Evidence map›Paper›PMID 34434516›Full record

ArticleJournal of graduate medical education2021

Preliminary Evidence Supporting a Novel 10-Item Clinical Learning Environment Quick Survey (CLEQS).

Deborah Simpson, Matthew McDiarmid, Tricia La Fratta, Nicole Salvo, Jacob L Bidwell, Lawrence Moore, David M Irby

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Deborah Simpsonis Director of Education, Academic Affairs at Advocate Aurora Health, and Clinical Adjunct Professor of Family & Community Medicine, Medical College of Wisconsin, University of Wisconsin School of Medicine and Public Health.
Matthew McDiarmidwas an Interventional Cardiology Fellow, Aurora Health Care at the time of the project.
Tricia La Frattais Manager, Graduate Medical Education Programs, Aurora Health Care.
Nicole Salvois Program Director for Obstetrics and Gynecology, Aurora Health Care.
Jacob L Bidwellis Designated Institutional Official, Vice President of Academic Affairs, and Vice President, Aurora University of Wisconsin Medical Group, Aurora Health Care.
Lawrence Mooreis a Family Medicine Resident, Aurora Health Care.
David M Irbyis Professor Emeritus of Medicine and Education Scientist, Center for Faculty Educators, University of California San Francisco, and Affiliate Faculty Member in Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

objectiveThis report describes the creation and preliminary validity evidence for a Clinical Learning Environment Quick Survey (CLEQS).

methodsSurvey 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.

resultsTwo 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.

conclusionsCLEQS meets the 3 criteria for evaluating CLEs. Reliability data supports its internal consistency, and initial validity evidence is promising.

Indexed as

Education, MedicalInternship and ResidencyHumansLearningReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID34434516
PMCPMC8370363

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.