MANCHESTER CLINICAL PLACEMENT INDEX (MCPI) AS CLINICAL LEARNING ENVIRONMENT ASSESSMENT TOOL: ADAPTATION INTO INDONESIAN LANGUAGE

https://doi.org/10.22146/jpki.63982

Carolyn Carolyn(1), Arnold Lukito(2), Audelia Kathleen Sulaiman(3), Elisabeth Rukmini(4*)

(1) Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya
(2) Fakultas Psikologi Universitas Katolik Indonesia Atma Jaya
(3) Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya
(4) Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya
(*) Corresponding Author

Abstract


Background: Clinical Learning Environment (CLE) involves many active dynamics, perceptions construction, learners' experiences, and behavior while learning. It includes every human resource working and learning together, a health system, and communities. Standard assessment of CLE is essential to evaluate CLE. The Manchester Clinical Placement Index (MCPI) assesses the CLE based on Community of Practice Theory, emphasizing learning according to experience-based learning. Translation of the MCPI into the Indonesian language will be valuable to assess the CLE. This research intends to translate and adapt MCPI into the Indonesian language. Therefore, MCPI can be used to assess the CLE in Indonesian medical schools.

Methods: An expert panel translated the MCPI into the Indonesian language (I-MCPI), and a language learning center validated the translation. Participants who were final year students (N: 155) filled up the online I-MCPI after the informed consent. To assess the I-MCPI validity, we performed exploratory factor analysis (EFA) and item discrimination. To seek reliability, we utilized internal consistency reliability showing as the Cronbach's alpha coefficient.

Results: The factor analysis and item discrimination showed the I-MCPI's validity. We found two subscales similar to the original MCPI. Leadership, reception, people, facilities, and organization have similar correlation strength to Subscale Learning Environment (0.60-0.71). Instruction and observation have similar correlation strength to Subscale Training (0.86-0.89). Subscale feedback correlates less than 0.60 for both subscales; thus, we concluded that feedback went to the subscale Training as the original MCPI. Reliability of the I-MCPI showed an excellent internal consistency with Cronbach's alpha of 0.87.

Conclusion: I-MCPI is a valid and reliable tool to assess the CLE. Further research with broader cohorts of medical schools will be valuable for advancing medical education in Indonesia. 


Keywords


clinical education, clinical learning environment, Manchester Clinical Placement Index (MCPI), adaptation, Indonesian MCPI

Full Text:

