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首页> 外文期刊>Journal of general internal medicine >Assessing the Culture of Residency Using the C - Change Resident Survey: Validity Evidence in 34 U.S. Residency Programs
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Assessing the Culture of Residency Using the C - Change Resident Survey: Validity Evidence in 34 U.S. Residency Programs

机译：使用C - 变更居民调查评估居住文化：34美国居留计划的有效证据

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Abstract Background A practical instrument is needed to reliably measure the clinical learning environment and professionalism for residents. Objective To develop and present evidence of validity of an instrument to assess the culture of residency programs and the clinical learning environment. Design During 2014–2015, we surveyed residents using the C - Change Resident Survey to assess residents’ perceptions of the culture in their programs. Participants Residents in all years of training in 34 programs in internal medicine, pediatrics, and general surgery in 14 geographically diverse public and private academic health systems. Main Measures The C - Change Resident Survey assessed residents’ perceptions of 13 dimensions of the culture: Vitality, Self-Efficacy, Institutional Support, Relationships/Inclusion, Values Alignment, Ethical/Moral Distress, Respect, Mentoring, Work–Life Integration, Gender Equity, Racial/Ethnic Minority Equity, and self-assessed Competencies. We measured the internal reliability of each of the 13 dimensions and evaluated response process, content validity, and construct-related evidence validity by assessing relationships predicted by our conceptual model and prior research. We also assessed whether the measurements were sensitive to differences in specialty and across institutions. Key Results A total of 1708 residents completed the survey [internal medicine: n ?=?956, pediatrics: n ?=?411, general surgery: n ?=?311 (51% women; 16% underrepresented in medicine minority)], with a response rate of 70% (range across programs, 51–87%). Internal consistency of each dimension was high (Cronbach α: 0.73–0.90). The instrument was able to detect significant differences in the learning environment across programs and sites. Evidence of validity was supported by a good response process and the demonstration of several relationships predicted by our conceptual model. Conclusions The C - Change Resident Survey assesses the clinical learning environment for residents, and we encourage further study of validity in different contexts. Results could be used to facilitate and monitor improvements in the clinical learning environment and resident well-being. ]]>
机译：摘要背景需要实用的仪器来可靠地衡量居民的临床学习环境和专业性。目的是制定和呈现仪器有效性的证据，以评估居住计划文化和临床学习环境。设计在2014 - 2015年期间，我们使用C改变居民调查调查居民，评估居民对文化的看法。参与者居民在14个地理位置不同的公共和私立学术卫生系统中的34个内科，儿科和普通手术中的34个培训。主要措施C - 变更居民调查评估居民对培养的13个维度的看法：活力，自我效力，制度支持，关系/包含，价值观对齐，道德/道德困扰，尊重，指导，工作 - 生活整合，性别股权，种族/少数民族股权和自我评估的能力。我们通过评估我们的概念模型和先前研究预测的关系，测量了13个维度中的每一个的内部可靠性，并评估了响应过程，内容有效性和构建有关的证据有效性。我们还评估了测量是否对专业和跨机构的差异敏感。关键结果共有1708名居民完成了调查[内科：N吗？=？956，儿科：N？411，一般手术：n？=？311（51％女性;在医学少数股份，51％代表性），响应率为70％（范围跨计划，51-87％）。每个维度的内部一致性高（Cronbachα：0.73-0.90）。该仪器能够在跨程序和网站中检测学习环境的显着差异。有效性的证据得到了良好的反应过程，并对我们概念模型预测的几个关系的证明得到了支持。结论C - 变更居民调查评估了居民的临床学习环境，我们鼓励进一步研究不同的背景下的有效性。结果可用于促进和监测临床学习环境和居民福祉的改进。 ]]>

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