The development of an instrument to assess clinical teaching with linkage to CanMEDS roles: A psychometric analysis

Jill G. Nation, Elizabeth Carmichael, Herta Fidler, Claudio Violato

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background: Assessment of clinical teaching by learners is of value to teachers, department heads, and program directors, and must be comprehensive and feasible.Aims: To review published evaluation instruments with psychometric evaluations and to develop and psychometrically evaluate an instrument for assessing clinical teaching with linkages to the CanMEDS roles.Method: We developed a 19-item questionnaire to reflect 10 domains relevant to teaching and the CanMEDS roles. A total of 317 medical learners assessed 170 instructors. Fourteen (4.4 %) clinical clerks, 229 (72.3%) residents, and 53 (16.7%) fellows assessed 170 instructors. Twenty-one (6.6%) did not specify their position.Results: A mean number of eight raters assessed each instructor. The internal consistency reliability of the 19-item instrument was Cronbach's α=0.95. The generalizability coefficient (Ep2) analysis indicated that the raters achieved Ep2 of 0.95. The factor analysis showed three factors that accounted for 67.97% of the total variance. The three factors together, with the variance accounted for and their internal consistency reliability, are teaching skills (variance=53.25s%; Cronbach's α=0.92), Patient interaction (variance=8.56%; Cronbach's α=0.91), and professionalism (variance=6.16%; Cronbach's α=0.86). The three factors are intercorrelated (correlations=0.48, 0.58, 0.46; p<0.01).Conclusion: It is feasible to assess clinical teaching with the 19-item instrument that has demonstrated evidence of both validity and reliability.

Original languageEnglish (US)
Pages (from-to)e290-e296
JournalMedical Teacher
Issue number6
StatePublished - Jun 2011

Bibliographical note

Copyright 2011 Elsevier B.V., All rights reserved.


Dive into the research topics of 'The development of an instrument to assess clinical teaching with linkage to CanMEDS roles: A psychometric analysis'. Together they form a unique fingerprint.

Cite this