A measure of medical instructional quality in ambulatory settings: the MedIQ.
other · Level V
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Abstract
BACKGROUND AND OBJECTIVES: Concerns exist about the quality of medical student training outside the academic medical center. Yet, measures of this quality are lacking. This study introduces an instrument to measure instructional activities in primary care settings, based on a learner-centered model. The study also examines the instrument's ability to predict specific learner outcomes. METHODS: The MedIQ is a 25-item instrument designed to assess preceptor activities, environmental interactions, learning opportunities, and learner involvement in patient care. The MedIQ was administered in third-year generalist clerkships at one medical school, and the results were compared to extant measures of precepting effectiveness, student grades, specialty choice, and National Board of Medical Examiners scores. RESULTS: The results revealed strong reliability for all scales, moderate construct validity, and weak criterion-related validity. Additionally, some scores predicted specialty choice. CONCLUSION: The MedIQ is a promising measure of instructional quality in ambulatory medical settings.