Medical College of Wisconsin
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Initial Development and Validation of a Family Medicine Attitudes Questionnaire. Fam Med 2018 Jan;50(1):47-51

Date

01/19/2018

Pubmed ID

29346689

DOI

10.22454/FamMed.2018.293942

Scopus ID

2-s2.0-85040452945   6 Citations

Abstract

BACKGROUND AND OBJECTIVES: Although many curricular and policy interventions are designed to influence students' attitudes toward family medicine, assessment of these interventions is limited by lack of a comprehensive, validated measure of students' attitudes. We sought to develop and validate a questionnaire that effectively assesses medical student attitudes toward family medicine.

METHODS: A 31-item questionnaire was assessed for internal, external, and content validity. The questionnaire was offered to fourth-year students at two Midwestern medical schools. Internal validity was assessed using data reduction and iterative factor analyses. External validity was assessed by correlating scores with intention to match in family medicine. Content validity was assessed by directly observing students as they completed the questionnaire and qualitatively evaluating student comments.

RESULTS: Of 858 students invited, 426 (49.7%) provided usable questionnaire data. After removal of questions with lower interitem correlations and simplification of subscales, the modified questionnaire achieved acceptable subscale internal consistency and a Cronbach alpha of 0.798. The overall instrument summative score correlated with family medicine career choice (P<0.001). Most subscales and individual items also correlated with family medicine choice. Ten students were directly observed, using an iterative process, and modifications were made based on student understanding.

CONCLUSIONS: Development of a validated questionnaire assessing medical student attitudes toward family medicine is feasible. With further refinement, the Family Medicine Attitudes Questionnaire may be useful in evaluating the impact of curricular interventions on students' perceptions of family medicine, contributing to an evidence-based approach to recruitment of students to the specialty.

Author List

Phillips J, Prunuske J, Fitzpatrick L, Mavis B

Author

Jacob P. Prunuske MD Assistant Dean, Professor in the Medical School Regional Campuses department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Attitude of Health Personnel
Career Choice
Family Practice
Female
Humans
Male
Midwestern United States
Psychometrics
Reproducibility of Results
Students, Medical
Surveys and Questionnaires