Medical education reform in Tajikistan: comparison of the conventional one-year family medicine residency program and the new two-year residency program for postgraduate medical education

Table 2 Psychometric analysis results by scale

Scale	Name	Total Items	Initial Reliability	Retained Items	Final Reliability
MCQT	Overall clinical knowledge	60	0.4053	27	0.8523
OSCE	Overall clinical skill	138	0.9406	49	0.9005
OSCE 1	History of present illness (F2)¹	12	0.6369	4	0.7312
OSCE 1	History of present illness (F2)²			7	0.6669
OSCE 1	Review of systems specific to an infant or toddler	20	0.8598	19	0.8713
OSCE 1	Communication	8	0.6535	6	0.7150
OSCE 2	Focused physical examination specific to headache	8	0.7052	6	0.7954
OSCE 2	Neurologic examination	11	0.8018	11	0.8018
OSCE 2	Communication	8	0.6972	6	0.7224
OSCE 2	Counseling and challenge³	3	0.3500	3	0.3500
OSCE 3	Focused physical examination	9	0.7496	8	0.7657
OSCE 3	Communication	9	0.6356	6	0.7750
OSCE 4	Main diagnosis	17	0.8257	15	0.8320
OSCE 4	History	8	0.7356	8	0.7356
OSCE 4	Next diagnostic steps	3	0.7137	3	0.7137
OSCE 5	Focused physical examination	12	0.7733	9	0.7969
OSCE 5	Communication and interpersonal skils^4,5	9	0.4414	4	0.6120
OSCE	Communication	34	0.6923	18	0.7933

Note 1: “History of present illness” is the only criteria with a two-factor solution: one of the two solutions shows low reliability and correlates poorly with the other OSCE scales: it is not included in further analysis
Note 2: One item is a constant: everyone answered correctly, and it is therefore not included in the analysis
Note 3: Dropped subscale, poor initial and final reliability, and unsatisfactory factor solution
Note 4: One item is a constant: everyone answered correctly, and it is therefore not included in the analysis
Note 5: Dropped subscale, poor initial and final reliability, unsatisfactory factor solution

ISSN: 1472-6920