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Table 2 Factor Analysis of Clinical Learning Environment Questionnaire (CLENQ) across three levels of medical trainees

From: Clinical learning environment measurement for medical trainees at transitions: relations with socio-cultural factors and mental distress

 

I

II

III

IV

V

 

Teaching

Workload

Relationship pressure

Support

Trust

19. My clinical teachers are enthusiastic about teaching

0.78

0.07

−0.17

0.14

−0.02

15. All of my clinical teachers have good teaching skills

0.74

0.14

−0.18

0.03

0.03

21. My clinical teachers effectively utilise clinical cases when teaching me

0.72

0.12

−0.03

0.16

−0.13

28. My clinical teachers set up clear learning objectives for me

0.71

−0.15

−0.10

−0.02

0.18

33. Senior residents take the initiative to care about my clinical work

0.69

−0.07

0.26

0.07

−0.20

37. I feel that my clinical teachers are approachable

0.69

−0.07

−0.21

−0.04

−0.20

34. I regularly receive feedback from senior medical staff that helps me review and improve my clinical practices

0.68

−0.21

0.01

0.22

−0.01

38. My clinical teachers encourage me to learn independently to improve my clinical skills

0.67

−0.14

−0.05

−0.01

−0.16

18. During my clinical learning hours, I have good supervision and protection

0.65

−0.20

−0.02

0.28

0.18

14. Visiting staff take the initiative to care about my clinical work

0.58

0.09

−0.21

0.35

0.09

32. There are appropriate mechanisms in place to assess if my training plans meet my needs

0.45

−0.16

0.12

0.28

0.23

23. I like the current work environment and atmosphere

0.44

−0.35

0.09

0.38

−0.03

35. I have enough opportunity to learn the knowledge and skills I need to practice medicine

0.41

−0.29

0.21

0.23

−0.26

1. My workload is more than I can handle

−0.15

0.79

−0.06

0.06

0.15

2. My job takes a lot of my energy and physical strength

−0.09

0.75

−0.03

0.09

0.12

16. I have a heavy workload when I am on call

−0.01

0.71

0.17

−0.15

−0.05

3. When I am on call I am unable to get enough sleep

−0.18

0.61

0.21

0.16

−0.18

4. I do not receive appropriate compensation from my job

−0.19

0.54

0.24

−0.18

0.01

27. I am stressed when dealing with patients who present with problems outside my specialty when I am on duty

0.09

0.48

0.24

−0.03

0.13

5. 5. I am not familiar with the equipment in this hospital

0.12

0.46

0.13

−0.37

0.32

11. When patients or their family know that I am a new physician, they do not trust the medical treatment I provide

−0.01

0.08

0.62

−0.19

0.14

9. I feel stressed when communicating with patients or their family members

0.01

0.08

0.58

−0.33

0.25

10. I have been asked to treat patients based on cost, not on quality of care

−0.22

0.21

0.58

0.11

−0.22

24. I feel stressed when interacting with visiting staff

−0.19

0.03

0.56

−0.04

0.36

31. I did not learn enough about medical ethics to help me with my clinical decisions

−0.13

0.01

0.56

−0.08

0.18

8. 8. I am afraid of causing a lawsuit

0.01

0.23

0.55

0.10

−0.14

26. Other non-physician medical staff members do not trust my clinical decisions because I am a new physician

−0.16

0.05

0.54

−0.34

0.17

20. My colleagues and I are competitive

0.01

0.08

0.47

0.04

0.21

30. A patient’s or their family’s socioeconomic status affects my clinical decisions about their care

0.07

0.08

0.45

0.09

0.18

22. The knowledge and skills I have learned help me in dealing with clinical emergencies

0.24

−0.04

0.06

0.68

−0.01

17. Nursing staff members help me with my clinical work

0.33

−0.06

−0.05

0.59

0.19

25. I get along with non-physician medical staff members

0.23

−0.04

−0.21

0.56

0.01

7. The knowledge and skills I have learned help me to finish my work

0.22

0.15

0.06

0.35

−0.19

36. I feel stressed when interacting with senior residents

−0.14

−0.10

0.21

0.02

0.69

39. Visiting staff don’t trust my clinical decisions because I am a new physician

−0.04

−0.04

−0.29

0.10

0.60

13. I feel anxious and helpless when my patient is dying

0.19

0.03

0.10

−0.47

0.50

6. I do not have enough confidence in my clinical skills

0.04

0.32

0.22

−0.31

0.42

29. I am unfamiliar with the medical system that helps me take care of patients

0.01

0.38

0.26

−0.29

0.34

12. I feel lonely and helpless when I am on call

−0.03

0.06

0.07

−0.01

0.32

Cronbach’s

0.89

0.79

0.76

0.62

0.71

Eigen value

7.42

4.37

2.68

2.12

1.57

Explained variances

19.04%

11.20%

6.86%

5.42%

4.01%

  1. Bold numbers denote the loadings of item in each factor.