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Development and validation of the Readiness to Train Assessment Tool (RTAT)
Ianita Zlateva1, Amanda Schiessl2, Nashwa Khalid2
1Weitzman Institute, Community Health Center, Inc., Middletown, CT, USA. ianita.zlateva@gmail.com.
BMC Health Services Research
|April 29, 2021
Summary
A new survey assesses health center readiness for training health professionals. The validated Readiness to Train Assessment Tool (RTAT) helps evaluate and improve program implementation for efficiency.
Area of Science:
- Healthcare education and training
- Organizational readiness assessment
- Health professions workforce development
Background:
- Health centers are increasingly training health professionals.
- Assessing alignment between training programs and health center priorities is crucial.
- A validated tool is needed to measure organizational readiness for health professions training.
Purpose of the Study:
- To develop and validate a survey measuring organizational readiness constructs for health professions training programs.
- To provide a tool for health centers to assess their capacity for implementing training programs.
- To identify necessary adjustments for successful training program implementation.
Main Methods:
- Developed a conceptual framework through literature review and expert validation.
- Generated and refined survey items through modified Delphi rounds with experts.
- Validated the survey structure using exploratory factor analysis and assessed reliability with Cronbach's alpha.
Main Results:
- A 41-item, 7-subscale survey, the Readiness to Train Assessment Tool (RTAT), was developed.
- Exploratory factor analysis explained 72% of the total variance.
- High internal consistency reliability (Cronbach's alpha .79-.97) was demonstrated.
Conclusions:
- The RTAT is a theoretically-based, valid, and reliable tool for evaluating health center readiness for training programs.
- Readiness evaluations can enhance the efficiency and cost-effectiveness of implementing health professions training.
- The RTAT may also be applicable to other healthcare organizations implementing educational programs.

