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MEDICAL EDUCATION
Year : 2013  |  Volume : 20  |  Issue : 2  |  Page : 123-129

Evaluation of off-service rotations at National Guard Health Affairs: Results from a perception survey of off-service residents


1 Department of Emergency Medicine, King Abdul Aziz Medical City for National Guard Health Affairs, Riyadh, Saudi Arabia
2 Department of Emergency Medicine, King Abdul Aziz Medical City for National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia; Medical Education University of Calgary, Canada
3 Medical Education, College of Medicine King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Correspondence Address:
Mustafa M Alquraini
Department of Emergency Medicine, King Abdul Aziz Medical City for National Guard Health Affairs, P.O. Box 22490, Riyadh 11426
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8229.114773

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Context: "Off-service" clinical rotations are part of the necessary requirements for many residency training programs. Because these rotations are off-service, little attention is given to their structure and quality of training. This often leads to suboptimal educational experience for the residents on these rotations. Aims: The aim of this study was to assess medical residents' perceptions, opinions, and levels of satisfaction with their "off-service" rotations at a major residency training site in Saudi Arabia. It was also to evaluate the reliability and validity of a questionnaire used for quality assurance in these rotations. Improved reliability and validity of this questionnaire may help to improve the educational experience of residents in their "off-service" rotations. Materials and Methods: A close-ended questionnaire was developed, Pilot tested and distributed to 110 off-service residents in training programs of different specializations at King Fahad Naitonal Guard Hospital and King Abdulziz Medical City, Riyadh, Saudi Arabia, between September 2011 and December 2011. Results: A total of 80 out of 110 residents completed and returned the questionnaire. Only 33% of these residents had a clear set of goals and educational learning objectives before the beginning of their off-service rotations to direct their training. Surgical specializations had low satisfaction mean scores of 57.2 (11.9) compared to emergency medicine, which had 70.7 (16.2), P value (0.03). The reliability of the questionnaire was Cronbach's alpha 0.57. The factor analysis yielded a 4-factor solution (educational environment, educational balance, educational goals and objectives, and learning ability); thus, accounting for 51% variance in the data. Conclusion: Our data suggest that there were significant weaknesses in the curriculum for off-service clinical rotations in KAMC and that residents were not completely satisfied with their training.


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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
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