Table 5 Items and scales of the 35-item revised D-RECT and the 28-item version that was shown to fit the Filipino internal medicine data

Coaching and Assessment

 1. My attendings take the initiative to evaluate my performance

 2. My attendings take the initiative to evaluate difficult situations I have been involved in

 3. My attendings evaluate whether my performance in patient care is commensurate with my level of training

 4. My attendings occasionally observe me taking a history

 5. My attendings give regular feedback on my strengths and weaknesses

  [My attendings assess not only my medical expertise but also other skills such as teamwork, organization or professional behavior] ^a

Teamwork

 6. Attendings, nursing staff, other allied health professionals and residents work together as a team

 7. Nursing staff and other allied health professionals make a positive contribution to my training

 8. Nursing staff and other allied health professionals are willing to reflect with me on the delivery of patient care

Peer collaboration

 9. Residents work well together

 10. Residents, as a group, make sure the day’s work gets done

 11. With our group of residents it is easy to find someone to cover or exchange a call

Educational atmosphere

 12. Continuity of care is not affected by differences of opinion between attendings

 13. Differences of opinion between attendings about patient management are discussed in such a manner that is instructive to others present

 14. There is (are) NO attending physician(s) who have a negative impact on the educational climate

 15. My attendings treat me with respect

  [Differences of opinion are not such that they have a negative impact on the work climate] ^a

Work is adapted to resident’s competence

 16. The work I am doing is commensurate with my level of experience

 17. The work I am doing suits my learning objectives at this stage of my training

 18. It is possible to do follow up with patients

Accessibility of supervisors

 19. When I need an attending, I can always contact one

 20. When I need to consult an attending, they are readily available

  [It is clear which attending supervises me] ^a

Formal education

 21. Residents are generally able to attend scheduled educational activities

 22. Attendings contribute actively to the delivery of high quality formal education

 23. Formal education and training activities are appropriate to my needs

  [Educational activities take place as scheduled] ^a

Role of Specialty Tutor

 24. The specialty tutor monitors the progress of my training

 25. The specialty tutor provides guidance to other attendings when needed

 26. The specialty tutor is actively involved in improving the quality of education and training

  [In this rotation evaluations are useful discussions about my performance] ^a

  [My plans for the future are part of the discussion] ^a

  [During evaluations inputs from several attendings is considered] ^a

Patient sign out

 27. Sign out is used as a teaching opportunity

 28. Attendings encourage residents to join in the discussion during sign out