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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Validation of the EFFECT questionnaire for competence-based clinical teaching in residency training in Lithuania

1
Department of Preventive Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Department of Neurology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
3
Department of Surgery, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
4
Radboudumc Health Academy, Nijmegen, The Netherlands
*
Author to whom correspondence should be addressed.
Medicina 2017, 53(3), 173-178; https://doi.org/10.1016/j.medici.2017.05.001
Received: 20 October 2016 / Revised: 6 February 2017 / Accepted: 8 May 2017 / Published: 26 May 2017
Background and aim: In 2013, all residency programs at the Lithuanian University of Health Sciences were renewed into a competency-based medical education curriculum. To assess the quality of clinical teaching in residency training, we chose the EFFECT (evaluation and feedback for effective clinical teaching) questionnaire designed and validated at the Rad- boud University Medical Centre in the Netherlands. The aim of this study was to validate the EFFECT questionnaire for quality assessment of clinical teaching in residency training.
Materials and methods: The research was conducted as an online survey using the questionnaire containing 58 items in 7 domains. The questionnaire was double-translated into Lithuanian. It was sent to 182 residents of 7 residency programs (anesthesiology reanimathology, cardiology, dermatovenerology, emergency medicine, neurology, obstetrics and gynecology, physical medicine and rehabilitation). Overall, 333 questionnaires about 146 clinical teachers were filled in. To determine the item characteristics and internal consistency (Cronbach's α), the item and reliability analyses were performed. Furthermore, confirmatory factor analysis (CFI) was performed using a model for maximum-likelihood estimation.
Results: Cronbach's α within different domains ranged between 0.91 and 0.97 and was comparable with the original version of the questionnaire. Confirmatory factor analysis demonstrated satisfactory model-fit with CFI of 0.841 and absolute model-fit RMSEA of 0.098. Conclusions: The results suggest that the Lithuanian version of the EFFECT maintains its original validity and may serve as a valid instrument for quality assessment of clinical teaching in competency-based residency training in Lithuania. View Full-Text
Keywords: EFFECT; Clinical teaching; Quality; Residents; Validation EFFECT; Clinical teaching; Quality; Residents; Validation
MDPI and ACS Style

Vaižgėlienė, E.; Padaiga, Ž.; Rastenytė, D.; Tamelis, A.; Petrikonis, K.; Kregždytė, R.; Fluit, C. Validation of the EFFECT questionnaire for competence-based clinical teaching in residency training in Lithuania. Medicina 2017, 53, 173-178.

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