Kusmiati Mia, Hamid Noor Aini Abdul, Sanip Suhaila, Emilia Ova
Faculty of Medicine, Bandung Islamic University, Tamansari Street No.22, Bandung, West Java 40116 Indonesia.
Faculty of Medicine, International Medical School, Management & Science University, Shah Alam, Selangor Malaysia.
Med Sci Educ. 2019 Aug 2;29(4):935-940. doi: 10.1007/s40670-019-00774-6. eCollection 2019 Dec.
A preceptor has a key role in evaluating medical graduate's performance in the clinical setting. This study is conducted to develop an instrument for preceptor evaluation of medical graduates' performance in the clinical setting.
A mixed-method study design, sequential exploratory approach was chosen to develop the instrument. Initial semi-structured interviews were conducted with 4 preceptors at the teaching hospitals. Five main themes emerged from the interviews. The themes were developed into a 23-item questionnaire. Nineteen Head or Assistant Head of clinical departments were asked to review the relevance of the content. The questionnaire was later sent out to 34 preceptors and 35 paramedic staffs to participate in the construct validity study by conducting exploratory factor analysis (EFA). SPSS version 21 software was used to analyze the data and Varimax rotation method was performed to simplify and describe the data structure.
Review of the factor structures suggested that the most appropriate fit was 5 factors. Most of the questionnaire items were relevant to assess performance (4.65 + 0.15), except in item 4 of the clinical skill factor. The 23 items of the evaluation instruments showed that five factors were extracted which explained 73.9% of the variance between them. Construct validity was achieved after the instrument was run for an iteration of eight times, with Cronbach's alpha of 0.951.
The instrument has achieved the desired content and construct validity score. It can be used by other institutions to assess their medical graduates' performance in the clinical setting.
带教老师在评估医学毕业生临床实践表现方面起着关键作用。本研究旨在开发一种用于带教老师评估医学毕业生临床实践表现的工具。
采用混合方法研究设计，即顺序探索性方法来开发该工具。对教学医院的4名带教老师进行了初步的半结构化访谈。访谈中出现了五个主要主题。这些主题被转化为一份包含23个条目的问卷。邀请了19名临床科室主任或副主任对内容的相关性进行审核。该问卷随后被分发给34名带教老师和35名护理人员，通过进行探索性因子分析（EFA）来参与结构效度研究。使用SPSS 21版软件分析数据，并采用方差最大化旋转法来简化和描述数据结构。
对因子结构的审查表明最合适的拟合为5个因子。除临床技能因子的第4项外，大多数问卷条目与评估表现相关（4.65 + 0.15）。评估工具的23个条目显示提取出了5个因子，它们解释了这些条目之间73.9%的方差。该工具经过八次迭代运行后实现了结构效度，克朗巴哈系数为0.951。
该工具达到了预期 的内容效度和结构效度得分。其他机构可使用它来评估其医学毕业生的临床实践表现。
