Changes in Perceived Supervision Quality After Introduction of Competency-Based Orthopedic Residency Training: A National 6-Year Follow-Up Study

Publication date: Available online 27 April 2018
Source:Journal of Surgical Education
Author(s): Stefan N. van Vendeloo, Paul L.P. Brand, Boudewijn J. Kollen, Cees C.P.M. Verheyen
ObjectiveTo evaluate the perceived quality of the learning environment, before and after introduction of competency-based postgraduate orthopedic education.DesignFrom 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).SettingDynamic cohort follow-up study.ParticipantsAll Dutch orthopedic residents were surveyed during annual compulsory courses.ResultsOver 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.ConclusionsAfter 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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