Medical students’ perception of behaviors in the clinical learning environment evolve with increasing clinical exposure as measured with situational video vignettes

2020 ◽  
Vol 42 (7) ◽  
pp. 822-827
Author(s):  
Howard B. Fleit ◽  
Wei-Hsin Lu ◽  
Doreen M. Olvet ◽  
Latha Chandran
Keyword(s):  
Medical Students ◽  
Learning Environment ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Clinical Exposure ◽  
Video Vignettes

scholarly journals CORRELATION BETWEEN PERCEPTION ON CLINICAL LEARNING ENVIRONMENTS AND CAREER CHOICE ON CLERKSHIP STUDENTS IN FACULTY OF MEDICINE UNIVERSITAS SEBELAS MARET

2019 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Adinda Kharisma Apriliani ◽  
Eti Poncorini Pamungkasari ◽  
Amandha Boy Timor Randita
Keyword(s):  
Medical Students ◽  
Learning Environment ◽  
Career Choice ◽  
Learning Environments ◽  
Career Choices ◽  
Health Workers ◽  
Observational Research ◽  
Clinical Learning ◽  
Weak Correlation ◽  
Clinical Learning Environment

Background: Needs of health workers, especially general practitioners, relatively high in Indonesia. Career choices among medical students are various, such as general practitioner, specialist, medical researcher, etc. Many factors affect medical students’ career choices, one of them is learning environments. This study aims to prove the correlation between clerkship students’ perceptions of clinical learning environments and their career choices.Methods: This research was an analytical observational research with cross sectional approach. The subjects were clerkship students who underwent clinical rotation. The samples were 178 clerkship students from all departments. They were chosen by probability proportional to size sampling. Every respondent was given career choices questionnaire and PHEEM questionnaire which has analyzed for its validity and reliability with α≥0,6 (α=0,826) and r≥0,30 (r=0,442). The result of this study was analyzed by Chi-square test and followed by Contingency Coefficient with 95% confidence level (α = 0,05). Result: The result showed that students’ perception of clinical learning environment “good but still need improvement” category was nearly the same as “plenty of problems” category. The result on the students’ career choices, most students choose clinical career. There was significant correlation between perception of clinical learning environment and career choices on clerkship students of medical faculty, Sebelas Maret University with p <0,05 (p= 0,018), x2 count (x2=5,625) > x2 table (x2=3,841) and also very weak correlation (C= 0,189).Conclusion: There was very weak correlation between perception of clinical learning environments and career choice on clerkship students. 

scholarly journals Assessing Students’ Well-being in Primary Health Care Setting as a Clinical Learning Environment

2020 ◽  
pp. 14-27
Author(s):  
Rabab Abdel Raoof Abed
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Students ◽  
Learning Environment ◽  
Spiritual Development ◽  
Well Being ◽  
Relative Advantage ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Primary Health

Introduction: Well-being in learning environment requires a culture that actively helps students to achieve their own potential. It requires a learning environment (LE) that supports physical, social and spiritual development. It has been shown that medical students experience high levels of stress that can hinder their performance, professionalism, and overall health. With respect to primary health care (PHC), some studies have shown the relative advantage of PHC centers to provide opportunities for “hands on” practice by pre-clinical students, availability of general practitioners (GPs) to supervise students, and with respect to the scope of PHC, which includes, beside patient care, community health education. Unfortunately, some aspects of the training process in clinical learning environment (CLE) have unfavorable effect on students’ well-being. Medical students face personal distress with negative effect on academic achievement, competency, professionalism, and health. We aimed to measure students wellbeing during their training in primary health care units. Materials and Methods: This is a cross sectional study to assess well-being of undergraduate students in primary health care (PHC) centers affiliated to the Faculty of Medicine, Suez Canal University (FOM-SCU). In addition, to test psychometric prosperities of The MED-NORD (Medical Education in Nordic Countries) questionnaire through exploratory factor analysis (EFA). A comprehensive (purposive) Sample was taken from year 1, 2, and 3. Results: Testing the psychometric prosperities of MED-NORD questionnaire revealed that the questionnaire contained 7 factors and 41 items. The seven factors are: Conceptions of learning and knowledge, Approaches to learning, Perceptions of the learning environment, Problems in studying, Optimism, Reflective learning, and Lack of interest. There were adequate correlations between the factors. Conclusion: The study concluded that the students positively perceived their well-being. Furthermore, Students preferred collaborative knowledge building in learning. However, they use surface approach in their learning more than deep approach. This study also concluded good reliability and construct validity of MED-NORD questionnaire.

