%0 Journal Article
%T The interplay between residency program culture and feedback culture: a cross-sectional study exploring perceptions of residents at three institutions
%A Denham Ward
%A Kalli Varaklis
%A Maria Blanco
%A Robert Bing-You
%A Saradha Ramesh
%A Subha Ramani
%A Victoria Hayes
%J Medical Education Online
%D 2019
%R https://doi.org/10.1080/10872981.2019.1611296
%X ABSTRACT Background: Giving and receiving feedback that changes performance is influenced significantly by the clinical learning environment. This environment is multi-dimensional but includes both organizational and feedback specific dimensions. Objective: The objectives of this research were to investigate the relationship between residents¡¯ perceptions of residency program culture and feedback culture; and whether there were differences in resident perceptions of their programs¡¯ and feedback cultures based on their disciplines and institution. We hypothesized that residents preferred certain program culture types and that certain aspects of a residency program¡¯s culture were related to the feedback culture. Design: Residents from six specialties at three institutions voluntarily completed two validated survey instruments (Organizational Culture Assessment Instrument [OCAI] and Feedback in Medical Education [FEEDME]-Culture survey) to assess the residency program and feedback cultures, respectively. Descriptive statistics were calculated and non-parametric tests were used to analyze the data. Results: The overall response rate was 37.9% (116/306 residents). ¡®Clan¡¯ culture was both the current and preferred culture by 49.3% and 56.8%, respectively, of the residents overall. There were differences across programs with more current ¡®clan¡¯ culture in pediatrics than in surgery (P = 0.01). Multiple regression analysis showed the Hierarchy Now culture type was significantly related to the feedback culture mean score (p = <.01). For every one unit increase in the Hierarchy Now culture type, the FEEDME-Culture mean score decreases by 0.023 units. Conclusions: The findings of this study add to the literature by describing residents¡¯ preferences of their residency program¡¯s culture, and providing insights into the interplay between the residency program and feedback cultures
%U https://www.tandfonline.com/doi/full/10.1080/10872981.2019.1611296