Assessing Interpersonal Relationships in Medical Education: the Connection Index.

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Abstrakt

Tytuł:: Assessing Interpersonal Relationships in Medical Education: the Connection Index.
Autorzy:: Puder D; Loma Linda University School of Medicine, Loma Linda, CA, USA. .
Dominguez C; Loma Linda University School of Medicine, Loma Linda, CA, USA.
Borecky A; Loma Linda University School of Medicine, Loma Linda, CA, USA.
Ing A; University of California at Irvine, Irvine, CA, USA.
Ing K; University of California at Irvine, Irvine, CA, USA.
Martinez AE; Loma Linda University School of Medicine, Loma Linda, CA, USA.
Pereau M; Loma Linda University School of Medicine, Loma Linda, CA, USA.
Kashner TM; Loma Linda University School of Medicine, Loma Linda, CA, USA.; Office of Academic Affiliations, Department of Veterans Affairs, Washington, DC, USA.
Źródło:: Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry [Acad Psychiatry] 2022 Dec; Vol. 46 (6), pp. 683-691. Date of Electronic Publication: 2022 Jan 22.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2014- : New York, NY : Springer
Original Publication: [Washington, DC : American Psychiatric Press, c1989-
MeSH Terms:: Internship and Residency*
Education, Medical*
Burnout, Professional*/psychology
Female ; Humans ; Male ; Reproducibility of Results ; Education, Medical, Graduate ; Clinical Competence
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Contributed Indexing:: Keywords: Educational alliance; Empathy; Feedback; Psychological safety; Supervision
Entry Date(s):: Date Created: 20220122 Date Completed: 20221201 Latest Revision: 20221201
Update Code:: 20240105
DOI:: 10.1007/s40596-021-01574-0
PMID:: 35064549
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Objective: The relationship between a resident physician and his/her supervising attending is foundational to graduate medical education and may impact the clinical learning environment and resident well-being. This paper focuses on how to measure connection between a resident and their clinical supervisor. Connection includes the subdomains of psychological safety, empathy, educational alliance, and feedback.
Methods: After reviewing the literature, the authors designed the 12-item, 7-point Connection Index (CI 12 ) to quantitatively measure connections between a resident and his/her supervisor during a 6-month period (supervision dyad), and based on educational alliance, empathy, psychological safety, and effective feedback. A 9-criteria evaluation framework was applied to assess its reliability and validity on a sample of psychiatry residents at a residency program, July 2016 through June 2018.
Results: Out of a total possible number of 50 residents, 100% participated to rate 41 supervisors over 201 supervision dyads; the CI 12 satisfied all eight of the eight testable criteria, including high scalability (H = 0.78), consistency (alpha = 0.98), test-retest validity (ICC = 0.95), and construct validity where CI 12 was found to have statistically significant correlations with outcomes measures (greater connection was associated with less negative emotional experiences, less mistreatment or bias, less burnout, and higher attendance to supervision sessions).
Conclusion: The authors showed the CI 12 can be a valid and reliable instrument to quantify whether a resident and his/her supervisor connects during a 6-month supervision with respect to empathy, psychological safety, educational alliance, and feedback. We recommend assessing connections as part of the overall evaluation of a resident's experience with the clinical learning environment.
(© 2021. Academic Psychiatry.)

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