mean age = 41 + 6.5 y) participated in high-stakes examination and 3-month supervised clinical practice to determine the practice readiness of physicians. Three traits--doctor-patient relationship, clinical competence, and communication skills--were assessed with objective structured clinical examinations, in-training evaluation reports, and clinical assessments. These traits were intercorrelated in a multitrait multimethod matrix (MTMM). Results: The reliability of assessments ranged from moderate to high (Cronbach's [alpha]: 0.58-0.98; Ep[superscript 2] = 0.79). There is evidence for both convergent and divergent validity for clinical competence, followed by doctor-patient relationships, and communications (validity coefficients = 0.12-0.85). The correlations between the same methods but different traits indicate that there is substantial method specificity in the assessment accounting for nearly one-quarter of the variance (23.7%). Discussion: There is evidence for the construct validity of all 3 traits across 3 methods. The MTMM approach, currently underutilized, could be used to estimate the degree of evidence for validating complex constructs, such as clinical competence. (Contains 1 figure and 1 table.) (As Provided).
Anmerkungen	John Wiley & Sons, Inc. Subscription Department, 111 River Street, Hoboken, NJ 07030-5774. Tel: 800-825-7550; Tel: 201-748-6645; Fax: 201-748-6021; e-mail: subinfo@wiley.com; Web site: http://www3.interscience.wiley.com/browse/?type=JOURNAL
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10