Focus on Quality: Investigating Residents’ Learning Climate Perceptions

BackgroundA department's learning climate is known to contribute to the quality of postgraduate medical education and, as such, to the quality of patient care provided by residents. However, it is unclear how the learning climate is perceived over time.ObjectivesThis study investigated whether the learning climate perceptions of residents changed over time.MethodsThe context for this study was residency training in the Netherlands. Between January 2012 and December 2014, residents from 223 training programs in 39 hospitals filled out the web-based Dutch Residency Educational Climate Test (D-RE... Mehr ...

Verfasser: Silkens, Milou EWM
Arah, Onyebuchi A
Scherpbier, Albert JJA
Heineman, Maas Jan
Lombarts, Kiki MJMH
Dokumenttyp: Artikel
Erscheinungsdatum: 2016
Reihe/Periodikum: PLOS ONE, vol 11, iss 1
Verlag/Hrsg.: eScholarship
University of California
Schlagwörter: Health Services and Systems / Biomedical and Clinical Sciences / Health Sciences / Clinical Research / Quality Education / Education / Medical / Graduate / Humans / Internship and Residency / Learning / Netherlands / Quality of Health Care / Social Perception / Time Factors / General Science & Technology
Sprache: unknown
Permalink: https://search.fid-benelux.de/Record/base-29158469
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://escholarship.org/uc/item/1j28m028

BackgroundA department's learning climate is known to contribute to the quality of postgraduate medical education and, as such, to the quality of patient care provided by residents. However, it is unclear how the learning climate is perceived over time.ObjectivesThis study investigated whether the learning climate perceptions of residents changed over time.MethodsThe context for this study was residency training in the Netherlands. Between January 2012 and December 2014, residents from 223 training programs in 39 hospitals filled out the web-based Dutch Residency Educational Climate Test (D-RECT) to evaluate their clinical department's learning climate. Residents had to fill out 35 validated questions using a five point Likert-scale. We analyzed data using generalized linear mixed (growth) models.ResultsOverall, 3982 D-RECT evaluations were available to investigate our aim. The overall mean D-RECT score was 3.9 (SD = 0.3). The growth model showed an increase in D-RECT scores over time (b = 0.03; 95% CI: 0.01-0.06; p < 0.05).ConclusionsThe observed increase in D-RECT scores implied that residents perceived an improvement in the learning climate over time. Future research could focus on factors that facilitate or hinder learning climate improvement, and investigate the roles that hospital governing committees play in safeguarding and improving the learning climate.