title: The development of an instrument to assess clinical teaching with linkage to CanMEDS roles: A psychometric analysis.
abstract: BACKGROUND
  Assessment of clinical teaching by learners is of value to teachers, department heads, and program directors, and must be comprehensive and feasible.
  
  
  OBJECTIVE
  To review published evaluation instruments with psychometric evaluations and to develop and psychometrically evaluate an instrument for assessing clinical teaching with linkages to the CanMEDS roles.
  
  
  METHODS
  We developed a 19-item questionnaire to reflect 10 domains relevant to teaching and the CanMEDS roles. A total of 317 medical learners assessed 170 instructors. Fourteen (4.4 %) clinical clerks, 229 (72.3%) residents, and 53 (16.7%) fellows assessed 170 instructors. Twenty-one (6.6%) did not specify their position.
  
  
  RESULTS
  A mean number of eight raters assessed each instructor. The internal consistency reliability of the 19-item instrument was Cronbach's α = 0.95. The generalizability coefficient (Ep(2)) analysis indicated that the raters achieved Ep(2) of 0.95. The factor analysis showed three factors that accounted for 67.97% of the total variance. The three factors together, with the variance accounted for and their internal consistency reliability, are teaching skills (variance = 53.25s%; Cronbach's α = 0.92), Patient interaction (variance = 8.56%; Cronbach's α = 0.91), and professionalism (variance = 6.16%; Cronbach's α = 0.86). The three factors are intercorrelated (correlations = 0.48, 0.58, 0.46; p < 0.01).
  
  
  CONCLUSIONS
  It is feasible to assess clinical teaching with the 19-item instrument that has demonstrated evidence of both validity and reliability.
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, University of Calgary, Calgary, AB T2N 4N2, Canada. jill.nation@albertahealthservices.ca
authors: Jill G
authors: JG
authors: Nation
authors: Elizabeth
authors: E
authors: Carmichael
authors: Herta
authors: H
authors: Fidler
authors: Claudio
authors: C
authors: Violato