The Model of Ambulatory Clinical Education Environment Measure Instrument in Islamic Azad University Hospitals in Tehran

Background & Objective: Recently medical education has been significantly evolution. One of these evolution has been a progressive reduction in time that medical students to spend in hospitals as well as changes in the profiles of hospitalized patients. The aim of this study was to develop the model of outpatient clinical education environment measure in interns of Islamic Azad University, Tehran medical branch. Materials and Methods: This study was a cross sectional design. Participants of the study were 250, of interns of two university hospitals of Islamic Azad University, Tehran Medical Branch in 2017. Construct validity of ACLEEM instrument was assessed for to development of the model. Exploratory Factor Analyses (EFA) and Confirmatory Factor Analyses (CFA) was measured. Convergent and discriminant validities were determined. The Pearson correlation coefficient, Inter-Class Coefficient (ICC) were used to evaluate the stability of each research construct. The reliability of instrument was measured by Cronbach’s alpha coefficient. Results: In EFA of the ACLEEM, the Kaiser–Meyer–Olkin (KMO) index was 0.83 and Bartlett’s test was significant (P <0.001) .The eight extracted factors of instrument had explained 60.73 percent of the variance after varimax rotation .Confirmatory factor analyses revealed the model of study. The instrument has a good fit and convergence and discriminant narrative. The internal consistency of instrument was > 0.8 and ICC was between 0.61-0.85 and the reliability of instrument was 0.81. Conclusion: Overall, ACLEEM showed excellent measurement model and construct validity in an Iranian outpatient setting.