Manchester Clinical Placement Index (MCPI): Conditions for medical students’ learning in hospital and community placements

Tim Dornan, Arno Muijtjens, Jennifer Graham, Albert Scherpbier, Els Boshuizen

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    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
    Original languageEnglish
    Pages (from-to)703-716
    Number of pages14
    JournalAdvances in Health Sciences Education
    Volume17
    Issue number5
    Early online date11 Jan 2012
    DOIs
    Publication statusPublished - Dec 2012

    Keywords

    • Clinical placement
    • Community placement
    • Experience Based Learning
    • Quality Index
    • Workplace Learning
    • Learning Environment
    • Communities of Practice
    • Evaluation

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