Development of Clinical Learning Environment Measure in the Undergraduate Medical Program

2018 ◽  
Vol 24 (8) ◽  
pp. 6097-6108
Author(s):  
Ardi Findyartini ◽  
Denita Biyanda Utami
Keyword(s):  
Medical Students ◽  
Pilot Study ◽  
Learning Environment ◽  
Clinical Training ◽  
Psychometric Evaluation ◽  
Individual Treatment ◽  
Clinical Learning ◽  
Undergraduate Medical Students ◽  
Clinical Learning Environment ◽  
Cross Sectional

The quality of clinical training for undergraduate medical students is greatly influenced by the clinical learning environment. To our knowledge, there has been limited measurement of clinical learning environment that utilizes tools considering specific contexts for medical students in Indonesia. Objective: This study aims to develop a questionnaire to evaluate the clinial learning environment of undergraduate medical students in Indonesia. A cross sectional study was conducted with four stages: a. Development of questionnaire items, b. Review of panel experts, c. Pilot study to non-targeted medical students, and d. Administration of the questionnaire to medical students and psychometric evaluation. A qualitative analysis on the experts’ comments was conducted. An exploratory factor analysis (EFA) was also completed. A total of 29 experts provided suggestions on the clarity and relevance of the developed items. Pilot study involved 31 non-targeted medical students. A total of 253 4th and 5th year FMUI undergraduate medical students completed the questionnaire. The EFA suggested 6 components which are perceptions on: 1. Learning opportunities and engagement; 2. Interactions with patients during clinical rotation; 3. Communication and interactions with colleagues and supervisors; 4. Facility and individual treatment; 5. Supervision process; 6. Self-confidence and awareness. A total of 10 items were removed given inadequate loading on to factors and crossloadings. The reliability of the 60 item questionnaire is excellent (Cronbach alpha 0.95). The study has developed and validated a 60 item Indonesian questionnaire to measure undergraduate medical students’ perceptions on their clinical learning environment. The future use is expected to facilitate benchmarking of clinical learning environment for undergraduate medical students in Indonesia.

Cultivating critical thinking in the clinical learning environment

2000 ◽  
Vol 64 (8) ◽  
pp. 610-615 ◽  
Author(s):  
LS Behar-Horenstein ◽  
TA Dolan ◽  
FJ Courts ◽  
GS Mitchell
Keyword(s):  
Critical Thinking ◽  
Learning Environment ◽  
Clinical Learning ◽  
Clinical Learning Environment

scholarly journals Psychometric properities of the Polish version of clinical learning environment inventory

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Iwona Bodys-Cupak
Keyword(s):  
Learning Environment ◽  
Learning Process ◽  
Self Efficacy ◽  
Discriminant Validity ◽  
Clinical Placement ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Cronbach’S Alpha ◽  
Life Orientation Test ◽  
Cronbach's Alpha

Abstract Background Clinical experience is a crucial activity for nursing students. The way students` perceive clinical placement exerts an immense influence on the learning process. This study aims to test the psychometric properties of a 19-item version of the Clinical Learning Environment Inventory under Polish clinical conditions. Method For this study, Discriminant validity and Cronbach’s alpha reliabilities were computed. In order to measure content validity, the criterion validity Generalized Self Efficacy Scale and the Life Orientation Test - Revised were used. Results Cronbach’s Alpha for the Clinical Facilitator Support of Learning Scale and the Satisfaction with Clinical Placement scale is 0.949 and 0.901, respectively. The Spearman’s rank correlation coefficient indicates the existence of a positive correlation between the students’ satisfaction with clinical placement and their [overall] life optimism. Age correlates negatively with perceived teacher support and positively with satisfaction with clinical placement. The sense of self-efficacy correlates negatively with their satisfaction with clinical placement. Clinical Learning Environment Inventory − 19 could be a useful tool to evaluate the quality of the clinical learning process in Polish conditions.

scholarly journals Psychometric properties of the Norwegian version of the clinical learning environment comparison survey

Nursing Open ◽  
2020 ◽  
Author(s):  
Camilla Olaussen ◽  
Lars‐Petter Jelsness‐Jørgensen ◽  
Christine Raaen Tvedt ◽  
Dag Hofoss ◽  
Ingunn Aase ◽  
...  
Keyword(s):  
Learning Environment ◽  
Psychometric Properties ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
Norwegian Version
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