Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents

Li Xiao; Li Man; Sun Luhong; Yu Xiaobo; Dong Xue; Feng Xiaoyu; Qi Xiumei

doi:10.3760/cma.j.cn116021-20240529-01882

您当前的位置：

首页 >

文章列表页 >

Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents

Investigation Research | 更新时间：2025-02-18

- Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents
- Chinese Journal of Medical Education Research Vol. 24, Issue 1, Pages: 76-81(2025)
- 作者机构：
  
  山东第一医科大学第一附属医院（山东省千佛山医院）教育处，济南　250014
- 作者简介：
  
  Qi Xiumei, Email: qixiumei10@163.com
- 基金信息：
  
  Project of Medical and Health Science and Technology Development Plan of Shandong(202015011160)
- DOI：10.3760/cma.j.cn116021-20240529-01882
  CLC： R4
- Published：20 January 2025，
  
  Received：29 May 2024，
- 稿件说明：
移动端阅览
李潇, 李曼, 孙鲁红, 等. 临床教学问卷的汉化及其在住院医师培养过程中的信效度检验[J]. 中华医学教育探索杂志, 2025, 24(1): 76-81.

Li Xiao, Li Man, Sun Luhong, et al. Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents[J]. Chinese journal of medical education research, 2025, 24(1): 76-81.
李潇, 李曼, 孙鲁红, 等. 临床教学问卷的汉化及其在住院医师培养过程中的信效度检验[J]. 中华医学教育探索杂志, 2025, 24(1): 76-81. DOI： 10.3760/cma.j.cn116021-20240529-01882.

Li Xiao, Li Man, Sun Luhong, et al. Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents[J]. Chinese journal of medical education research, 2025, 24(1): 76-81. DOI： 10.3760/cma.j.cn116021-20240529-01882.

摘要

目的

对马斯特里赫特临床教学问卷（the Maastricht clinical teaching questionnaire，MCTQ）进行汉化，并探讨其在住院医师规范化培训教学中的应用效果。

方法

采用Brislin翻译模式对MCTQ进行翻译、回译及文化调试，从而形成中文版MCTQ。利用在线调查工具于2022年6月对山东第一医科大学第一附属医院在培学员开展方便抽样调查，共获得562份有效调查问卷。利用SPSS 25.0软件和AMOS 24.0软件对有效数据进行项目分析（临界比值法）、信度分析（Cronbach’s

系数和组合信度）、结构效度分析（探索性因子分析和验证性因子分析）及区分效度分析。

结果

中文版MCTQ量表的条目数量与原量表相同，均为24个条目，共提取4个公因子，方差贡献率为79.96%；四因素模型拟合良好（

、RMR、RMSEA、GFI、AGFI、NFI、CFI分别为3.491、0.008、0.067、0.886、0.861、0.947、0.962）。Cronbach’s

系数和组合信度（CR）数值均大于0.7，表明该MCTQ量表具有较好的内部一致性和可靠性；四因素之间的相关性系数在0.265~0.307之间，且均小于对应的AVE平方根，说明该工具的结构效度和区分效度理想。

结论

本研究表明，MCTQ的中文版在汉语环境下的使用是有效且可靠的，可以作为评估临床教师在住院医师规范化培训期间教学表现的一种有用工具。

Abstract

Objective

To translate the Maastricht Clinical Teaching Questionnaire (MCTQ) into Chinese and evaluate its reliability and validity in standardized training of residents.

Methods

The Chinese version of MCTQ was obtained according to the Brislin translation model

including translation

back-translation

and cross-cultural debugging. A convenient sampling survey was carried out among the trainees in the First Affiliated Hospital of Shandong First Medical University in June 2022 by using an online survey tool. A total of 562 valid questionnaires were collected. Data from valid survey questionnaires were subjected to item analysis (critical ratio method)

reliability analysis (Cronbach's alpha coefficient and composite reliability)

structural validity analysis (exploratory factor analysis and confirmatory factor analysis)

and discriminant validity analysis using SPSS 25.0 and AMOS 24.0 software.

Results

The Chinese version of MCTQ scale consisted of 24 items

which was consistent with the original scale. Four common factors were extracted with a cumulative variance contribution of 79.96%. The four-factor model demonstrated high goodness of fit. The

²/d

RMR

RMSEA

GFI

AGFI

NFI

and CFI were 3.491

0.008

0.067

0.886

0.861

0.947

and 0.962

respectively. Both Cronbach's

and composite reliability exceeded 0.7

indicating high internal consistency and reliability. The correlation coefficients between the four factors ranged from 0.265 to 0.307

all of which were smaller than the corresponding square roots of average variance extracted

demonstrating high structural and discriminant validity.

