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The Professionalism Assessment of Clinical Teachers (PACT): the reliability and validity of a novel tool to evaluate professional and clinical teaching behaviors

Overview of attention for article published in Advances in Health Sciences Education, June 2013
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Title
The Professionalism Assessment of Clinical Teachers (PACT): the reliability and validity of a novel tool to evaluate professional and clinical teaching behaviors
Published in
Advances in Health Sciences Education, June 2013
DOI 10.1007/s10459-013-9466-4
Pubmed ID
Authors

Meredith E. Young, Sylvia R. Cruess, Richard L. Cruess, Yvonne Steinert

Abstract

Physicians function as clinicians, teachers, and role models within the clinical environment. Negative learning environments have been shown to be due to many factors, including the presence of unprofessional behaviors among clinical teachers. Reliable and valid assessments of clinical teacher performance, including professional behaviors, may provide a foundation for evidence-based feedback to clinical teachers, enable targeted remediation or recognition, and help to improve the learning environment. However, few tools exist for the evaluation of clinical teachers that include a focus on both professional and clinical teaching behaviors. The Professionalism Assessment of Clinical Teachers (PACT) was developed and implemented at one Canadian institution and was assessed for evidence of reliability and validity. Following each clerkship rotation, students in the 2009-2010 third-year undergraduate clerkship cohort (n = 178) anonymously evaluated a minimum of two clinical teachers using the PACT. 4,715 forms on 567 faculty members were completed. Reliability, validity, and free text comments (present in 45 % of the forms) were examined. An average of 8.6 PACT forms were completed per faculty (range 1-60), with a reliability of 0.31 for 2.9 forms (harmonic mean); 12 forms were necessary for a reliability of 0.65. Global evaluations of teachers aligned with ratings of free-text comments (r = 0.77, p < 0.001). Comment length related negatively with overall rating (r = -0.19, p < 0.001). Mean performance related negatively with variability of performance (r = -0.72, p < 0.001), although this may be related to a ceiling effect. Most faculty members were rated highly; however 'provided constructive feedback' was the least well-rated item. Respectful interactions with students appeared to be the most influential item in the global rating of faculty performance. The PACT is a moderately reliable tool for the assessment of professional behaviors of clinical teachers, with evidence supporting its validity.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 <1%
Saudi Arabia 1 <1%
Belgium 1 <1%
Spain 1 <1%
United States 1 <1%
Unknown 102 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 19%
Student > Ph. D. Student 12 11%
Researcher 10 9%
Professor > Associate Professor 7 7%
Student > Doctoral Student 6 6%
Other 27 25%
Unknown 25 23%
Readers by discipline Count As %
Medicine and Dentistry 38 36%
Social Sciences 20 19%
Nursing and Health Professions 6 6%
Business, Management and Accounting 4 4%
Agricultural and Biological Sciences 4 4%
Other 7 7%
Unknown 28 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 July 2013.
All research outputs
#18,341,711
of 22,714,025 outputs
Outputs from Advances in Health Sciences Education
#745
of 851 outputs
Outputs of similar age
#148,162
of 197,317 outputs
Outputs of similar age from Advances in Health Sciences Education
#4
of 7 outputs
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