Manchester Clinical Placement Index (MCPI). Conditions for Medical Students' Learning in Hospital and Community Placements

Autor/inn/en	Dornan, Tim; Muijtjens, Arno; Graham, Jennifer; Scherpbier, Albert; Boshuizen, Henny
Titel	Manchester Clinical Placement Index (MCPI). Conditions for Medical Students' Learning in Hospital and Community Placements
Quelle	In: Advances in Health Sciences Education, 17 (2012) 5, S.703-716 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-011-9344-x
Schlagwörter	Measurement; Measures (Individuals); Test Validity; Mixed Methods Research; Educational Quality; Hospitals; Factor Analysis; Educational Environment; Medical Education; Feedback (Response); Psychometrics; Communities of Practice; Undergraduate Study; Workplace Learning; Experiential Learning; Medical Students; Clinical Teaching (Health Professions); Community Health Services; Placement; Generalizability Theory; Questionnaires + Suchen Sie Ihr Suchwort? Messverfahren; Messdaten; Testvalidität; Quality of education; Bildungsqualität; Krankengymnast; Krankenhaus; Faktorenanalyse; Lernumgebung; Pädagogische Umwelt; Schulumwelt; Medizinische Ausbildung; Psychometry; Psychometrie; Community; Grundstudium; Experiental learning; Erfahrungsorientiertes Lernen; Betriebspraktikum; Praktikum; Fragebogen
Abstract	The drive to quality-manage medical education has created a need for valid measurement instruments. Validity evidence includes the theoretical and contextual origin of items, choice of response processes, internal structure, and interrelationship of a measure's variables. This research set out to explore the validity and potential utility of an 11-item measurement instrument, whose theoretical and empirical origins were in an Experience Based Learning model of how medical students learn in communities of practice (COPs), and whose contextual origins were in a community-oriented, horizontally integrated, undergraduate medical programme. The objectives were to examine the psychometric properties of the scale in both hospital and community COPs and provide validity evidence to support using it to measure the quality of placements. The instrument was administered twice to students learning in both hospital and community placements and analysed using exploratory factor analysis and a generalizability analysis. 754 of a possible 902 questionnaires were returned (84% response rate), representing 168 placements. Eight items loaded onto two factors, which accounted for 78% of variance in the hospital data and 82% of variance in the community data. One factor was the placement learning environment, whose five constituent items were how learners were received at the start of the placement, people's supportiveness, and the quality of organisation, leadership, and facilities. The other factor represented the quality of training--instruction in skills, observing students performing skills, and providing students with feedback. Alpha coefficients ranged between 0.89 and 0.93 and there were no redundant or ambiguous items. Generalisability analysis showed that between 7 and 11 raters would be needed to achieve acceptable reliability. There is validity evidence to support using the simple 8-item, mixed methods Manchester Clinical Placement Index to measure key conditions for undergraduate medical students' experience based learning: the quality of the learning environment and the training provided within it. Its conceptual orientation is towards Communities of Practice, which is a dominant contemporary theory in undergraduate medical education. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10