Conclusions

The Chinese version of MCTQ is valid and reliable in the Chinese context and can serve as a useful tool to evaluate the performance of clinical teachers during standardized residency training.

关键词

Keywords

references

王辰，齐学进，陈昕煜，等 . 我国住院医师规范化培训制度的正式建立与政策体系 [J ] . 中华医学杂志， 2015 ， 95 （ 14 ）： 1041 - 1043 . DOI: 10.3760/cma.j.issn.0376-2491.2015.14.001 http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2015.14.001 .

Lian S , Xia Y , Zhang J , et al . Comparison of general practice residents' attitudes and perceptions about training in two programmes in China: a mixed methods survey [J ] . Fam Med Community Health , 2019 , 7 ( 4 ): e000238 . DOI: 10.1136/fmch-2019-000238 http://dx.doi.org/10.1136/fmch-2019-000238 .

曹捷，古新扬，郭莉莉 . 住院医师规范化培训中360度评估与传统考核结果比较 [J ] . 中国医院管理， 2021 ， 41 （ 11 ）： 80 - 83 .

姜燕，王立峰，乔羽，等 . 360度评估在住院医师规范化培训中的应用 [J ] . 解放军医院管理杂志， 2020 ， 27 （ 5 ）： 471 - 473 . DOI: 10.16770/J.cnki.1008-9985.2020.05.021 http://dx.doi.org/10.16770/J.cnki.1008-9985.2020.05.021 .

张伟，严晓蕾，潘沛，等 . 住院医师规范化培训指导医师绩效考核体系的应用效果评价 [J ] . 中华医学教育杂志， 2021 ， 41 （ 1 ）： 83 - 86 . DOI: 10.3760/cma.j.cn115259-20200529-00848 http://dx.doi.org/10.3760/cma.j.cn115259-20200529-00848 .

黄辞，陈宇昆，李玉骞，等 . 360度评估系统在住院医师规范化培训中的意义 [J ] . 医学教育研究与实践， 2020 ， 28 （ 1 ）： 177 - 181 . DOI: 10.13555/j.cnki.c.m.e.2020.01.045 http://dx.doi.org/10.13555/j.cnki.c.m.e.2020.01.045 .

姚晨姣，姜艳红，王云，等 . 探讨耶鲁-湘雅360度评估体系在住院医师规范化培训中的应用 [J ] . 中国毕业后医学教育， 2018 ， 2 （ 5 ）： 321 - 325 .

周智涓，尚斌芳，徐磊，等 . 360度评估系统在住院医师规范化培训信息化管理中的应用与探索 [J ] . 中国毕业后医学教育， 2019 ， 3 （ 5 ）： 396 - 400 .

齐建光，闫辉，张欣，等 . 探讨住院医师规范化培训师资带教能力的提高与评价 [J ] . 中国毕业后医学教育， 2018 ， 2 （ 3 ）： 176 - 179 .

Hunter D . How clinical practice placements affect professional development [J ] . Emerg Nurse , 2010 , 18 ( 5 ): 30 - 34 . DOI: 10.7748/en2010.09.18.5.30.c7974 http://dx.doi.org/10.7748/en2010.09.18.5.30.c7974 .

简伟研，邓锐，崔爽 . 培训基地对提升临床医学专业学位研究生培养效果的研究 [J ] . 中华医学教育探索杂志， 2018 ， 17 （ 9 ）： 871 - 875 . DOI: 10.3760/cma.j.issn.2095-1485.2018.09.002 http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2018.09.002 .

Collins A , Brown JS , Newman SE . Cognitive apprenticeship: teaching the Crafts of reading, writing, and mathematics [M ] // Knowing, Learning, and Instruction . London; New York : Routledge , 2018 : 453 - 494 . DOI: 10.4324/9781315044408-14 http://dx.doi.org/10.4324/9781315044408-14 .

Stalmeijer RE , Dolmans DH , Wolfhagen IH , et al . The development of an instrument for evaluating clinical teachers: involving stakeholders to determine content validity [J ] . Med Teach , 2008 , 30 ( 8 ): e272 - e277 . DOI: 10.1080/01421590802258904 http://dx.doi.org/10.1080/01421590802258904 .

