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The influence of the cultural climate of the training environment on physicians' self-perception of competence and preparedness for practice

机译：培训环境的文化氛围对医生自我能力和执业准备的自我影响

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Background In current supervisory practice, the learning environment in which the training of specialist registrars (SpRs) takes place is important. Examples of such learning environments are the hospital settings and/or geographical locations where training occurs. Our objective was to investigate whether the cultural climate of different learning environments influences physicians' perceived level of competence and preparedness for practice. Methods An electronic questionnaire was sent to an equal group of paediatricians who had trained in clinical settings located in Europe and the Caribbean. 30 items (Likert scale 1–4 = totally disagree-totally agree) were used to measure the level of preparedness of the respondents in 7 physician competencies. Results 42 participants were included for analysis. The distribution of participants in both groups was comparable. The overall perception of preparedness in the Caribbean group was 2.93 (SD = 0.47) and 2.86 (SD = 0.72) in the European group. The European group felt less prepared in the competency as manager 1.81 (SD = 1.06) compared to their Caribbean counterparts 2.72 (SD = 0.66). The difference was significant (p = 0.006). Conclusion The training in the different environments was perceived as adequate and comparable in effect. The learning environment's cultural climate appeared to influence the physician's perception of their competencies and preparedness for clinical practice.
机译：背景技术在当前的监管实践中，进行专业注册服务商（SpR）培训的学习环境非常重要。这种学习环境的示例是进行培训的医院环境和/或地理位置。我们的目的是调查不同学习环境的文化氛围是否会影响医生的感知能力和实践准备水平。方法将电子问卷发送给在欧洲和加勒比地区接受过临床环境培训的同等儿科医师小组。使用30项（Likert量表1-4 =完全不同意-完全同意）来衡量7位医师能力中受访者的准备水平。结果纳入42位参与者进行分析。两组的参与者分布是可比的。加勒比海地区对备灾的总体感觉是2.93（SD = 0.47），而欧洲组是2.86（SD = 0.72）。与管理加勒比海的同行2.72（SD = 0.66）相比，欧洲集团感到缺乏能力，因为经理1.81（SD = 1.06）。差异是显着的（p = 0.006）。结论在不同环境中进行的培训被认为是足够的，并且效果相当。学习环境的文化氛围似乎会影响医师对其能力和对临床实践准备的认识。

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