Abstract
| Original language | English |
|---|---|
| Article number | 943 |
| Journal | BMC Medical Education |
| Volume | 23 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1 Dec 2023 |
Keywords
- Clinical competence
- Education
- Educational
- Factor analysis
- Graduate
- Medical
- Models
- Psychometrics
- Statistical
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In: BMC Medical Education, Vol. 23, No. 1, 943, 01.12.2023.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - The postgraduate medical educational climate assessed by the Danish Residency Educational Climate Test (DK-RECT)
T2 - a validation and cross-sectional observational study
AU - Jacobsen, Rikke Borre
AU - Boor, Klarke
AU - Christensen, Karl Bang
AU - Ung, Vilde Hansteen
AU - Carlsen, J. rn
AU - Kirk, Ole
AU - Hanefeld Dziegiel, Morten
AU - Østergaard, Elsebet
AU - Rochat, Per
AU - Albrecht-Beste, Elisabeth
AU - Droogh, Marjoes
AU - Lapperre, Therese S.
AU - Scheele, Fedde
AU - Sørensen, Jette Led
AU - Hanefeld Dziegiel, Morten
N1 - Funding Information: We thank all the trainees who completed DK-RECT. We also thank Lise Møller, head of the East Denmark Regional Board of Postgraduate Medical Education, for assisting with identification of trainees in clinical rotation at Rigshospitalet, and Jeppe Hartmann, Copenhagen Academy for Medical Education and Simulation, Herlev Hospital, for creating DK-RECT in Survey Exact, and ExpertEnglish.dk for language editing. Rikke Borre Jacobsen, MD, PhD, is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and an anaesthesiology consultant at the Department of Anaesthesiology, Centre of Head and Orthopaedics, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Klarke Boor, MD, PhD, is an obstetrics specialist at the Department of Obstetrics and Gynaecology, Leiden University Medical Center, Leiden, the Netherlands, and defended her thesis on the clinical educational climate at Vrije Universiteit Amsterdam, where she developed D-RECT. Karl Bang Christensen, PhD, is a biostatistics professorat the Department of Public Health, Section of Biostatistics, University of Copenhagen, Copenhagen, Denmark. Vilde Hansteen Ung is a student in biostatistics, and a PhD student at the Department of Public Health, Section of Biostatistics, University of Copenhagen, Copenhagen, Denmark. Jørn Carlsen, MD, DMSci, is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and a cardiology consultant atthe Department of Cardiology, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Ole Kirk, MD, DMSci, is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and an infectious diseases consultant atthe Department of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Morten Hanefeld Dziegiel, MD, PHD, was an associate professor at the time of the study but is now a professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and an immunology consultant atthe Department of Clinical Immunology, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Elsebet Østergaard, MD, PhD is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and a genetics consultant at the Department of Genetics, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Per B. Rochat, MD, is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and a neurosurgery consultant at the Department of Neurosurgery, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Elisabeth Albrecht-Beste, MD, is an associate professor at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and a nuclear medicine consultant at the Department of Clinical Physiology, Nuclear Medicine and PET, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Marjoes Droogh, MD, was a gynaecology specialist at the Department of Gynaecology and Obstetrics, Hillerød University Hospital, Hillerød, Denmark, when D-RECT was being translated, and a gynaecology consultant as of 1-2-2021 at Wilhelmina Hospital Assen, Assen, the Netherlands, native speaker of Dutch and received her pregraduate education in the Netherlands. Therese S. Lapperre, MD, PhD, was a pulmonary diseases specialist at the Department of Respiratory Medicine, Bispebjerg and Frederiksberg University Hospital, Copenhagen, Denmark, when D-RECT was being translated; head of Department and a pulmonary diseases consultant at the Department of Pulmonary, University Hospital Antwerp and an associate professor at the Laboratory of Experimental Medicine and Paediatrics, Faculty of Medicine and Health, University of Antwerp, Antwerp, Belgium as of 1-10-2020; native speaker of Dutch and received her postgraduate education in the Netherlands. Fedde Scheele, MD, PhD, is a professor at the Centre for Educational Training, Assessment and Research, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands, supervised Boor’s thesis and is a gynaecology and obstetrics consultant at OLVG Hospital, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. Jette Led Sørensen, MD, MMEd, PhD, is a professor in interprofessional learning at the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark, and a gynaecology and obstetrics consultant specialist at Juliane Marie Centre and Mary Elizabeth´s Hospital, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark. Publisher Copyright: © 2023, The Author(s).
