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Changes in Perceived Supervision Quality After Introduction of Competency-Based Orthopedic Residency Training: A
Stefan N van Vendeloo1, Paul L P Brand2, Boudewijn J Kollen3
1Department of Orthopaedic Surgery and Traumatology, Isala Hospital, Zwolle, The Netherlands.
Objective:
To evaluate the perceived quality of the learning environment, before and after introduction of competency-based postgraduate orthopedic education.
Design:
From 2009 to 2014, we conducted annual surveys among Dutch orthopedic residents. The validated Dutch Residency Educational Climate Test (D-RECT, 50 items on 11 subscales) was used to assess the quality of the learning environment. Scores range from 1 (poor) to 5 (excellent).
Setting:
Dynamic cohort follow-up study.
Participants:
All Dutch orthopedic residents were surveyed during annual compulsory courses.
Results:
Over the 6-year period, 641 responses were obtained (response rate 92%). Scores for "supervision" (95% CI for difference 0.06-0.28, p = 0.002) and "coaching and assessment" (95% CI 0.11-0.35, p < 0.001) improved significantly after introduction of competency-based training. There was no significant change in score on the other subscales of the D-RECT.
Conclusions:
After the introduction of some of the core components of competency-based postgraduate orthopedic education the perceived quality of "supervision" and "coaching and assessment" improved significantly.
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