Stalmeijer RE , Dolmans DH , Wolfhagen IH , et al . The Maastricht Clinical Teaching Questionnaire (MCTQ) as a valid and reliable instrument for the evaluation of clinical teachers [J ] . Acad Med , 2010 , 85 ( 11 ): 1732 - 1738 . DOI: 10.1097/ACM.0b013e3181f554d6 http://dx.doi.org/10.1097/ACM.0b013e3181f554d6 .

Giannasi SE , Durante E , Vázquez FR , et al . Transcultural validation of the maastricht clinical teaching questionnaire [J ] . Arch Argent Pediatr , 2019 , 117 ( 4 ): e425 - e432 . DOI: 10.5546/aap.2019.e425 http://dx.doi.org/10.5546/aap.2019.e425 .

Al Ansari A , Tabbara KS . Evaluating the reliability and validity of the maastricht clinical teaching questionnaire in Bahrain [J ] . Oman Med J , 2019 , 34 ( 5 ): 427 - 433 . DOI: 10.5001/omj.2019.78 http://dx.doi.org/10.5001/omj.2019.78 .

Vaughan B . Developing a clinical teaching quality questionnaire for use in a university osteopathic pre-registration teaching program [J ] . BMC Med Educ , 2015 , 15 : 70 . DOI: 10.1186/s12909-015-0358-6 http://dx.doi.org/10.1186/s12909-015-0358-6 .

Olmos-Vega F , Dolmans D , Donkers J , et al . Understanding how residents' preferences for supervisory methods change throughout residency training: a mixed-methods study [J ] . BMC Med Educ , 2015 , 15 : 177 . DOI: 10.1186/s12909-015-0462-7 http://dx.doi.org/10.1186/s12909-015-0462-7 .

Kelly M , Bennett D , McDonald P . Evaluation of clinical teaching in general practice using the Maastricht clinical teaching questionnaire [J ] . Med Teach , 2012 , 34 ( 12 ): 1089 . DOI: 10.3109/0142159X.2012.716562 http://dx.doi.org/10.3109/0142159X.2012.716562 .

于健，谌璐，许彬，等 . 临床教学问卷的跨文化调试及信效度研究 [J ] . 中华护理教育， 2020 ， 17 （ 7 ）： 643 - 647 . DOI: 10.3761/j.issn.1672-9234.2020.07.015 http://dx.doi.org/10.3761/j.issn.1672-9234.2020.07.015 .

何清，蔡传书，李晶，等 . 基于WeChat平台Media studio pro编辑技术在放射治疗学教学中的运用研究 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 1 ）： 62 - 65 . DOI: 10.3760/cma.j.cn116021-20200811-01139 http://dx.doi.org/10.3760/cma.j.cn116021-20200811-01139 .

Jones PS , Lee JW , Phillips LR , et al . An adaptation of Brislin’s translation model for cross-cultural research [J ] . Nurs Res , 2001 , 50 ( 5 ): 300 - 304 . DOI: 10.1097/00006199-200109000-00008 http://dx.doi.org/10.1097/00006199-200109000-00008 .

Rodino AM , Wolcott MD . Assessing preceptor use of cognitive apprenticeship: is the Maastricht clinical teaching questionnaire (MCTQ) a useful approach? [J ] . Teach Learn Med , 2019 , 31 ( 5 ): 506 - 518 . DOI: 10.1080/10401334.2019.1604356 http://dx.doi.org/10.1080/10401334.2019.1604356 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Evaluation on the reliability and validity of the social networking using status scale among medical students

Development and Evaluation of Tobacco Control Questionnaire for Nursing Students

Effect of clinical teachers' perceived organizational support on teaching commitment: mediating role of teachers' self-efficacy

Current status of standardized training of pediatric anesthesiologists in different regions of China

Design and application of a teaching rounds model combining disease-based learning and slit lamp-side teaching in ophthalmology day wards

Related Author

张行

王甦平

龚睿婕

张薇薇

施琼芸

李春红

王戬

李冬凉

Related Institution

上海交通大学医学院学科规划处

上海市徐汇区疾病预防控制中心

重庆医科大学护理学院

School of Medicine and Management, Shandong First Medical University

Department of Organization and Personnel, Provincial Hospital of Shandong First Medical University

⁰