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A new instrument for residency program evaluation

L Bellini1, J A Shea, D A Asch

  • 1Department of Medicine, University of Pennsylvania School of Medicine, Veterans Affairs Medical Center, Philadelphia, USA.

Journal of General Internal Medicine
|December 31, 1997
PubMed
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A new 60-item instrument effectively evaluates residency programs, showing strong psychometric properties. It identifies key areas like workload, educational environment, and lifestyle, with actionable insights for improvement.

Area of Science:

  • Medical Education
  • Program Evaluation
  • Psychometrics

Background:

  • Effective program evaluation is crucial for medical residency training.
  • Existing instruments may lack comprehensiveness or specific psychometric validation.
  • Developing a robust tool is essential for assessing resident experiences.

Purpose of the Study:

  • To develop and validate a comprehensive program evaluation instrument for residency programs.
  • To assess resident perceptions of workload, educational environment, and lifestyle issues.
  • To create a psychometrically sound and exportable evaluation tool.

Main Methods:

  • A 69-item instrument was developed and pilot-tested with residents.
  • The instrument was administered to 104 residents, with 104 responses.

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  • Psychometric analyses, including reliability (Cronbach's alpha) and item analysis, were performed.

    • Main Results:

    • The final 60-item instrument demonstrated good psychometric properties (no ceiling/floor effects).
    • Three subscales were identified: workload (α = .76), educational environment (α = .72), and lifestyle issues (α = .62).
    • Residents rated the educational environment more favorably than workload or lifestyle issues.

    Conclusions:

    • The 60-item instrument is a psychometrically sound, comprehensive, and exportable tool for evaluating residency programs.
    • Findings highlight specific areas for potential program improvement, particularly in workload and lifestyle.
    • The instrument provides valuable data for enhancing the resident experience and program quality.