Background The learning environment is one of the most influential factors in training of medical residents. The Dutch Residency Educational Climate Test (D-RECT) is one of the strongest instruments for measuring the learning environment. However, it has not been translated in French. The objective of this study is the psychometric validation of the DRECT French version. Material and methods After translation of the D-RECT questionnaire into French, residents of five Moroccan hospitals were invited to complete the questionnaire between July and September 2018. Confirmatory factor analysis was used to evaluate the validity of the construct using the standardized root mean square residual (SRMR), the root mean square error approximation (RMSEA), the Comparative Fit Index (CFI) and the Tucker- Lewis Index (TLI). Reliability analysis was analysed using Internal consistency and Test-retest. Results During the study period, 211 residents completed the questionnaire. Confirmatory factor analysis showed an adequate model fit with the following indicators: SRMR = 0.058 / RMSEA = 0.07 / CFI = 0.88 / TLI = 0.87. The French translation had a good internal consistency (Cronbach alpha score >  0.7 for all subscales) and a good temporal stability (correlation score between two measurements = 0.89). Conclusion This French version has an acceptable validity of the construct, a good internal consistency and good temporal reliability, and may be used to evaluate the learning climate. Additional research is necessary in other French-speaking contexts, in order to confirm these results.

Dermatofibrosarcoma is a rare fibrous tumor of the skin. Its evolution is slow and indolent with a high potential for recurrence. We report a case of Darier and Ferrand dermatofibrosarcoma that had progressed in a 56-year-old female patient from childhood. Clinical examination revealed an indurated, round, budding, ulcerative mass located to the left hypochondrium. This mass was painful, hard, and mobile at deep levels. Computed tomography of the thorax, abdomen, and pelvis showed no lesions other than a mass in the left hypochondrium. Immunohistochemical studies of previously performed biopsies were unremarkable. A histologic examination of the surgical specimen confirmed the diagnosis. The further course after 12 months was uneventful.