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- Title
Measuring Family Physician Identity: The Development of a New Instrument.
- Authors
Carney, Patricia A.; Waller, Elaine; Eiff, M. Patrice; Saultz, John W.; Jones, Samuel; Fogarty, Colleen T.; Corboy, Jane E.; Green, Larry
- Abstract
OBJECTIVE: Our objective was to describe the development and psychometric assessment of an instrument designed to assess family medicine identity in residency training sites and compare responses from physician faculty and residents. METHODS: We conducted 28 focus groups between 2007-2008, 14 with faculty and 14 with residents who were part of the Pre-paring Personal Physicians for Practice (P4) Project. The first 22 focus groups were exploratory, and the second six were confirma-tory where we shared working variable statements scored using a 5-point Likert scale. We then administered the survey to 223 fac-ulty and 147 residents who were part of the P4 Project, followed by a principal component (factor) analysis, retaining items that re-flected domains with eigenvalues higher than 1.0. RESULTS: A total of 223 family physician faculty and 147 res-idents completed the identity survey. The item analysis extrac-tion loadings ranged from 0.36 to 0.70. Based on item grouping patterns, five domains were reflected in the data: Patient/Family Relationships, Patient Advocacy, Career Flexibility, Balancing the Breadth and Depth in Practice, and Comprehensive Nature of Pa-tient Care. Compared to residents, faculty conveyed stronger agree-ment about being comfortable balancing the breadth and depth of medical knowledge needed in practice and using a variety of approaches to supplement their medical knowledge about patient care compared to residents (90.6% versus 68.7% for breadth and depth, 95.9% versus 88.3 for using a variety of approaches). Com-pared to faculty, residents agreed more strongly that the ability to choose many options in how to build their practice appeals to them compared to faculty (89.1% versus 82.9%). CONCLUSIONS: We successfully developed and tested a survey designed to measure family medicine identity in residencies, with five domains. Survey item responses were different between resi-dents and faculty, which indicates the instrument may be sensitive to important changes over time.
- Publication
Family Medicine, 2013, Vol 45, Issue 10, p708
- ISSN
0742-3225
- Publication type
Academic Journal