Team up! Linking teamwork effectiveness of clinical teaching teams to residents’ experienced learning climate

Figures & data

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Practice points

Supportive learning climates in residency training are important to ensure high-quality training and subsequently patient care. Teaching teams have an important role in creating and maintaining supportive learning climates, which requires effective teamwork within these teaching teams. Teamwork effectiveness benefits the overall learning climate, as well as its affective and instrumental facets. To improve learning climates in postgraduate medical education, departments should promote teamwork effectiveness within teaching teams. We suggest a holistic approach to faculty development to improve teamwork effectiveness within teaching teams as it might provide a more comprehensive view of teaching and learning in the clinical workplace.

Table 1. Characteristics of the study population.

General characteristics	N (%)
Number of teaching hospitals
Academic	3 (19)
Non-academic	13 (81)
Number of departments
Surgical	16 (34)
Nonsurgical	31 (66)
Characteristics (non)residents
Number of resident evaluations	315 (100)
Male	117 (37)
Female	198 (63)
Years of training
Junior	178 (56)
Senior	137 (44)
Number of nonresident evaluations	85 (100)
Characteristics clinical teachers
Number of clinical teacher evaluations	578 (100)
Male	329 (57)
Female	249 (43)
Years of clinical experience
Junior	435 (75)
Senior	143 (25)

Table 2. Unadjusted and adjusted associations of teamwork effectiveness with the overall learning climate score.

	Unadjusted model		Adjusted model^a
	Regression coefficient (95% CI)	p-Value	Regression coefficient (95% CI)	p-Value
Teamwork effectiveness	0.43 (0.16–0.70)	0.00	0.33 (0.06–0.60)	0.02

^a Adjusted for specialty, clinical teachers gender and experience, size teaching team, residents’ gender, year of training, and size resident group.

Table 3. Unadjusted and adjusted associations of teamwork effectiveness with the separate learning climate facets.

	Unadjusted model		Adjusted model^a
	Regression coefficient (95% CI)	p-Value	Regression coefficient (95% CI)	p-Value
Teamwork effectiveness on affective facet	0.52 (0.11–0.93)	0.01	0.49 (0.05–0.93)	0.03
Teamwork effectiveness on cognitive facet	0.48 (0.12–0.85)	0.01	0.35 (-0.07–0.77)	0.10
Teamwork effectiveness on instrumental facet	0.51 (0.24–0.79)	0.00	0.43 (0.12–0.74)	0.01

^a Adjusted for specialty, clinical teachers gender and experience, size teaching team, residents’ gender, year of training and size resident group.