The Irrational Beliefs Inventory: psychometric properties and cross-cultural validation of its Arabic version.

The purpose of this study was to examine the psychometric properties of the adapted Irrational Beliefs Inventory (IBI-34) and thus begin the process of assessing its adequacy for use in an Arab culture. The scale was translated and then administered to two samples of undergraduate students from the United Arab Emirates University. Data from 384 students were used in the main analysis, and data from 251 students were used for cross-validation. Principal components analysis (PCA) with varimax rotation followed by PCA with oblimin rotation yielded the same five components in both the main sample and the validation sample, thus consistent with the original Dutch study. Only 34 of the original 50 items were adequate to represent the five constructs. Cronbach's alpha coefficient for the overall scale was .76 and for the subscales ranged between .71 and .76, except for the Rigidity subscale, which was .54. The adapted IBI-34 correlated significantly and negatively with the General Health Questionnaire and Beck Depression Inventory, providing support for concurrent validity. Due to the non-significant differences between male and female participants on the total score of the IBI-34, the scale can be used for both sexes by summing across all items to give a total score that can be used as a general indicator of the irrational thinking.

The effect of general surgery clerkship rotation on the attitude of medical students towards general surgery as a future career.

BACKGROUND: Literature suggests declining interest in General Surgery (GS) and other surgical specialties, with fewer Canadian medical residency applicants identifying a surgical specialty as their first choice. Although perceptions of surgical careers may begin before enrollment in clerkship, clerkship itself provides the most concentrated environment for perceptions to evolve. Most students develop perceptions about specialties during their clinical clerkships. This study examines the immediate impact of GS clerkship on student attitudes toward GS as a career, and on preferences towards GS compared with other specialties. METHODS: A pre-post design involved 61 McMaster clinical clerks. Two instruments were used to collect data from students over the course of clerkship (2008-2009). Paired comparison (PC) compared ranking of career choices before and after clerkship. Semantic differential (SD) measured attitudes toward GS and variables that may have affected attitudes before and after clerkship. Analyses used SPSS 16.0 (SPSS Inc., Chicago, IL). RESULTS: Clerks ranked preferences for GS changed substantially after clerkship, moving from the 10th to the 5th position compared with other specialties. Ranks of surgical subspecialties also changed, though GS demonstrated the largest improvement. SD results were consistent with PC, showing improved attitudes after rotation, with differences both statistically and practically significant (t = 3.81, p < 0.000, effect size = 0.23). Results indicated that attitudes toward all areas related to GS clerkship (attending physicians, surgical residents, ward nurses, scrub nurses, workload, knowledge achieved, technical skills acquired) improved significantly except attitude toward technical skills acquired. CONCLUSIONS: Clinical clerkship at McMaster was a positive experience and significantly enhanced preferences towards GS and attitudes towards GS as a career. Medical schools should foster positive interaction between clinical clerks and staff (including attending surgeons and nurses), ensure that teaching hospital staff provide a positive experience for clerks, and should provide opportunities to learn basic technical skills during GS clerkship.