PY - 2023/12/1
Y1 - 2023/12/1
N2 - Background: A good educational climate is essential for delivering high-quality training for medical trainees, professional development, and patient care. The aim of this study was to (1) validate the Dutch Residency Educational Climate Test (D-RECT) in a Danish setting and (2) describe and evaluate the educational climate among medical trainees. Methods: D-RECT was adopted in a three-step process: translation of D-RECT into Danish (DK-RECT), psychometric validation, and evaluation of educational climate. Trainees from 31 medical specialties at Copenhagen University Hospital – Rigshospitalet, Denmark were asked to complete an online survey in a cross-sectional study. Results: We performed a forward-backward translation from Dutch to Danish. Confirmatory factor analysis showed that DK-RECT was robust and valid. The reliability analysis showed that only seven trainees from one specialty were needed for a reliable result. With 304 trainees completing DK-RECT, the response rate was 68%. The subsequent analysis indicated a positive overall educational climate, with a median score of 4.0 (interquartile range (IQR): 3.0–5.0) on a five-point Likert scale. Analysis of the subscales showed that the subscale Feedback received the lowest ratings, while Supervision and Peer collaboration were evaluated highest. Conclusions: Psychometric validation of D-RECT in a Danish context demonstrated valid results on the educational climate in specialist training. DK-RECT can be used to evaluate the effectiveness of interventions in the future and can facilitate the conversation on the educational climate.
AB - Background: A good educational climate is essential for delivering high-quality training for medical trainees, professional development, and patient care. The aim of this study was to (1) validate the Dutch Residency Educational Climate Test (D-RECT) in a Danish setting and (2) describe and evaluate the educational climate among medical trainees. Methods: D-RECT was adopted in a three-step process: translation of D-RECT into Danish (DK-RECT), psychometric validation, and evaluation of educational climate. Trainees from 31 medical specialties at Copenhagen University Hospital – Rigshospitalet, Denmark were asked to complete an online survey in a cross-sectional study. Results: We performed a forward-backward translation from Dutch to Danish. Confirmatory factor analysis showed that DK-RECT was robust and valid. The reliability analysis showed that only seven trainees from one specialty were needed for a reliable result. With 304 trainees completing DK-RECT, the response rate was 68%. The subsequent analysis indicated a positive overall educational climate, with a median score of 4.0 (interquartile range (IQR): 3.0–5.0) on a five-point Likert scale. Analysis of the subscales showed that the subscale Feedback received the lowest ratings, while Supervision and Peer collaboration were evaluated highest. Conclusions: Psychometric validation of D-RECT in a Danish context demonstrated valid results on the educational climate in specialist training. DK-RECT can be used to evaluate the effectiveness of interventions in the future and can facilitate the conversation on the educational climate.
KW - Clinical competence
KW - Education
KW - Educational
KW - Factor analysis
KW - Graduate
KW - Medical
KW - Models
KW - Psychometrics
KW - Statistical
UR - http://www.scopus.com/inward/record.url?scp=85179369870&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s12909-023-04909-7
DO - https://doi.org/10.1186/s12909-023-04909-7
M3 - Article
C2 - 38087289
SN - 1472-6920
VL - 23
JO - BMC Medical Education
JF - BMC Medical Education
IS - 1
M1 - 943
ER -