Table 6.

Estimated discrimination parameters from the proposed MIRT model

Constructs/Items	Estimate	SE	P value (two-tailed)
Confidence
I am confident in my ability to manage myself in a clinical environment.	0.727	0.030	0.000
I am confident in my abilities to work independently when necessary.	0.719	0.032	0.000
I am confident in my ability to deal with the unexpected.	0.743	0.025	0.000
I am confident in my ability to be adaptable and innovative as a leader.	0.733	0.024	0.000
I am confident in my ability to adapt and be flexible clinically.	0.823	0.021	0.000
I am confident in my ability to adapt and be flexible in general.	0.798	0.021	0.000
I am confident in my ability to find solutions despite limited resources.	0.770	0.022	0.000
I am confident in my ability to apply clinical skills to another context.	0.721	0.026	0.000
I am confident in my work.	0.724	0.025	0.000
Life satisfaction
In most ways my life is close to my ideal.	0.834	0.02	0.000
The conditions of my life are excellent.	0.783	0.02	0.000
I am satisfied with my life.	0.893	0.017	0.000
So far I have gotten the important things I want in life.	0.776	0.024	0.000
If I could live my life over. I would change almost nothing.	0.667	0.029	0.000
Taking everything into consideration. I am satisfied with my job.	0.717	0.038	0.000
Cultural
I demonstrated a good awareness about how culture influences health*.	0.761	0.036	0.000
I frequently demonstrated cultural sensitivity*.	0.881	0.031	0.000
I was constantly conscious of culture when working with patients*.	0.779	0.033	0.000
Adapting communication
I changed the way I speak so that somebody can understand me (eg, purposely spoke slower and clearer)*.	0.899	0.024	0.000
I changed the way I communicate to make it more contextually appropriate (eg, to make it more culturally appropriate)*.	0.916	0.025	0.000
I frequently relied on my non-verbal communication (eg, hand gestures)*.	0.751	0.032	0.000
Teaching
I demonstrated I’m a good teacher*.	0.813	0.024	0.000
I adapted the way I teach to make it better for the learner*.	0.807	0.023	0.000
I am confident in my ability to teach others.	0.883	0.031	0.000
Difficult communication
I demonstrated that I am skilled in challenging conversations, even in high pressure situations*.	0.842	0.025	0.000
I demonstrated that I am able to manage difficult people effectively*.	0.862	0.021	0.000
I frequently dealt with difficult people*.	0.774	0.027	0.000
Behaviour change
I am able to empower patients to help themselves.	0.807	0.026	0.000
I am able to empower colleagues to help themselves.	0.794	0.025	0.000
In my work I have demonstrated skills in changing colleagues’ behaviour.	0.761	0.027	0.000
In my work I have demonstrated skills in encouraging and supporting patients to change behaviour.	0.778	0.027	0.000
Management
I allocated tasks*.	0.848	0.021	0.000
I coordinated colleagues*.	0.868	0.02	0.000
I demonstrated I am able to plan and organise*.	0.907	0.024	0.000
Attitude to work
I was frequently proactive at work (eg, used my initiative, got on with things, thought on my feet)*.	0.778	0.027	0.000
I demonstrated that I am able to cope in work (eg, able to deal with stress)*.	0.763	0.028	0.000
I demonstrated that I am particularly good at working as part of team*.	0.765	0.026	0.000
Flexibility
I demonstrated I’m good at dealing with the unexpected*.	0.857	0.037	0.000
I frequently had to find solutions despite limited resources*.	0.912	0.017	0.000
I demonstrated I am able to find solutions despite limited resources*.	0.937	0.017	0.000

*Items indicate that ‘in the last month’ is presented ahead of that statement, providing a time reference to consider the experience.