Background: Setting up a quality assurance system for postgraduate medical training includes monitoring the training environment and the functioning of the clinical supervisors. This study assesses the quality of the postgraduate training programmes in intensive care medicine in Dutch teaching hospitals.
Methods: Two validated questionnaires, the Dutch Residents' Educational Climate Test (D-RECT) and Maastricht Clinical Teaching Questionnaire (MCTQ+) were used, which assess the training environment and the quality of the clinical supervisors, respectively. All 82 intensivists-in-training were asked to complete the questionnaires.
Results: The response rate was 45% for the D-RECT and 38% for the MCTQ+. The average scores over all the items in both the D-RECT and the MCTQ+ questionnaires were in the range of 4 (on a five- point scale) for almost all centres. The grade (on a ten-point scale) for the functioning of the clinical supervisors in the MCTQ+ was above a 71⁄2. A significant correlation between the average scores on both instruments was found. Respondents mentioned many strengths of the training programmes in the D-RECT and MCTQ+. Suggestions for improvement were also provided and focused on seven and three aspects of the training programme, respectively.
Conclusions: The postgraduate intensive care medicine training programmes in the Netherlands are of good quality, with a limited number of specific points of attention per centre. A number of suggestions for further improvement of the training programme in general were provided, most of which suggest a leading role for each local training centre.
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