Quantitating qualitative issues in residency training

Cb, Seelig

doi:10.1007/bf02599716

Cited by 20 publications

(8 citation statements)

References 31 publications

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“…In line with the results of previous studies using the RQ on American samples [6, 7], our results showed high correlations of measures of depressive symptoms and emotional exhaustion with the RQ–Emotional Distress scale. The results also showed moderate and weak correlations of these measures with the RQ-Workload and RQ-Learning Environment Satisfaction scales.…”

Section: Discussionsupporting

confidence: 92%

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Cross-cultural adaptation and psychometric assessment of a Brazilian-Portuguese version of the Resident Questionnaire

et al. 2018

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BackgroundDespite the general agreement regarding the central role of the clinical learning environment in graduate medical education, its assessment remains challenging owing to the lack of available standardized measures. We report on the cross-cultural adaptation and psychometric assessment of the Brazilian-Portuguese version of Seelig’s Resident Questionnaire.MethodsThe present study was performed in two steps. First, a cross-cultural translation and adaptation of the Resident Questionnaire was conducted through multiple translations, synthesis of versions, back-translation, content validation, and face validation. Subsequently, a sample of 288 (72%) resident physicians enrolled in 40 residency programs at a Brazilian university hospital completed the following measures: 1) the Brazilian-Portuguese version of the Resident Questionnaire (for factor analysis and to determine internal consistency, reliability, and validity); 2) three existing, validated psychometric measures (to determine convergent and divergent validity); and 3) a self-report questionnaire.ResultsConfirmatory factor analysis results provided support for the three-dimensional model of the Resident Questionnaire in use on a sample of Brazilian resident physicians, having been previously verified for use in American samples. All three factors (emotional distress, learning environment satisfaction, and workload satisfaction) verified in the confirmatory factor analysis showed good internal consistency (α > .80), reliability (Raykov’s rho > .80), and correlations in the expected directions and magnitude with measures of depressive symptoms, duty hours, organizational conditions, and emotional exhaustion.ConclusionsThis study is the first to adapt a measure of the clinical learning environment of residency programs into Brazilian Portuguese. Our findings suggest that the adapted version of the Resident Questionnaire is valid and reliable for assessing Brazilian residency programs. This free, easy-access, and fast-application instrument may be a useful standardized measure for research and educational purposes concerning the clinical learning environments of resident physicians.

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Section: Discussionsupporting

confidence: 92%

“…Since its development in 1993 [7] and subsequent revision and validation in 1995 [6], the aspects measured by the RQ have been associated with mental health, education, and satisfaction of resident physicians and fellows from different programs in the United States [6, 8–11]. …”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric assessment of a Brazilian-Portuguese version of the Resident Questionnaire

et al. 2018

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“…Despite this, there was no perceived change in senior residents’ general wellbeing. Previous studies have reported mixed results in residents’ health, wellness and quality of life after implementation of night float systems [9,12,14,30] with some reporting such improvements as more time available to study, as well as negative consequences, such as increased depression and feelings of isolation [20-22,36]. …”

Section: Discussionmentioning

confidence: 99%

“…One approach is the night float rotation system, whereby residents provide patient care either during daytime shifts or during 12 to 16 hour overnight shifts [3,9,10,12,16]. Despite research showing the benefits of reduced consecutive duty hours and night float rotations, some contradictory evidence continues to emerge about the impact on residents’ wellness, ability to deliver health care and medical education experience [9,12,14,20-22]. Night float rotations can cause disruptions in basic biological functions, circadian rhythms, social relationships, and psycho-physical health [23].…”

Section: Introductionmentioning

confidence: 99%

Shifting perceptions: a pre-post study to assess the impact of a senior resident rotation bundle

et al. 2013

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BackgroundExtended duty hours for residents are associated with negative consequences. Strategies to accommodate duty hour restrictions may also have unintended impacts. To eliminate extended duty hours and potentially lessen these impacts, we developed a senior resident rotation bundle that integrates a night float system, educational sessions on sleep hygiene, an electronic handover tool, and a simulation-based medical education curriculum. The aim of this study was to assess internal medicine residents’ perceptions of the impact of the bundle on three domains: the senior residents’ wellness, ability to deliver quality health care, and medical education experience.MethodsThis prospective study compared eligible residents’ experiences (N = 67) before and after a six-month trial of the bundle at a training program in western Canada. Data was collected using an on-line survey. Pre- and post-intervention scores for the final sample (N = 50) were presented as means and compared using the t-test for paired samples.ResultsParticipants felt that most aspects of the three domains were unaffected by the introduction of the bundle. Four improved and two worsened perception shifts emerged post-intervention: less exposure to personal harm, reduced potential for medical error, more successful teaching, fewer disruptions to other rotations, increased conflicting role demands and less staff physician supervision.ConclusionsThe rotation bundle integrates components that potentially ease some of the perceived negative consequences of night float rotations and duty hour restrictions. Future areas of study should include objective measures of the three domains to validate our study participants’ perceptions.

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“…A PACRE questionnaire was developed on the basis of existing literature [ 12 , 14 , 15 , 20 – 28 ]. Items were developed for each of the Stanford Faculty Development Program (SFDP) for Clinical Teaching categories: learning climate, control of session, communication of goals, promotion of understanding and retention, evaluation, feedback, and promotion of self-directed learning [ 24 , 29 ].…”

Section: Methodsmentioning

confidence: 99%

Validation of a clinical rotation evaluation for physician assistant students

et al. 2018

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BackgroundWe conducted a prospective validation study to develop a physician assistant (PA) clinical rotation evaluation (PACRE) instrument. The specific aims of this study were to 1) develop a tool to evaluate PA clinical rotations, and 2) explore associations between validated rotation evaluation scores and characteristics of the students and rotations.MethodsThe PACRE was administered to rotating PA students at our institution in 2016. Factor analysis, internal consistency reliability, and associations between PACRE scores and student or rotation characteristics were determined.ResultsOf 206 PACRE instruments sent, 124 were returned (60.2% response). Factor analysis supported a unidimensional model with a mean (SD) score of 4.31 (0.57) on a 5-point scale. Internal consistency reliability was excellent (Cronbach α=0.95). PACRE scores were associated with students’ gender (P = .01) and rotation specialty (P = .006) and correlated with students’ perception of being prepared (r = 0.32; P < .001) and value of the rotation (r = 0.57; P < .001).ConclusionsThis is the first validated instrument to evaluate PA rotation experiences. Application of the PACRE questionnaire could inform rotation directors about ways to improve clinical experiences. The findings of this study suggest that PA students must be adequately prepared to have a successful experience on their rotations. PA programs should consider offering transition courses like those offered in many medical schools to prepare their students for clinical experiences. Future research should explore whether additional rotation characteristics and educational outcomes are associated with PACRE scores.

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Quantitating qualitative issues in residency training

Cited by 20 publications

References 31 publications

Cross-cultural adaptation and psychometric assessment of a Brazilian-Portuguese version of the Resident Questionnaire

Cross-cultural adaptation and psychometric assessment of a Brazilian-Portuguese version of the Resident Questionnaire

Shifting perceptions: a pre-post study to assess the impact of a senior resident rotation bundle

Validation of a clinical rotation evaluation for physician assistant students

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