Preliminary Evidence Supporting a Novel 10-Item Clinical Learning Environment Quick Survey (CLEQS)
| Autor: | Nicole Salvo, Deborah Simpson, Matthew McDiarmid, Tricia La Fratta, Jacob L Bidwell, Lawrence Moore, David M. Irby |
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| Rok vydání: | 2021 |
| Předmět: |
Medical education
Quality management Education Medical business.industry Learning environment Graduate medical education Internship and Residency Reproducibility of Results General Medicine Patient safety Cronbach's alpha Surveys and Questionnaires Health care Educational Innovation Humans Learning business Psychology Reliability (statistics) Accreditation |
| Zdroj: | J Grad Med Educ |
| ISSN: | 1949-8357 1949-8349 |
| Popis: | Background The clinical learning environment (CLE) is a priority focus in medical education. The Accreditation Council for Graduate Medical Education Clinical Learning Environment Review's (CLER) recent addition of teaming and health care systems obligates educators to monitor these areas. Tools to evaluate the CLE would ideally be: (1) appropriate for all health care team members on a specific unit/project; (2) informed by contemporary learning environment frameworks; and (3) feasible/quick to complete. No existing CLE evaluation tool meets these criteria. Objective This report describes the creation and preliminary validity evidence for a Clinical Learning Environment Quick Survey (CLEQS). Methods Survey items were identified from the literature and other data sources, sorted into 1 of 4 learning environment domains (personal, social, organizational, material) and reviewed by multiple stakeholders and experts. Leaders from 6 interprofessional graduate medical education quality improvement/patient safety teams distributed this voluntary survey to their clinical team members (November 2019–mid-January 2021) using electronic or paper formats. Validity evidence for this instrument was based on the content, response process, internal structure, reliability, relations to other variables, and consequences. Results Two hundred one CLEQS responses were obtained, taking 1.5 minutes on average to complete with good reliability (Cronbach's α ≥ 0.83). The Cronbach alpha for each CE domain with the overall item ranged from 0.50 for personal to 0.79 for social. There were strong associations with other measures and clarity about improvement targets. Conclusions CLEQS meets the 3 criteria for evaluating CLEs. Reliability data supports its internal consistency, and initial validity evidence is promising. |
| Databáze: | OpenAIRE |
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