Vaižgėlienė Eglė, Padaiga Žilvinas, Rastenytė Daiva, Tamelis Algimantas, Petrikonis Kęstutis, Kregždytė Rima, Fluit Cornelia
Department of Preventive Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Preventive Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Medicina (Kaunas). 2017;53(3):173-178. doi: 10.1016/j.medici.2017.05.001. Epub 2017 May 26.
In 2013, all residency programs at the Lithuanian University of Health Sciences were renewed into a competency-based medical education curriculum. To assess the quality of clinical teaching in residency training, we chose the EFFECT (evaluation and feedback for effective clinical teaching) questionnaire designed and validated at the Radboud University Medical Centre in the Netherlands. The aim of this study was to validate the EFFECT questionnaire for quality assessment of clinical teaching in residency training.
The research was conducted as an online survey using the questionnaire containing 58 items in 7 domains. The questionnaire was double-translated into Lithuanian. It was sent to 182 residents of 7 residency programs (anesthesiology reanimathology, cardiology, dermatovenerology, emergency medicine, neurology, obstetrics and gynecology, physical medicine and rehabilitation). Overall, 333 questionnaires about 146 clinical teachers were filled in. To determine the item characteristics and internal consistency (Cronbach's α), the item and reliability analyses were performed. Furthermore, confirmatory factor analysis (CFI) was performed using a model for maximum-likelihood estimation.
Cronbach's α within different domains ranged between 0.91 and 0.97 and was comparable with the original version of the questionnaire. Confirmatory factor analysis demonstrated satisfactory model-fit with CFI of 0.841 and absolute model-fit RMSEA of 0.098.
The results suggest that the Lithuanian version of the EFFECT maintains its original validity and may serve as a valid instrument for quality assessment of clinical teaching in competency-based residency training in Lithuania.
2013年，立陶宛卫生科学大学的所有住院医师培训项目都更新为基于胜任力的医学教育课程。为评估住院医师培训中临床教学的质量，我们选用了荷兰拉德堡德大学医学中心设计并验证的EFFECT（有效临床教学的评估与反馈）问卷。本研究的目的是验证EFFECT问卷在住院医师培训临床教学质量评估中的有效性。
本研究采用在线调查的方式，使用包含7个领域58个条目的问卷。该问卷被双重翻译成立陶宛语。问卷被发送给7个住院医师培训项目（麻醉复苏学、心脏病学、皮肤性病学、急诊医学、神经病学、妇产科学、物理医学与康复学）的182名住院医师。总体而言，共填写了333份关于146名临床教师的问卷。为确定项目特征和内部一致性（克朗巴哈α系数），进行了项目和信度分析。此外，使用最大似然估计模型进行了验证性因素分析（CFI）。
不同领域的克朗巴哈α系数在0.91至0.97之间，与问卷的原始版本相当。验证性因素分析显示模型拟合良好，CFI为0.841，绝对模型拟合RMSEA为0.098。
结果表明，立陶宛语版的EFFECT问卷保持了其原有的有效性，可作为立陶宛基于胜任力的住院医师培训中临床教学质量评估的有效工具。
