Development and validation of a professionalism assessment scale for medical students.
OBJECTIVE
To develop and validate a scale for the assessment of professionalism in medical students based on students' perceptions of and attitudes towards professionalism in medicine.


METHODS
This was a mixed methods study with undergraduate medical students. Two focus groups were carried out with 12 students, followed by a transcript analysis (grounded theory method with open coding). Then, a 3-round Delphi with 20 family medicine experts was carried out. A psychometric assessment of the scale was performed with a group of 449 students. The items of the Professionalism Assessment Scale could be answered on a five-point Likert scale.


RESULTS
After the focus groups, the first version of the PAS consisted of 56 items and after the Delphi study, 30 items remained. The final sample for quantitative study consisted of 122 students (27.2% response rate). There were 95 (77.9%) female students in the sample. The mean age of the sample was 22.1 ± 2.1 years. After the principal component analysis, we removed 8 items and produced the final version of the PAS (22 items). The Cronbach's alpha of the scale was 0.88. Factor analysis revealed three factors: empathy and humanism, professional relationships and development and responsibility.


CONCLUSIONS
The new Professionalism Assessment Scale proved to be valid and reliable. It can be used for the assessment of professionalism in undergraduate medical students.
Department of Family Medicine, Faculty of Medicine, Taborska 8, 2000 Maribor, Slovenia.
Zalika
Z
Klemenc-Ketis
Department of Family Medicine, Faculty of Medicine, Taborska 8, 2000 Maribor, Slovenia.
Helena
H
Vrecko
D001291:Attitude of Health Personnel; D001293:Attitude to Death; D003430:Cross-Sectional Studies; D003697:Delphi Technique; D004645:Empathy; D005163:Factor Analysis, Statistical; D005260:Female; D017144:Focus Groups; D066296:Grounded Theory; D006808:Humanism; D006801:Humans; D008297:Male; D011361:Professional Competence; D011594:Psychometrics; D015203:Reproducibility of Results; D013337:Students, Medical / Q000523:psychology*; D055815:Young Adult
Ethics; professional; students; validation studies