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Table 2 Fit statistics for non-medical knowledge questions from University of Louisville (phase 3) cohort data. Item 17 demonstrates severe misfit

From: Construction and preliminary evaluation of the inpatient glycemic control questionnaire (IGCQ): a survey tool assessing perceptions and knowledge of resident physicians

Item

MNSQ

1. How many problems per patient do you believe impairs your ability to manage inpatient glycemia?

0.4917

2. How many patients under your individual care do you believe impairs your ability to manage inpatient glycemia?

0.9416

3. How much time (in hours) would you estimate is spent discussing inpatient glycemic control on teaching rounds each week while on an inpatient medicine service?

1.1006

4. How much time (in hours) would you estimate is spent discussing or managing diabetes in your outpatient continuity clinic across one month (4 clinic sessions)?

1.8221

5. As the number of problems per patient or total number of patients under my individual care begins to make me feel uncomfortable, my ability to appropriately manage inpatient glycemia is impaired?

1.6467

6. I feel that I have received adequate education and preparation for managing inpatient glycemia

0.7007

7. I feel that I am too busy and have too many other responsibilities to adequately manage inpatient glycemia as a resident on an inpatient medicine service

0.7747

8. I feel comfortable treating and managing inpatient hyperglycemia

1.1287

9. I feel comfortable with my knowledge of basal plus bolus subcutaneous insulin regimens

0.5673

14. I believe that fear of causing hypoglycemia is a barrier to successful inpatient glycemic control

1.3591

15. I believe that lack of knowledge of how to best treat hypoglycemia is a barrier to successful inpatient glycemic control

0.617

16. I believe that lack of knowledge of basal plus bolus insulin regimens is a barrier to successful inpatient glycemic control

0.6946

17. I believe that unpredictable mealtimes and/or patient noncompliance with diet is a barrier to successful inpatient glycemic control

2.568

18. I believe that lack of discussion about glucose management on teaching rounds is a barrier to successful inpatient glycemic control

0.9111

19. I believe that cross-coverage and handoffs between residents is a barrier to successful inpatient glycemic control

0.9631