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46). Its Cronbach's alpha, a measure of internal consistency, was 0.89 (TABLE 2). The new domain correlated at least moderately to other SFDPQ domains (0.33 Ritipenem the strongest correlation to the global VAS rating (rho? 0.71, TABLE 3). The inclusion of the teacher's attitude domain enhanced the content validity of the SFDPQ (FIGURE 1A). The internal consistency reliability and floor/ceiling effects of the augmented SFDPQ are shown in TABLE 2. The domain assessing promotion of understanding and retention had the lowest Cronbach's alpha (0.62). Apart from the control of session and promotion of understanding and retention domains, the inherent domains exhibited 1-factor solutions (TABLES 2 and 3). The domain assessing learning climate had a large ceiling effect (33.3%). The augmented SFDPQ demonstrated better internal consistency reliability (Cronbach's alpha? 0.931) compared to the original SFDPQ (0.925). The interdomain and domain-global correlation matrix of the SFDPQ is shown in TABLE 4. Apart from session control, which did not correlate significantly to teacher's knowledge, most domains demonstrated significant moderate to strong correlations with other domains. The augmented SFDPQ (rho? 0.722, p buy CB-839 better to the global VAS rating than the original SFDPQ (rho? 0.665, p Volasertib solubility dmso to guide the assessment process.[26] In doing this, the extension of the SFDP framework based on educational and psychological theories of clinical learning was very valuable. The additional teacher's attitude domain is pivotal, as it showed strong correlation to other domains of the SFDPQ as well as the global rating scale. The teacher's attitude domain assesses the degree of warmth, enthusiasm, sobriety, humility, seriousness, and thoroughness shown by the clinical teacher. Furthermore, it tests the capacity of the clinical teacher to show empathy toward the patients and the students and create the impression that he is accessible for further teaching and clarifications (FIGURES 1A and B). It had good internal consistency reliability, as well as satisfactory convergent and factorial validity, with neither significant floor nor ceiling effect. Absence of significant floor or ceiling effect usually indicates the ability of an instrument to detect small deteriorations and improvements in performance.[27] However, this needs to be confirmed further in longitudinal studies. The survey response rate of 94% is considered satisfactory while the mean completion time of 15 minutes is acceptable in comparison to similar measures.