title: The Questionnaire D-RECT German: Adaptation and testtheoretical properties of an instrument for evaluation of the learning climate in medical specialist training.
abstract: OBJECTIVE
  Boor et al developed and validated the questionnaire D-RECT (Dutch Residency Educational Climate Test ) to measure the clinical learning environment within the medical specialist training. In this study, a German version of this questionnaire (D-RECT German) is analyzed regarding testtheoretical properties.
  
  
  OBJECTIVE
  Are the results of Boor et al replicable as a proof for validity of the questionnaire D-RECT?
  
  
  METHODS
  The study was performed as online survey using the questionnaire D-RECT German (50 items in 11 subscales). To determine item characteristics and internal consistency (Cronbach's α), item- and reliability analyses were performed. Furthermore, a confirmatory factor analysis was performed using a model for maximum-likelihood estimation to evaluate validity.
  
  
  RESULTS
  This replication study on the psychometric properties of the D-RECT with 255 residents at 17 German hospitals revealed heterogeneous discriminatory power for all items and an internal consistency of Cronbach's α between 0.57 and 0.85. Within the confirmatory factor analysis, 6 items showed standardized regression coeffizients <0.5, two of them in the subscale "Attendings role". Furthermore, strong interdependencies (>0.7) were found between the subscales "Supervision", "Coaching" and "Attendings role".
  
  
  CONCLUSIONS
  The present replication study with the D-RECT German showed structural differences with respect to factorial validity underpinning the need of further validation studies.
authors.affiliation: University of Lübeck, Clinic for Anaesthesiology and Intensive Care Medicine, Lübeck, Germany ; Witten/Herdecke University, Institute for Teaching and Educational Research in Health Sciences, Witten, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Iblher
authors.affiliation: Witten/Herdecke University, Institute for Teaching and Educational Research in Health Sciences, Witten, Germany ; Witten/Herdecke University, School of Medicine, Student Dean's Office, Witten, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Zupanic
authors.affiliation: Witten/Herdecke University, Department of Psychology, Chair for Statistics and doctrine of methodology, Witten, Germany ; Witten/Herdecke University, Institute for Integrative Medicine, Witten, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Ostermann
mesh_terms: D000328:Adult; D003431:Cross-Cultural Comparison; D004503:Education, Medical, Graduate; D005260:Female; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008511:Medicine; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012931:Social Environment; D011795:Surveys and Questionnaires
keywords: D-RECT; further medical education; learning climate; replication study; residents; validation