Al Ansari Ahmed, Tabbara Khaled Saeed
Training and Education Department, Bahrain Defense Force Hospital, Riffa, Bahrain.
Medical Education Department, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Oman Med J. 2019 Sep;34(5):427-433. doi: 10.5001/omj.2019.78.
The Maastricht Clinical Teaching Questionnaire (MCTQ) was developed to evaluate clinical teachers' supervisory skills during undergraduate clinical rotations. Evidence exists supporting the reliability and validity of this questionnaire. Our study sought to examine the reliability and validity of the MCTQ in a Middle Eastern context.
Between 2016 and 2017, we evaluated a total of 549 medical students in their final year who were undergoing clinical rotations using the MCTQ. The construct validity was assessed using exploratory and confirmatory factor analysis. Internal consistency reliability was measured using Cronbach's alpha. Factor scores were compared with other outcomes to explore the relationship with other relevant variables.
A four-factor model demonstrated an adequate fit with the data. The findings showed good internal consistency reliability. The following results were obtained for the four-factor model: chi-square divided by degrees of freedom was 5.026, and the comparative index, goodness of fit index, normalized fit index, and non-normalized fit index were all above 0.800 (0.955, 0.858, 0.950, and 0.952, respectively). The standardized root mean square residual was 0.016, and the root mean square error of approximation score was 0.086. Acceptable reliability was achieved with 10 evaluations per teacher. We observed a strong correlation between factors and overall judgment.
Our study suggests that the MCTQ is a valid and reliable instrument to evaluate teachers' performance during clinical rotations in Bahrain.
马斯特里赫特临床教学问卷（MCTQ）旨在评估本科临床实习期间临床教师的指导技能。有证据支持该问卷的信效度。我们的研究旨在检验MCTQ在中东地区的信效度。
在2016年至2017年期间，我们使用MCTQ对549名正在进行临床实习的医学专业大四学生进行了评估。通过探索性和验证性因素分析评估结构效度。使用克朗巴哈系数测量内部一致性信度。将因素得分与其他结果进行比较，以探讨与其他相关变量的关系。
一个四因素模型与数据拟合良好。研究结果显示出良好的内部一致性信度。四因素模型的结果如下：卡方值除以自由度为5.026，比较指数、拟合优度指数、标准化拟合指数和非标准化拟合指数均高于0.800（分别为0.955、0.858、0.950和0.952）。标准化均方根残差为0.016，近似误差均方根得分为0.086。每位教师进行10次评估可获得可接受的信度。我们观察到各因素与总体评价之间存在强相关性。
我们的研究表明，MCTQ是评估巴林临床实习期间教师表现的有效且可靠的工具。
