J Educ Eval Health Prof.  2015;12:39. 10.3352/jeehp.2015.12.39.

Profiling medical school learning environments in Malaysia: a validation study of the Johns Hopkins Learning Environment Scale

Affiliations
  • 1Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA. stacket1@jhmi.edu
  • 2Cyberjaya University College of Medical Sciences, Cyberjaya, Malaysia.
  • 3Division of Pediatrics and Anesthesiology/Critical Care Medicine at Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • 4Perdana University Royal College of Surgeons in Ireland School of Medicine, Serdang, Malaysia.
  • 5Department of Community Medicine, Perdana University Graduate School of Medicine, Serdang, Malaysia.

Abstract

PURPOSE
While a strong learning environment is critical to medical student education, the assessment of medical school learning environments has confounded researchers. Our goal was to assess the validity and utility of the Johns Hopkins Learning Environment Scale (JHLES) for preclinical students at three Malaysian medical schools with distinct educational and institutional models. Two schools were new international partnerships, and the third was school leaver program established without international partnership.
METHODS
First- and second-year students responded anonymously to surveys at the end of the academic year. The surveys included the JHLES, a 28-item survey using five-point Likert scale response options, the Dundee Ready Educational Environment Measure (DREEM), the most widely used method to assess learning environments internationally, a personal growth scale, and single-item global learning environment assessment variables.
RESULTS
The overall response rate was 369/429 (86%). After adjusting for the medical school year, gender, and ethnicity of the respondents, the JHLES detected differences across institutions in four out of seven domains (57%), with each school having a unique domain profile. The DREEM detected differences in one out of five categories (20%). The JHLES was more strongly correlated than the DREEM to two thirds of the single-item variables and the personal growth scale. The JHLES showed high internal reliability for the total score (alpha=0.92) and the seven domains (alpha= 0.56-0.85).
CONCLUSION
The JHLES detected variation between learning environment domains across three educational settings, thereby creating unique learning environment profiles. Interpretation of these profiles may allow schools to understand how they are currently supporting trainees and identify areas needing attention.

Keyword

Educational assessment; Learning; Malaysia; Medical students; Validation studies

MeSH Terms

Anonyms and Pseudonyms
Surveys and Questionnaires
Education
Educational Measurement
Humans
Learning*
Malaysia*
Schools, Medical*
Students, Medical

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