Adaptation and initial examination of the psychometric properties of the Short Supervisory Relationship Questionnaire (SSRQ) for use with general practice registrars

Abstract

The relationship between general practice (GP) registrars and their supervisors underpins the training experience for the next generation of medical practitioners. Building on recent research into the development and validation of a measure of the relationship between registrars and supervisors from the perspective of the supervisor, the current study focuses on the educational alliance from the perspective of the registrar. This paper presents an adaptation and initial validation of the clinical psychology supervisory relationship measure for GP registrars in an Australian context. Following an Expert Group review and adaptation of the items, 238 GP registrars completed the adapted tool. Using exploratory factor analysis and Procrustes confirmatory rotation, an optimal four factor model of the supervisory relationship was identified, reflecting measures of Safe base (α =.93), Supervisor investment (α =.96), Registrar professionalism (α =.90), and Emotional intelligence (α =.87). The general practice supervisory relationship measure for registrars (GP-SRMR) demonstrated excellent model fit, high internal consistency, and was theoretically consistent with the original tool. Implications for clinical education and future research are presented. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords

Author Keywords

General Practice Clinical Education educational alliance Supervisory relationship

Index Keywords

adult clinical competence female human male medical education psychology questionnaire Humans Internship and Residency Surveys and Questionnaires Article psychometry Australia education general practitioner General Practitioners rotation investment human experiment internal consistency middle aged exploratory factor analysis clinical education general practise registrar validation process professionalism Emotional intelligence Psychometrics clinical psychology

Author Affiliations

General Practice Training Tasmania, New Town, TS, Australia

Monash University, Melbourne, VIC, Australia

Faculty of Education, Monash University, Melbourne, VIC, Australia

GPEx Ltd, Adelaide, SA, Australia

UNSW Sydney, Sydney, NSW, Australia

Funding & Acknowledgements

Grant: 10977

Funding text 1: This research project was supported by the Royal Australian College of General Practitioners with funding from the Australian Government under the Australian General Practice Training programmes (ERG007). The authors would like to acknowledge the support and assistance of the Expert Group; Pilot Group testers; and partner organisations GPEx, GPTT, GPSA, and Monash University.; Funding text 2: Completing the anonymous survey implied consent by the participants. Ethical approval for the study was provided by the Monash University Human Research Ethics Committee (project number 10977).

Royal Australian College of General Practitioners, RACGP

Grant: ERG007

Funding text 1: This research project was supported by the Royal Australian College of General Practitioners with funding from the Australian Government under the Australian General Practice Training programmes (ERG007). The authors would like to acknowledge the support and assistance of the Expert Group; Pilot Group testers; and partner organisations GPEx, GPTT, GPSA, and Monash University.; Funding text 2: Completing the anonymous survey implied consent by the participants. Ethical approval for the study was provided by the Monash University Human Research Ethics Committee (project number 10977).

Royal Australian College of General Practitioners, RACGP

Funding text 1: This research project was supported by the Royal Australian College of General Practitioners with funding from the Australian Government under the Australian General Practice Training programmes (ERG007). The authors would like to acknowledge the support and assistance of the Expert Group; Pilot Group testers; and partner organisations GPEx, GPTT, GPSA, and Monash University.; Funding text 2: Completing the anonymous survey implied consent by the participants. Ethical approval for the study was provided by the Monash University Human Research Ethics Committee (project number 10977).

Monash University, MU

Funding text 1: This research project was supported by the Royal Australian College of General Practitioners with funding from the Australian Government under the Australian General Practice Training programmes (ERG007). The authors would like to acknowledge the support and assistance of the Expert Group; Pilot Group testers; and partner organisations GPEx, GPTT, GPSA, and Monash University.; Funding text 2: Completing the anonymous survey implied consent by the participants. Ethical approval for the study was provided by the Monash University Human Research Ethics Committee (project number 10977).

References 10 References

1 Costello, Shane C., Adapting the supervisory relationship measure for general medical practice, BMC Medical Education, 18, 1, (2018)

2 Cliffe, Tom, Development and Validation of a Short Version of the Supervisory Relationship Questionnaire, Clinical Psychology and Psychotherapy, 23, 1, pp. 77-86, (2016)

3 Wearne, Susan M., General practitioners as supervisors in postgraduate clinical education: An integrative review, Medical Education, 46, 12, pp. 1161-1173, (2012)

4 Pearce, Nathalie, Development and validation of the supervisory relationship measure: A self-report questionnaire for use with supervisors, British Journal of Clinical Psychology, 52, 3, pp. 249-268, (2013)

5 Kilminster, Sue M., AMEE Guide No. 27: Effective educational and clinical supervision, Medical Teacher, 29, 1, pp. 2-19, (2007)

6 Focus Health Prof Educ, (2007)

7 Bloomfield, Leah, Development of an instrument to measure the clinical learning environment in diagnostic radiology, Journal of Medical Imaging and Radiation Oncology, 52, 3, pp. 262-268, (2008)

8 Miles, Susan, Comparing staff and student perceptions of the student experience at a new medical school, Medical Teacher, 31, 6, pp. 539-546, (2009)

9 Mulrooney, Anne, Development of an instrument to measure the Practice Vocational Training Environment in Ireland, Medical Teacher, 27, 4, pp. 338-342, (2005)

10 Holt, Miles Charles, Development and validation of the Anaesthetic Theatre Educational Environment Measure (ATEEM), Medical Teacher, 26, 6, pp. 553-558, (2004)

Adaptation and initial examination of the psychometric properties of the Short Supervisory Relationship Questionnaire (SSRQ) for use with general practice registrars

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