Evaluation of Clinical Teaching Quality in Residency Training in a Tertiary Care Hospital Using EFFECT (Evaluation and Feedback for Effective Clinical Teaching) Survey

Authors

  • Ambreen Syed
  • Musawer Khan Neurosurgeon
  • Naeem ul Haq
  • Imtiazuddin
  • Mohammad Ishaq
  • Shoaib-ur-Rehman

DOI:

https://doi.org/10.36552/pjns.v28i3.970

Abstract

Objective:  To evaluate the quality of clinical teaching in residency training in a tertiary care hospital.

Materials and Methods:  The research was conducted in Mardan Medical Complex, Mardan. The study lasted two months, and the participants were enrolled using the simple purposive sampling technique. This prospective cross-sectional study used a validated “EFFECT” questionnaire divided into seven domains containing 58 items. The questionnaire was distributed among the postgraduate trainees of different specialties of the FCPS program, excluding other specialty programs (MS/MD/MCPS), through an online Google form. The data was analyzed using Excel 2022 software.

Results:  The number of residents who participated was 89. 71 (80%) were male and 18 (20%) females. The mean age was 29 years. Overall, the residents' perception of their supervisors was good. Few items were scored satisfactory by the residents. The results were also analyzed between four subgroups of the participants: male/female, senior (years 3-5)/junior (years 1-2) residents, medical & allied and surgical & allied residents, and senior (above 50 years age) and junior (below 50 years age) teachers. Significant (P value<0.05) differences were identified among the sub-group responses in different domains.

Conclusion:  Overall, the residents' perceptions of their clinical teachers are good. However, there is room for improvement in multiple domains, and some parts of the teaching require special considerations.

Keywords:   EFFECT (Evaluation and Feedback for Effective Clinical Teaching), FCPS (Fellow of College of Physicians and Surgeons Pakistan), Clinical Teaching.

References

Vaižg?lien? E, Padaiga Ž, Rastenyt? D, Tamelis A, Petrikonis K, Kregždyt? R, et al. Validation of the EFFECT questionnaire for competence-based clinical teaching in residency training in Lithuania. Med. 2017;53(3):173–8.

Beckman TJ, Cook DA, Mandrekar JN. What is the validity evidence for assessments of clinical teaching? J Gen Intern Med [Internet]. 2005;20(12):1159–64.

Fluit C, Bolhuis S, Grol R, Ham M, Feskens R, Laan R, et al. Evaluation and feedback for effective clinical teaching in postgraduate medical education: Validation of an assessment instrument incorporating the CanMEDS roles. Med Teach [Internet]. 2012 Nov 1;34(11):893–901.

Fluit CRMG, Bolhuis S, Grol R, Laan R, Wensing M. Assessing the Quality of Clinical Teachers. J Gen Intern Med [Internet]. 2010;25(12):1337–45.

Downing SM. Validity: on meaningful interpretation of assessment data. Med Educ. 2003 Sep;37(9):830–7.

Scheepers RA, Lombarts KMJMH, Van Aken MAG, Heineman MJ, Arah OA. Personality traits affect teaching performance of attending physicians: Results of a multi-center observational study. PLoS One. 2014 May 20;9(5).

Bandiera, G., Lee, S., & Tiberius, R. Creating Effective Learning in Today’s Emergency Departments: How Accomplished Teachers Get It Done. Annals of Emergency Medicine.2005;45(3), 253–261

Boor, K., Teunissen, P. W., Scherpbier, A. J., van der Vleuten, C. P., van de Lande, J., & Scheele, F. Residents’ perceptions of the ideal clinical teacher-A qualitative study. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2008;140(2), 152–157

Fluit CRMG, Feskens R, Bolhuis S, Grol R, Wensing M, Laan R. Understanding resident ratings of teaching in the workplace: a multi-centre study. Adv Heal Sci Educ. 2015 Aug 22;20(3):691–707.

Marwan Y, Luo L, Toobaie A, Benaroch T, Snell L. Operating Room Educational Environment in Canada: Perceptions of Surgical Residents. J Surg Educ. 2021 Jan 1;78(1):60–8.

Arah OA, Heineman MJ, Lombarts KMJMH. Factors influencing residents' evaluations of clinical faculty member teaching qualities and role model status. Med Educ 2012;46(April (4)):381–9.

Morgan HK, Purkiss JA, Porter AC, Lypson ML, Santen SA, Christner JG, et al. Student evaluation of faculty physicians: gender differences in teaching evaluations. J Womens Health 2016;25(March (5)):453–6.

Stalmeijer, R. E., Dolmans, D. H., Wolfhagen, I. H., Peters, W. G., van Coppenolle, L., & Scherpbier, A. J. (2010). Combined student ratings and self-assessment provide useful feedback for clinical teachers. Advances in Health Sciences Education, 15(3), 315–328.

Downloads

Published

2024-09-01

Issue

Section

Original Articles