Treating and teaching: using publicly available data to explore the relationship between student and patient evaluations of teaching hospitals

Figures & data

Table 1 Clerkship evaluation items. Items included in end-of-rotation clerkship evaluations completed by medical students at the University of Minnesota in Calendar Year 2013

Domain	Item
Balance of supervision and autonomy	1=Too much shadowing; 2=Good balance; 3=Too much autonomy
Educational value	Including teaching/learning environment; clinical experiences and opportunities; assessments related to clerkship objectives
Evaluation and feedback	Constructiveness and timeliness of feedback received
Experience as a healthcare team member	Work with healthcare team; felt like a member of the team
Learning environment	Faculty, residents, and staff demonstrate professional conduct and respect for students
Mistreatment/Abuse	Did you experience any mistreatment, abuse or harassment, eg, racial/ethnic, gender, sexual, sexual orientation, or other mistreatment such as being publicly belittled, being required to perform personal services such as baby-sitting or shopping? Yes =0.25, No =2
Organization of the course	Including logistics; timely distribution of materials; accessibility of course director/site coordinator; clarity of communication about objectives, content, roles, responsibilities; structured with time to attend student and departmental activities
Teaching	By attending physicians, residents, fellows, other health professionals and staff
Would recommend	Would recommend this site [for this clerkship] to others: 1= probably not; 2= likely; 3= definitely

Table 2 Clerkship evaluations. Number of end-of-rotation clerkship evaluations completed (N), and mean rating on each evaluation item per site, in Calendar Year 2013. Scale is 1 to 3 with 1=Below expectations, 2=Meets expectations, 3=Exceeds expectations, except where indicated in Table 1

Domain	Site A	Site B	Site C	Site D	Site E
Count of evaluations (N)	93	581	24	284	530
Balance of supervision and autonomy	1.92	1.91	1.92	1.87	1.87
Educational value	2.75	2.63	2.63	2.56	2.51
Evaluation and feedback	2.60	2.36	2.38	2.36	2.24
Experience as a healthcare team member	2.41	2.47	2.50	2.51	2.36
Learning environment	2.81	2.67	2.88	2.68	2.58
Mistreatment/Abuse	1.96	1.97	2.00	1.97	1.96
Organization of the course	2.73	2.46	2.67	2.39	2.36
Teaching	2.83	2.58	2.63	2.58	2.50
Would recommend	2.74	2.57	2.75	2.54	2.40

Table 3 H-CAHPS^Ⓡ Survey ratings of sites. Top-box averages of patient responses on the Hospital Consumer Assessment of Healthcare Providers and Systems (H-CAHPS^Ⓡ) Survey in Calendar Year 2013, per site. The top-box average represents the proportion of respondents selecting the highest rating for each item

Domain	Site A	Site B	Site C	Site D	Site E
Cleanliness	0.73	0.65	0.71	0.76	0.62
Doctor-patient communication	0.84	0.78	0.80	0.78	0.78
Medication explanations provided	0.65	0.59	0.61	0.61	0.62
Nurse-patient communication	0.79	0.71	0.76	0.77	0.77
Pain controlled	0.71	0.62	0.69	0.69	0.70
Patients rating of hospital	0.78	0.64	0.73	0.74	0.70
Quiet room at night	0.58	0.60	0.60	0.65	0.50
Receiving help when wanted	0.68	0.53	0.64	0.65	0.63
Recommend hospital	0.82	0.63	0.77	0.78	0.74
Recovery information provided	0.88	0.86	0.86	0.90	0.89