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dc.contributor.authorHancock, Jen
dc.contributor.authorRoberts, Men
dc.contributor.authorMonrouxe, Len
dc.contributor.authorMattick, Ken
dc.date.accessioned2016-03-31T12:51:41Z
dc.date.available2016-03-31T12:51:41Z
dc.date.issued2015-03en
dc.identifier.urihttp://hdl.handle.net/10026.1/4457
dc.description.abstract

The practice of medicine involves inherent ambiguity, arising from limitations of knowledge, diagnostic problems, complexities of treatment and outcome and unpredictability of patient response. Research into doctors' tolerance of ambiguity is hampered by poor conceptual clarity and inadequate measurement scales. We aimed to create and pilot a measurement scale for tolerance of ambiguity in medical students and junior doctors that addresses the limitations of existing scales. After defining tolerance of ambiguity, scale items were generated by literature review and expert consultation. Feedback on the draft scale was sought and incorporated. 411 medical students and 75 foundation doctors in Exeter, UK were asked to complete the scale. Psychometric analysis enabled further scale refinement and comparison of scale scores across subgroups. The pilot study achieved a 64% response rate. The final 29 item version of the Tolerance of Ambiguity in Medical Students and Doctors (TAMSAD) scale had good internal reliability (Cronbach's α 0.80). Tolerance of ambiguity was higher in foundation year 2 doctors than first, third and fourth year medical students (-5.23, P = 0.012; -5.98, P = 0.013; -4.62, P = 0.035, for each year group respectively). The TAMSAD scale offers a valid and reliable alternative to existing scales. Further work is required in different settings and in longitudinal studies but this study offers intriguing provisional insights.

en
dc.format.extent113 - 130en
dc.languageengen
dc.language.isoengen
dc.subjectAdulten
dc.subjectEnglanden
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectPhysiciansen
dc.subjectPilot Projectsen
dc.subjectPsychometricsen
dc.subjectReproducibility of Resultsen
dc.subjectStudents, Medicalen
dc.subjectSurveys and Questionnairesen
dc.subjectUncertaintyen
dc.titleMedical student and junior doctors' tolerance of ambiguity: development of a new scale.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/24841480en
plymouth.issue1en
plymouth.volume20en
plymouth.publication-statusPublisheden
plymouth.journalAdv Health Sci Educ Theory Practen
dc.identifier.doi10.1007/s10459-014-9510-zen
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/CAMERA
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA23 Education
dc.publisher.placeNetherlandsen
dcterms.dateAccepted2014-05-05en
dc.identifier.eissn1573-1677en
dc.rights.embargoperiod12 monthsen
rioxxterms.versionofrecord10.1007/s10459-014-9510-zen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden
rioxxterms.licenseref.startdate2015-03en
rioxxterms.typeJournal Article/Reviewen


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