TY - JOUR
T1 - Development of culture-sensitive clinical teacher evaluation sheet in the Japanese context
AU - Kikukawa, Makoto
AU - Stalmeijer, Renee E.
AU - Okubo, Tomoya
AU - Taketomi, Kikuko
AU - Emura, Sei
AU - Miyata, Yasushi
AU - Yoshida, Motofumi
AU - Schuwirth, Lambert
AU - Scherpbier, Albert J.J.A.
PY - 2017/8/3
Y1 - 2017/8/3
N2 - Aim: Many instruments for evaluating clinical teaching have been developed, albeit most in Western countries. This study aims to develop a validated cultural and local context sensitive instrument for clinical teachers in an East Asian setting (Japan), Japanese Clinical Teacher Evaluation Sheet (JaCTES). Methods: A multicenter, cross-sectional evaluation study was conducted. We collected a total of 1368 questionnaires on 304 clinical teachers, completed by residents in 16 teaching hospitals. The construct validity was examined by conducting a factor analysis and using structural equation modeling (SEM). We also assessed the reliability using generalizability analysis and decision study. Results: Exploratory factor analysis resulted in three-factor (role model, teaching activities, and accessibility) model including 18 items. Confirmatory factor analysis was performed, using SEM. The comparative fit index was 0.931 and the root mean square error of approximation was 0.087, meaning an acceptable goodness of fit for this model. To obtain a reliable dependability-coefficient of at least 0.70 or higher, 5–8 resident responses are necessary. Discussion and conclusion: JaCTES is the first reported instrument with validity evidence of content and internal structure and high feasibility in Japan, an East Asian setting. Medical educators should be aware of the local context and cultural aspects in evaluating clinical teachers.
AB - Aim: Many instruments for evaluating clinical teaching have been developed, albeit most in Western countries. This study aims to develop a validated cultural and local context sensitive instrument for clinical teachers in an East Asian setting (Japan), Japanese Clinical Teacher Evaluation Sheet (JaCTES). Methods: A multicenter, cross-sectional evaluation study was conducted. We collected a total of 1368 questionnaires on 304 clinical teachers, completed by residents in 16 teaching hospitals. The construct validity was examined by conducting a factor analysis and using structural equation modeling (SEM). We also assessed the reliability using generalizability analysis and decision study. Results: Exploratory factor analysis resulted in three-factor (role model, teaching activities, and accessibility) model including 18 items. Confirmatory factor analysis was performed, using SEM. The comparative fit index was 0.931 and the root mean square error of approximation was 0.087, meaning an acceptable goodness of fit for this model. To obtain a reliable dependability-coefficient of at least 0.70 or higher, 5–8 resident responses are necessary. Discussion and conclusion: JaCTES is the first reported instrument with validity evidence of content and internal structure and high feasibility in Japan, an East Asian setting. Medical educators should be aware of the local context and cultural aspects in evaluating clinical teachers.
UR - http://www.scopus.com/inward/record.url?scp=85019257872&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85019257872&partnerID=8YFLogxK
U2 - 10.1080/0142159X.2017.1324138
DO - 10.1080/0142159X.2017.1324138
M3 - Article
C2 - 28509610
AN - SCOPUS:85019257872
VL - 39
SP - 844
EP - 850
JO - Medical Teacher
JF - Medical Teacher
SN - 0142-159X
IS - 8
ER -