Table 5.
Domain items with the largest* adjusted effect sizes on domain scores
| Non-procedural fellows | Procedural fellows | |||
|---|---|---|---|---|
| Category | adj. effect (95% CI) | adj. effect (95% CI) | t | p |
| Clinical faculty/preceptors | ||||
| Clinical skills** | 0.88 (0.84, 0.92) | 0.88 (0.84, 0.93) | 0.1 | 0.90 |
| Teaching ability | 0.84 (0.80, 0.87) | 0.83 (0.79, 0.86) | 0.4 | 0.67 |
| Interest in teaching | 0.76 (0.73, 0.80) | 0.76 (0.73, 0.79) | 0.1 | 0.92 |
| Accessibility/availability | 0.69 (0.64, 0.73) | 0.71 (0.67, 0.75) | 0.8 | 0.45 |
| Approachability/openness | 0.81 (0.76, 0.86) | 0.78 (0.73, 0.82) | 0.9 | 0.38 |
| Fairness in evaluation | 0.72 (0.68, 0.77) | 0.74 (0.70, 0.78) | 0.6 | 0.53 |
| Role models | 0.75 (0.72, 0.77) | 0.75 (0.73, 0.78) | 0.4 | 0.67 |
| Patient-oriented | 0.86 (0.82, 0.90) | 0.80 (0.76, 0.84) | 0.4 | 0.02 |
| Quality of faculty | 0.87 (0.83, 0.90) | 0.83 (0.80, 0.87) | 1.3 | 0.19 |
| Evidence-based clinical practice | 0.78 (0.74, 0.82) | 0.84 (0.80, 0.88) | 2.2 | 0.03 |
| Learning environment | ||||
| Working with patients | 0.71 (0.66, 0.76) | 0.70 (0.65, 0.76) | 0.1 | 0.90 |
| Preparation for clinical practice | 0.69 (0.65, 0.73) | 0.72 (0.68, 0.76) | 0.9 | 0.38 |
| Preparation for future training | 0.72 (0.68, 0.76) | 0.75 (0.71, 0.79) | 1.0 | 0.31 |
| Clinical environment | ||||
| Ability to get the best care for patients | 0.76 (0.73, 0.79) | 0.76 (0.73, 0.79) | 0.1 | 0.92 |
| Physical environment | ||||
| Facility maintenance/upkeep | 0.67 (0.63, 0.71) | 0.70 (0.66, 0.74) | 1.0 | 0.31 |
| Lighting | 0.73 (0.68, 0.78) | 0.72 (0.67, 0.77) | 0.3 | 0.79 |
| Facility cleanliness/housekeeping | 0.63 (0.59, 0.67) | 0.73 (0.69, 0.77) | 3.6 | <0.001 |
| Personal experience | ||||
| Relationship with patients | 0.75 (0.68, 0.81) | 0.75 (0.68, 0.81) | 0.1 | 0.99 |
| Enjoyment of respondent's work | 0.73 (0.69, 0.77) | 0.81 (0.77, 0.85) | 2.9 | 0.004 |
| Personal responsibility for patients | 0.62 (0.57, 0.66) | 0.71 (0.66, 0.76) | 2.7 | 0.008 |
| Enhancement of clinical knowledge/skills | 0.78 (0.74, 0.81) | 0.83 (0.79, 0.86) | 2.0 | 0.05 |
*Items presented if the adjusted effect size for either non-procedural or procedural fellows was > = 0.70. Additional file 2 provides adjusted effect sizes for all LPS items.
**Effect size equals the change in the domain score per unit increase in the item score, adjusted to reflect a mean respondent by subspecialty grouping (procedural vs. non-procedural), computed for a PGY-4, and corrected for year of survey and facility nesting.