title: Analysis of psychometric properties of the modified SETQ tool in undergraduate medical education.
abstract: BACKGROUND
  Effective clinical teaching is crucially important for the future of patient care. Robust clinical training therefore is essential to produce physicians capable of delivering high quality health care. Tools used to evaluate medical faculty teaching qualities should be reliable and valid. This study investigates the psychometric properties of modification of the System for Evaluation of Teaching Qualities (SETQ) instrument in the clinical years of undergraduate medical education.
  
  
  METHODS
  This cross-sectional multicenter study was conducted in four teaching hospitals in the Kingdom of Bahrain. Two-hundred ninety-eight medical students were invited to evaluate 105 clinical teachers using the SETQ instrument between January 2015 and March 2015. Questionnaire feasibility was analyzed using average time required to complete the form and the number of raters required to produce reliable results. Instrument reliability (stability) was assessed by calculating the Cronbach's alpha coefficient for the total scale and for each sub-scale (factor). To provide evidence of construct validity, an exploratory factor analysis was conducted to identify which items on the survey belonged together, which were then grouped as factors.
  
  
  RESULTS
  One-hundred twenty-five medical students completed 1161 evaluations of 105 clinical teachers. The response rates were 42% for student evaluations and 57% for clinical teacher self-evaluations. The factor analysis showed that the questionnaire was composed of six factors, explaining 76.7% of the total variance. Cronbach's alpha was 0.94 or higher for the six factors in the student survey; for the clinical teacher survey, Cronbach's alpha was 0.88. In both instruments, the item-total correlation was above 0.40 for all items within their respective scales.
  
  
  CONCLUSIONS
  Our modified SETQ questionnaire was found to be both reliable and valid, and was implemented successfully across various departments and specialties in different hospitals in the Kingdom of Bahrain.
authors.affiliation: Bahrain Defense Force Hospital, Off Waly Alahed Avenue, P. O. Box-28743, Riffa, Kingdom of Bahrain. ahmed.alansari@bdfmedical.org.|RCSI Bahrain, Arabian Gulf University, P.O. Box 15503, Adliya, Kingdom of Bahrain. ahmed.alansari@bdfmedical.org.|General Surgery Arabian Gulf University (AGU), Manama, Bahrain. ahmed.alansari@bdfmedical.org.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al Ansari
authors.affiliation: RCSI Bahrain, Arabian Gulf University, P.O. Box 15503, Adliya, Kingdom of Bahrain.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Strachan
authors.affiliation: RCSI Bahrain, Arabian Gulf University, P.O. Box 15503, Adliya, Kingdom of Bahrain.
authors.forename: Sumaya
authors.initials: S
authors.lastname: Hashim
authors.affiliation: RCSI Bahrain, Arabian Gulf University, P.O. Box 15503, Adliya, Kingdom of Bahrain.
authors.forename: Sameer
authors.initials: S
authors.lastname: Otoom
mesh_terms: D001445:Bahrain; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004504:Education, Medical, Undergraduate / Q000379:methods* / Q000592:standards*; D004521:Educational Measurement / Q000379:methods* / Q000592:standards*; D005180:Faculty, Medical / Q000592:standards; D000068156:Formative Feedback; D006801:Humans; D010865:Pilot Projects; D011594:Psychometrics; D015203:Reproducibility of Results; D013337:Students, Medical; D011795:Surveys and Questionnaires / Q000592:standards*; D013663:Teaching / Q000592:standards*
keywords: Bahrain; Reliability; SETQ; Validity