Evaluation of Educational Environment of Residents of Internal Medicine Based on D-RECT Questionnaire at Shiraz University of Medical Sciences, Iran, in 2014-2015: A Step towards Group Accreditation


Ali Reza Mogheli 1 , Zohreh Esmaeilzadeh 2 , * , javad kojuri 3


1 Professor, Department of Public Administration, Payame Noor University, Tehran, Iran, Iran

2 BSc in Public Administration, Department of Public Administration, School of Management, Payame Noor University, Shiraz, Iran, Iran

3 Professor, Department of Medical Education, Development Center, School of Medicine Shiraz University of Medical Sciences, Shiraz, Iran, Iran


Strides in Development of Medical Education: 13 (4); e57747
Published Online: November 02, 2016
Article Type: Research Article
Received: July 08, 2017
Accepted: December 19, 2015




Background & Objective: Evaluation of the clinical training environment should be considered as an integral component of an optimal learning environment. Therefore, the purpose of this study was to evaluate the educational environment of residents at Shiraz University of Medical Sciences, Iran, based on D-RECT (Dutch Residency Educational Climate Test) questionnaire toward educational group accreditation in 2014-2015.

Methods: This mixed-method study was conducted in two phases. The statistical population consisted of all residents in the field of internal medicine (n = 50). The first phase of the present study was performed quantitatively and using D-RECT questionnaire. The second phase of the study was performed a qualitatively through semi-structured interviews with the target group. The face validity and reliability of the questionnaire were approved using the views of 5 educational experts and Cronbach’s alpha (α = 0.90), respectively. The collected data were analyzed using Pearson coefficient and independent t-test in SPSS software.

Results: The results of this study demonstrated a meaningful correlation between the fields of professors' role, formal education, guiding and evaluation, and decision making for patients' treatment. The highest correlation was related to the two fields of formal education and decision making for patients' treatment (P = 0.001) and the least correlation was related to professors' role and formal education (P = 0.009). In qualitative analysis, the strengthens of the group were regular attendance of classes, morning reports, and planning. The weaknesses included revising the educational environment, high load of clinical work, high number of shifts, little amount of time for theoretical studying, and lack of attention to specialty skills.

Conclusion: According to the results, the head of educational groups should move toward improving the quality of education in terms of residents' cooperation and team work.


Evaluation Residents Educational environment Clinical training Accreditation D-RECT

© 2016, Strides in Development of Medical Education. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


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