Table 1

Overview of the nine study countries for MIES development and validation process

CountryKenyaUgandaBurundiSierra LeoneNigeriaSouth AfricaFijiChinaVietnam
Income level (World Bank 2021)Lower middle incomeLow incomeLow incomeLow incomeLower middle incomeUpper middle incomeUpper middle incomeUpper middle incomeLower middle income
Language versionEnglishEnglishFrenchEnglishEnglishEnglishEnglishMandarin ChineseVietnamese
SiteNationwide with various sizes of hospitalsKampala, Lira with various sizes of hospitalsBujumbura and Kibuye with major large hospitalsFreetown, Makeni and Bo with major large hospitalsJos with various sizes of hospitalsN/ASuva, Labsa, Lautoka with various sizes of hospitalsNationwide with various sizes of hospitalsHo Chi Minh City with major large hospitals
Local ethics approvalKenya Medical Research Institute (KEMRI) (SERU 4071)Makerere University School of Public Health Research and Ethics Committee (SPH-2021-168)University of Burundi (05/05/2021)Sierra Leone Ethics and Scientific Review CommitteeJos University Teaching Hospital in Nigeria (JUTH/DOS/REC/127/2693)N/AFiji National UniversityTsinghua University (No. 20220063)University of Medicine and Pharmacy at Ho Chi Minh City (No. 708)
Survey modeOnline/REDCapOnline/REDCapPaperPaperOnline/Microsoft FormsN/AOnline/Microsoft FormsOnline/WenjuanxingOnline/Microsoft Forms
Participation in intern content validity discussionXXXXXXX
Participation in cognitive interviewXXX (French)XXX (Chinese)X (Vietnamese)
Participation in surveyXXXXXN/AXXX
Sample size3584871209690N/A42160177
% Male51%69%56%67%49%N/A38%35%56%
% current intern37%13%93%57%24%N/A76%70%54%
Mean age (SD)28.4 (2.3)28.0 (2.8)27.9 (2.5)32.1 (4.8)28.9 (3.2)N/A27.5 (2.5)23.9 (1.4)26.6 (1.5)
  • ”N/A” indicates that South Africa-specific survey was not conducted. Additionally, an open survey was conducted to supplement the scale development process in non-study countries and a total of 113 samples were included in the final sample (see online supplemental appendix for the non-study countries source).

  • MIES, Medical Internship Experience Scale.