C-Change Resident Survey
Leaders in resident training have also recognized the critical role that the institutional culture or clinical learning environment plays in the training of physicians, their well-being and the provision of safe, high quality patient care.
The C-Change Resident Survey© assesses the clinical learning environment and the culture of professionalism from the perspective of resident physicians. The survey directly aligns with the ACGME Pathway.
The C-Change Resident Survey, with demonstrated evidence of validity1 in U.S. residency programs nationally, assesses dimensions of the culture.
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- Vitality
- Relationships/Inclusion/Trust
- Self-Efficacy in Career Advancement
- Values Alignment
- Ethical Moral Distress
- Program Support
- Respect
- Mentoring
- Gender Equity
- Underrepresented Resident Equity
- Work-Life Integration
- Leadership Aspirations
- Competencies
- Valuing Diversity: Attitudes and Recruitment
- Anti Sexism/Racism Skills
- Change Agency for Equity
Additional Optional Scales
- Institutional Change Efforts for Diversity
- Institutional Change Efforts for Resident Support
- Interprofessional/Interdisciplinary Practices and Preferences
In addition to documenting the culture of residency programs, the survey is a credible and powerful research tool for facilitating improvement.2
- Document the environment for learning and professionalism of residents
- Examine associations among resident perceptions of the organizational culture and demographic characteristics such as gender, ethnicity, race and year of residency training, program specialty and site
- Research projects
- Assess diversity needs
- Assess the effectiveness of programmatic interventions/changes
- Identify dimensions of culture requiring improvement
- Address well-being
- Initiate change activities for improvement
Services
The C-Change Resident Survey is offered on an institution-by-institution basis to best fit the needs of residency programs, GME and hospitals. The C-Change research team has developed a streamlined process to manage survey data collection, analysis and reporting.
Services provided include:
- Consultation on institutional needs
- Customization of the C-Change Resident Survey for the program
- Drafting announcements and cover communications
- Survey administration
- Reminders to achieve high response rates
- Management of e-mail communications with respondents
- Confidential data collection and storage
- Data analysis
- Reporting: summary report; detailed item report; scorecard
- Comparison with national benchmark data
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Pololi L, Evans A, Civian J, Shea S, Brennan R. Assessing the Culture of Residency Using the C-Change Resident Survey: Validity Evidence in 34 U.S. Residency Programs. J General Internal Medicine. 2017;32:783-789. doi:10.1007/s11606-017-4038-6.
- Pololi LH, Evans AT, Civian JT, Shea S, Brennan RT. Resident vitality in 34 programs at 14 academic health systems: Insights for educating physicians for the future. J Surg Educ. 2018;75:1441-1451. doi: 10.1016/j.jsurg.2018.04.021
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Kohli AR. Capsule commentary on Pololi et al., Assessing the culture of residency using the C-Change resident survey: Validity evidence in 34 US residency programs. J Gen Intern Med. 2017; ;32:799. doi:10.1007/s11606-017-4056-4.
- Pololi L, Brennan R, Civian J, Shea S, Brennan-Wydra E, Evans AT. Us Too. Sexual harassment within academic medicine in the U.S. The American Journal of Medicine. 2020;133:245-248. doi: 10.1016/j.amjmed.2019.06.031.