PDF


References

  1. Nordquist et al. The clinical learning environment. Medical Teacher. 2019; 41:366-72.
  2. Nordquist et al. Examining the clinical learning environment through the architectural avenue. Medical Teacher. 2019; 41: 403-7
  3. Dornan et al. Experience Based Learning (ExBL): Clinical teaching for the twenty-first century. Medical Teacher. 2019; 41:1098-105.
  4. Simons, Gary F.; Fennig, Charles D. "Ethnologue: Languages of the World, Twenty-first edition". SIL International. [Internet]. [cited 2021 Jan 18] Available from:. https://web.archive.org/web/20190626224541/https://www.ethnologue.com/country/ID/languages
  5. Hyde S, Hannigan A, Dornan T, McGrath D. Medical school clinical placement—the optimal method for assessing the clinical educational environment from a graduate entry perspective. BMC Medical Education. 2018; 18:7-14.
  6. Xu et al. Relation of perception of educational environment with mindfulness among Chinese medical students: a longitudinal study. Medical Education Online; 21: 30664. https://www.tandfonline.com/doi/full/10.3402/meo.v21.30664
  7. Govender I, Villiers MD. Optimising the learning environment for undergraduate students in Department of Family Medicine at Sefako Makgatho Health Sciences University. South African Family Practice. 2019; 61: 136-43.
  8. Dornan T, Muijtjens A, Graham J, Scherpbier A, Boshuizen H. Manchester Clinical Placement Index (MCPI). Conditions for medical students’ learning in hospital and community placements. Advances in Health Sciences Education. 2012; 17: 703-16.
  9. Isba R, Rousseva C, Woolf K, Byme-Davis L. Development of a brief learning environment measure for use in healthcare professions education: The Healthcare Education Micro Learning Environment Measure (HEMLEM). BMC Med Educ; 110: 20. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020-01996-8
  10. Tang et al. Correlation between early clinical exposure environment, attitudes toward basic medicine, and medical students’ basic science learning performance. BMC Med Educ. 2019; 19:183.
    https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1612-0
  11. Kelly M, Bennett D, Muijtjens A, O’Flynn S, Dornan T. Can less be more? Comparison of an 8-item placement quality measure with the 50-item Dundee Ready Educational Environment Measure (DREEM). Advances in Health Sciences Education. 2015; 20: 1027-32.
  12. Govender I, De Villiers M. Optimising the learning environment for undergraduate students in the Department of Family Medicine at Sefako Makgatho Health Sciences University. South African Family Practice. 2019; 61: 136-43.
  13. Kelly Emer, Richards Jeremy B. Medical education: giving feedback to doctors in training BMJ 2019; 366: l4523. https://www.bmj.com/content/366/bmj.l4523
  14. Fu RH, Cho YH, Quattri F, Monrouxe LV. 'I did not check if the teacher gave feedback': a qualitative analysis of Taiwanese postgraduate year 1 trainees' talk around e-portfolio feedback-seeking behaviours. BMJ Open. 2019; 9: e024425. https://bmjopen.bmj.com/content/9/1/e024425
  15. Roff S, McAleer S, Skinner A. Development and validation of an instrument to measure the postgraduate clinical learning and teaching educational environment for hospital-based junior doctors in the UK. Med Teach. 2005; 27:326-31.
  16. Koutsogiannou P, Dimoliatis ID, Mavridis D, Bellos S, Karathanos V, Jelastopulu E. Validation of the Postgraduate Hospital Educational Environment Measure (PHEEM) in a sample of 731 Greek residents. BMC Res Notes. 2015; 8:734.
  17. Vieira JE. The Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement. Clinics. 2008; 63: 741-6
  18. Berrani H, Abougal R, Izgua AT. Moroccan residents’ perceptions of the hospital learning environment measured with French version pf the Postgraduate Hospital Education Environment Measure. J Educ Eval Health Prof. 2020; 17:4. Available from: https://www.jeehp.org/DOIx.php?id=10.3352/jeehp.2020.17.4
  19. Jalili M, Hejri SM, Ghalandari M, Moradi-Lakeh M, Mirzazadeh A, Roff S. Validating modified PHEEM questionnaire for measuring educational environment in academic emergency departments. Arch Iran Med. 2014; 17:327-77.
  20. Wall D, Clapham M, Riquelme A, Vieira J, Cartmill R, Aspegren K, Roff S. Is PHEEM a multi-dimensional instrument? An international perspective. Med Teach. 2009; 31: e521-7. Available from: https://www.tandfonline.com/doi/full/10.3109/01421590903095528?scroll=top&needAccess=true
  21. Ohman et al. Adaptation and validation of the instrument Clinical Learning Environment and Supervision for medical students in primary health care. BMC Med Educ. 2016; 16:308.
    https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-016-0809-8
  22. Truong HT, Ramsbotham J, McCarthy A. Translation and validation of a Vietnamese version of the modified Clinical Learning Environment Inventory (V-CLEI). Nurse Education in Practice. 2019; 34: 117-22.
  23. Rege N. Towards competency-based learning in medical education: Building evidence in India. J Postgrad Med. 2020; 66:9-10.



DOI: https://doi.org/10.22146/jpki.63982

Article Metrics

Abstract views : 1732 | views : 1423

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Carolyn Carolyn, Arnold Lukito, Audelia Kathleen Sulaiman, Elisabeth Rukmini

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:

  

 JPKI Stats