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Please use this identifier to cite or link to this item: http://hdl.handle.net/1820/4098

Title: Manchester Clinical Placement Index (MCPI): Conditions for medical students’ learning in hospital and community placements
Authors: Dornan, Tim
Muijtjens, Arno
Graham, Jennifer
Scherpbier, Albert
Boshuizen, Els
Keywords: Clinical placement
Community placement
Experience Based Learning
Quality Index
Workplace Learning
Learning Environment
Communities of Practice
Evaluation
Issue Date: 29-Jan-2012
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. Methods The instrument was administered twice to students learning in both hospital and community placements and analysed using exploratory factor analysis and a generalizability analysis. Results 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. Conclusions There is validity evidence to support using the simple 8-item, mixed methods Manchester Clinical Placement Index (MCPI) 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 dominant contemporary theory in undergraduate medical education.
Description: Dornan, T., Muijtjens, A., Graham, J., Scherpbier, A., & Boshuizen, H. P. A. (2012). Manchester Clinical Placement Index (MCPI): Conditions for medical students’ learning in hospital and community placements. Advances in Health Sciences Education, 17, 703-716. doi:10.1007/s10459-10011-19344-x
URI: http://hdl.handle.net/1820/4098
Appears in Collections:1. LC: Publications and Preprints

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