Background The clinical learning environment (CLE) is a priority focus in medical education. The Accreditation Council for Graduate Medical Education Clinical Learning Environment Review's (CLER) recent addition of teaming and health care systems obligates educators to monitor these areas. Tools to evaluate the CLE would ideally be: (1) appropriate for all health care team members on a specific unit/project; (2) informed by contemporary learning environment frameworks; and (3) feasible/quick to complete. No existing CLE evaluation tool meets these criteria. Objective This report describes the creation and preliminary validity evidence for a Clinical Learning Environment Quick Survey (CLEQS). Methods Survey items were identified from the literature and other data sources, sorted into 1 of 4 learning environment domains (personal, social, organizational, material) and reviewed by multiple stakeholders and experts. Leaders from 6 interprofessional graduate medical education quality improvement/patient safety teams distributed this voluntary survey to their clinical team members (November 2019–mid-January 2021) using electronic or paper formats. Validity evidence for this instrument was based on the content, response process, internal structure, reliability, relations to other variables, and consequences. Results Two hundred one CLEQS responses were obtained, taking 1.5 minutes on average to complete with good reliability (Cronbach's α ≥ 0.83). The Cronbach alpha for each CE domain with the overall item ranged from 0.50 for personal to 0.79 for social. There were strong associations with other measures and clarity about improvement targets. Conclusions CLEQS meets the 3 criteria for evaluating CLEs. Reliability data supports its internal consistency, and initial validity evidence is promising.
Student Mental Health, a collaboration between 4 institutions to develop a standard of investigating a wide variety of understudied mental health domains using an instrument we call the Keck Mental Health Survey (KMHS). The KMHS collects data to achieve 3 primary goals. The first is to provide individual students with information about their personal mental health. The second is to give each institution data about mental health among their students to plan for wellness programs. Finally, the consortium uses the KMHS to investigate trends in medical student mental health on a national level. Approach:The KMHS was administered in the Fall semesters of 2019 and 2020. A wellness representative introduced the survey and students in the first 3 years of medical school completed it during class time. Fourth-year medical students were emailed a link to the survey with a video introduction and given 2 weeks to complete it. The KMHS included 16 self-report instruments previously shown to be valid in the general U.S. adult population to measure a variety of psychological conditions. In accordance with the first goal of the consortium, the survey provided personalized information to students about their results. To address the second goal, descriptive statistics were obtained to determine the proportion of students that fall into the at-risk categories of the instruments included in the KMHS. Finally, to accomplish the third goal, inferential statistical tests and modeling including paired t tests and regression will be conducted following completion of data collection for the 2020-2021 administration of the KMHS, which concludes in January.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.