Abstract
BackgroundIn postgraduate training, there is a need to continuously assess the learning and working conditions to optimize learning. Students or trainees respond to the learning climate as they perceive it. The Dutch Residency Educational Climate Test (D-RECT) is a learning climate measurement tool with well-substantiated validity. However, it was originally designed for Dutch postgraduate trainees and it remains to be shown whether extrapolation to non-Western settings is viable.The dual objective of this study was to revalidate D-RECT outside of a Western setting and to evaluate the factor structure of a recently revised version of the D-RECT containing 35 items.MethodsWe invited Filipino internal medicine residents from 96 hospitals to complete the revised 35-item D-RECT. Subsequently, we performed a confirmatory factor analysis to check the fit of the 9 scale model of the revised 35-item D-RECT. Inter-rater reliability was assessed using generalizability theory.ResultsConfirmatory factor analysis unveiled that the factor structure of the revised 35-item D-RECT provided a reasonable fit to the Filipino data, after removal of 7 items. Five to seven evaluations of individual residents were needed per scale to obtain a reliable result.ConclusionEven in a non-Western setting, the D-RECT exhibited psychometric validity. This study validated the factor structure of the revised 35-item D-RECT after some modifications. We recommend that its application be extended to other Asian countries and specialties.
Highlights
In postgraduate training, there is a need to continuously assess the learning and working conditions to optimize learning
Colbert-Getz et al [8], for instance, evaluated the evidence substantiating the validity of 28 learning environment tools, 13 of which were used in postgraduate training
Schönrock-Adema et al [9], who looked into the theoretical framework of existing learning instruments, observed that Dutch Residency Educational Climate Test (D-RECT) had a strong theoretical foundation, in relation to sociocultural concepts compared with other learning environment instruments
Summary
There is a need to continuously assess the learning and working conditions to optimize learning. The Dutch Residency Educational Climate Test (D-RECT) is a learning climate measurement tool with well-substantiated validity. It was originally designed for Dutch postgraduate trainees and it remains to be shown whether extrapolation to non-Western settings is viable. Colbert-Getz et al [8], for instance, evaluated the evidence substantiating the validity of 28 learning environment tools, 13 of which were used in postgraduate training. It transpired that the validity of Pacifico et al BMC Medical Education (2018) 18:22 only 3 of these 13 instruments was sufficiently substantiated, D-RECT being one of these three. Schönrock-Adema et al [9], who looked into the theoretical framework of existing learning instruments, observed that D-RECT had a strong theoretical foundation, in relation to sociocultural concepts compared with other learning environment instruments
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