Date of Award
4-12-2025
Degree Type
Thesis
Degree Name
Master of Health Professions Education
First Advisor
Dr Muhammad Tariq
Second Advisor
Dr Sadia Masood
Third Advisor
Dr Iffat Khanum
Department
Community Health Sciences
Abstract
INTRODUCTION: After graduating from medical school and becoming a specialist, the resident is committed to acquiring all the knowledge, skills, and attitudes necessary for providing quality and safe patient care. Competency is the combination of these three domains. The application of competency-based medical education is possible when we have valid and reliable assessmenttools. This study aims to develop and validate a Clinical Case Competency Assessment Tool tailored to the educational and clinical needs of internal medicine training programs in Kabul.
METHODOLOGY: The Psychometric study started with conceptualizing the tool using the Delphi method. After Development and successful piloting, the tool's applicability and feasibility were validated. Experts rated the content Validity. Two assessors evaluated all 45 enrolled residents of internal medicine from year one to three, at two tertiary care Hospitals in Kabul, and the data was collected for reliability of the tool.
RESULTS: The assessors had a universal agreement on the content, as evident from the I-CVI of 1 and the S-CVI of 0.9. Cronbach’s Alpha yielded a value of 0.9, indicating good internal consistency of the assessment tool. The ICC levels ranged from 0.976, with a p-value less than 0.001, demonstrating excellent reliability across evaluators. The “Two-way Random" model was used to calculate the Intraclass correlation coefficient because each evaluator did not assess every resident. Instead, pairs of evaluators were randomly assigned to each resident, which further underscores the reliability of the tool in accurately reflecting the competency of the residents.
CONCLUSION: The Development and validation of CCCAT have shown promising results. When applied as a workplace-based assessment, it will guide the residents' learning and facilitate the faculty for a structured, fair, transparent, and formative assessment of the residents’ clinical skills. Through this tool, the assessment and judgement skills of the faculty can be assessed; all these steps will lead to improved clinical practices and patient outcomes, with a return of patients' trust in Afghan graduates.
First Page
1
Last Page
90
Recommended Citation
Popal, A.
(2025). Development and validation of clinical case competency assessment tool for the internal medicine residents of tertiary care hospitals of Kabul. , 1-90.
Available at:
https://ecommons.aku.edu/etd_pk_mc_mhpe/51