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

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 ex...

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Main Authors:	Dornan, Tim, Muijtjens, Arno, Graham, Jennifer, Scherpbier, Albert, Boshuizen, Henny
Format:	Online
Language:	English
Published:	Springer Netherlands 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490061/

id	pubmed-3490061
recordtype	oai_dc
spelling	pubmed-34900612012-11-08 Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements Dornan, Tim Muijtjens, Arno Graham, Jennifer Scherpbier, Albert Boshuizen, Henny Article 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. Springer Netherlands 2012-01-11 2012-12 /pmc/articles/PMC3490061/ /pubmed/22234383 http://dx.doi.org/10.1007/s10459-011-9344-x Text en © The Author(s) 2012
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Dornan, Tim Muijtjens, Arno Graham, Jennifer Scherpbier, Albert Boshuizen, Henny
spellingShingle	Dornan, Tim Muijtjens, Arno Graham, Jennifer Scherpbier, Albert Boshuizen, Henny Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
author_facet	Dornan, Tim Muijtjens, Arno Graham, Jennifer Scherpbier, Albert Boshuizen, Henny
author_sort	Dornan, Tim
title	Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
title_short	Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
title_full	Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
title_fullStr	Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
title_full_unstemmed	Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements
title_sort	manchester clinical placement index (mcpi). conditions for medical students’ learning in hospital and community placements
description	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.
publisher	Springer Netherlands
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490061/
_version_	1611921681942577152

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

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