Competency-based tool for evaluation of community-based training in undergraduate medical education in India – a Delphi approach

Figures & data

Table 1 Panel of experts for consensus building (Delphi technique) to develop competency-based self-assessment questionnaire in community-based training program

SN	Affiliation	Age/sex	Place	Years of post-MD teaching experience
1	Professor, Department of Community Medicine, Post Graduate Institute of Medical Education and Research (PGIMER)	59/male	Chandigarh, India	33
2	Professor, Department of Community Medicine, Sri Manakula Vinayagar Medical College (SMVMC)	41/male	Puducherry, India	13
3	Public Health Specialist, John Hopkins School of Public Health	36/male	Baltimore, MD, USA	10
4	Professor, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)	56/male	Puducherry, India	27
5	Assistant Professor, Indian Institute of Public Heath	37/male	New Delhi, India	10
6	Assistant Professor, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)	35/male	Puducherry, India	6
7	Assistant Professor, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)	34/female	Puducherry, India	8
8	Associate Professor, Department of Community Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS)	40/male	Shillong, India	10

Abbreviation: SN, serial number.

Table 2 Details of the modification of the tool in each of the Delphi rounds

Characteristics	Baseline	Round 1	Round 2	Round 3 (final)
Number of items that were presented for rating	81	81	22	0
New items added	NA	19	0	0
Number of items that were presented for re-rating	NA	NA	19	9
Total number of items for which consensus was achieved	NA	59	59+14 (4 out of 22 and 10 out of 19) =73	73+1
Number of items deleted	NA	0	18	8
Number of domains at the end of the round	6	7	7	7
Number of items at the end of the round	81	100	82	74
Any other	NA	Domains rearranged*	Changed to modified Miller’s response scale	–

Note:

* Two domains, namely “Public health” and “Research and evidence-based practice” were regrouped to form 3 domains namely “Public health – epidemiology and research methodology”, “Public health – biostatistics”, and “Public health administration at primary health center level”.

Abbreviation: NA, not applicable.

Figure S1 The 74-item competency-based self-assessment questionnaire for assessing community-based training of undergraduate medical students

Abbreviations: AFB, acid fast bacillus; IFA, iron folic acid; L, laboratory; NCD, non-communicable disease; P, presumptive; PHC, primary health center; RNTCP, Revised National Tuberculosis Control Program; NVBDCP, National Vector Borne Diseases Control Program; RTI, reproductive tract infection; S, syndromic; SN, serial number; STI, sexually transmitted infection; WHO, World Health Organization.

Table S1 Item(s) that did not attain consensus after 2 rounds of Delphi, and hence, were excluded from the questionnaire (n=26)

SN	Item
1	Frame null and alternate hypothesis for your research question
2	Look for bias in a given research article
3	Interpret percentiles in WHO growth charts
4	Making a social map
5	Evaluating beat schedule of health workers
6	Knowledge of registers at PHC
7	Fund raising
8	Accessing and using information for health
9	Appraise available scientific evidence
10	Write a research proposal
11	Skills in scientific writing
12	Presentation of research results
13	Team work with staff
14	Life table
15	Use of multimedia/PowerPoint
16	Utilization and management of RKS fund
17	Disaster relief
18	Patient empowerment
19	Conduct training of staff on different aspects of national programs
20	Conduct rapid survey assessment method like for immunization coverage
21	Integrated medicine
22	Self-care
23	Counseling skills especially for adolescent health problems
24	Primary health care (general OPD)
25	Ability to carry out a cross-sectional study (descriptive/analytical)
26	Ability to prepare microplan for IPPI or any special activity

Abbreviations: IPPI, intermittent pulse polio immunization; OPD, outpatient department; PHC, primary health center; RKS, Rogi Kalyan Samiti; SN, serial number; WHO, World Health Organization.