Training climate of the Saudi Emergency Medicine Program in Riyadh

Majid Alsalamah, Arwa Al-Madani


Objective: This study aims to explore the resident’s perspectives of the training climate and the different learning domains within the Saudi Residency Training Program of Emergency Medicine using the Dutch Residency Educational Climate Test (D-RECT).
Methods: A cross sectional survey was conducted using email to all residents of the Saudi Residency Training Program of Emergency Medicine in Riyadh. The survey consisted of the validated Dutch Residency Educational Climate Test (D-RECT). The responses received from the participants were analyzed using JMP. ANOVA and the reliability test were applied after determining Cronbach’s alpha.
Results: Ninety residents out of 215 responded to the survey. Males represented 57% of the sample with equal distribution of residents across the years of training. The overall D-RECT score was 3.51 ± 0.46. The training climate scored very well (>4) for the following subscales: Teamwork, peer collaboration, and formal education. The training climate did poorly on the scale for the item of Feedback (<3). All the other items were within an average score of 3-4. Cronbach’s alpha was calculated to be above 0.6 in all scales.
Conclusion: The study shows that the emergency training program has a relatively good training climate with the need to improve on feedback for residents. Possible options to improve feedback are discussed in the article. In addition, the D-RECT score offers a good method of monitoring the training climate.


Emergency Medicine; Learning; Residency; Saudi Arabia.

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