ArticleIrish journal of medical science2026
Development of a self-reported clinical decision-making competence scale for medical students.
Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Hemoperfusion with Hemodiafiltration Versus Standard Medical Therapy for Severe Acute Pancreatitis: A Retrospective Study.Digestive diseases and sciences · 2026Article
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Authors and funding
4 authors.
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Abstract
backgroundClinical decision-making (CDM) is a multifaceted competency encompassing cognitive, ethical, and interpersonal dimensions. Despite its importance in medical education, there remains a lack of psychometrically sound instruments for assessing medical students' self-reported clinical decision-making competence.
aimTo develop and validate a Self-Reported Clinical Decision-Making Competence Scale for clinical-phase medical students.
methodsA methodological scale-development study was conducted with 243 clinical-phase medical students at Karadeniz Technical University. An initial 30-item pool was generated through a literature review and expert consultation. Following expert review, a 27-item Likert-type scale was finalized and administered online. Construct validity was examined using exploratory factor analysis with robust estimation, the Robust MORGANA approach, and PROMIN rotation. Reliability was evaluated using Cronbach's α and McDonald's ω coefficients.
resultsExploratory factor analysis supported an essentially unidimensional structure explaining 57.6% of the total variance. Factor loadings ranged from 0.44 to 0.85, and model fit indices demonstrated excellent fit. Item discrimination was high across all items (Cohen's d = 1.30-3.18; p < .001). Reliability was excellent (Cronbach's α = 0.971; McDonald's ω = 0.973), supporting the internal consistency of the instrument.
conclusionThe 27-item Self-Reported Clinical Decision-Making Competence Scale demonstrated strong psychometric properties and provides a standardized self-report instrument for assessing medical students' clinical decision-making competence. The scale is intended to complement, rather than replace, performance-based assessment methods within competency-based medical education.
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Registered trials
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