Residents' perspectives on the learning environment: data from the Accreditation Council for Graduate Medical Education resident survey.

Authors

• Kathleen D Holt
• Rebecca S Miller
• Ingrid Philibert
• Jeanne K Heard
• Thomas J Nasca

Publication/Presentation Date

3-1-2010

Abstract

PURPOSE: Residents' assessment of their learning environment is an important element of residency accreditation and a strong predictor of resident satisfaction. The authors examined the reliability and validity of a resident/fellow survey and explored the relationship between reported duty hours noncompliance and residents' perceptions of other aspects of their learning environments.

METHOD: The Accreditation Council for Graduate Medical Education (ACGME) administered a 29-item Web-based survey in 2007 and 2008 to 91,073 residents in 5,610 programs. Aggregate data from the survey comprised indicators of substantial compliance or noncompliance. The authors examined relationships among duty hours and aspects of the educational environment, as well as the relationship of the survey results to citations from accreditation reviews.

RESULTS: The survey demonstrated a high degree of internal reliability (Cronbach alpha, 0.84). Common factor analysis revealed two factors, educational environment and resident duty hours (eigenvalues of 5.49 and 2.42, respectively). Programs having resident-identified duty hours issues were more likely than those without such issues to have received duty hours citations from residency review committees (odds ratio: 2.04; 95% CI: 1.03, 3.05).

CONCLUSIONS: The ACGME Resident/Fellow Survey is a reliable, valid, and useful tool for evaluating residency programs. There are strong relationships between duty hours noncompliance and noncompliance in other aspects of the program environment.

Volume

85

Issue

3

First Page

512

Last Page

518

ISSN

1938-808X

Published In/Presented At

Holt, K. D., Miller, R. S., Philibert, I., Heard, J. K., & Nasca, T. J. (2010). Residents' perspectives on the learning environment: data from the Accreditation Council for Graduate Medical Education resident survey. Academic medicine : journal of the Association of American Medical Colleges, 85(3), 512–518. https://doi.org/10.1097/ACM.0b013e3181ccc1db

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

20182130

Department(s)

Administration and Leadership

Document Type

Article