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Table 5 Domain items with the largest* adjusted effect sizes on domain scores

From: Training satisfaction for subspecialty fellows in internal medicine: Findings from the Veterans Affairs (VA) Learners' Perceptions Survey

 

Non-procedural fellows

Procedural fellows

  

Category

adj. effect (95% CI)

adj. effect (95% CI)

t

p

Clinical faculty/preceptors

   Clinical skills**

0.88 (0.84, 0.92)

0.88 (0.84, 0.93)

0.1

0.90

   Teaching ability

0.84 (0.80, 0.87)

0.83 (0.79, 0.86)

0.4

0.67

   Interest in teaching

0.76 (0.73, 0.80)

0.76 (0.73, 0.79)

0.1

0.92

   Accessibility/availability

0.69 (0.64, 0.73)

0.71 (0.67, 0.75)

0.8

0.45

   Approachability/openness

0.81 (0.76, 0.86)

0.78 (0.73, 0.82)

0.9

0.38

   Fairness in evaluation

0.72 (0.68, 0.77)

0.74 (0.70, 0.78)

0.6

0.53

   Role models

0.75 (0.72, 0.77)

0.75 (0.73, 0.78)

0.4

0.67

   Patient-oriented

0.86 (0.82, 0.90)

0.80 (0.76, 0.84)

0.4

0.02

   Quality of faculty

0.87 (0.83, 0.90)

0.83 (0.80, 0.87)

1.3

0.19

   Evidence-based clinical practice

0.78 (0.74, 0.82)

0.84 (0.80, 0.88)

2.2

0.03

Learning environment

   Working with patients

0.71 (0.66, 0.76)

0.70 (0.65, 0.76)

0.1

0.90

   Preparation for clinical practice

0.69 (0.65, 0.73)

0.72 (0.68, 0.76)

0.9

0.38

   Preparation for future training

0.72 (0.68, 0.76)

0.75 (0.71, 0.79)

1.0

0.31

Clinical environment

    

Ability to get the best care for patients

0.76 (0.73, 0.79)

0.76 (0.73, 0.79)

0.1

0.92

Physical environment

   Facility maintenance/upkeep

0.67 (0.63, 0.71)

0.70 (0.66, 0.74)

1.0

0.31

   Lighting

0.73 (0.68, 0.78)

0.72 (0.67, 0.77)

0.3

0.79

   Facility cleanliness/housekeeping

0.63 (0.59, 0.67)

0.73 (0.69, 0.77)

3.6

<0.001

Personal experience

   Relationship with patients

0.75 (0.68, 0.81)

0.75 (0.68, 0.81)

0.1

0.99

   Enjoyment of respondent's work

0.73 (0.69, 0.77)

0.81 (0.77, 0.85)

2.9

0.004

   Personal responsibility for patients

0.62 (0.57, 0.66)

0.71 (0.66, 0.76)

2.7

0.008

   Enhancement of clinical knowledge/skills

0.78 (0.74, 0.81)

0.83 (0.79, 0.86)

2.0

0.05

  1. *Items presented if the adjusted effect size for either non-procedural or procedural fellows was > = 0.70. Additional file 2 provides adjusted effect sizes for all LPS items.
  2. **Effect size equals the change in the domain score per unit increase in the item score, adjusted to reflect a mean respondent by subspecialty grouping (procedural vs. non-procedural), computed for a PGY-4, and corrected for year of survey and facility nesting.
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BMC Medical Education

ISSN: 1472-6920

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