Unpacking Quality in residency training and health care delivery

Alina Smirnova

Research output: ThesisDoctoral ThesisInternal


Training of doctors has recently been modernized to become more individualized and learner-centered. Teaching hospitals are required to monitor and improve the quality of their training with the assumption that this will also benefit patient care. This thesis tests this assumption by studying the associations between indicators of training quality (learning climate and teaching quality) and health care delivery in teaching hospitals in the Netherlands across a range of outcomes and specialties. It concludes that what’s good for the doctor may not be good for the patient. Optimizing both training and quality of care rests on our understanding of the nature of this relationship.
Original languageEnglish
Awarding Institution
  • Maastricht University
  • van der Vleuten, Cornelis, Supervisor
  • Lombarts, M.J.M.H., Supervisor, External person
  • Arah, Onyebuchi A., Co-Supervisor, External person
  • Stalmeijer, Renee, Co-Supervisor
Award date4 Apr 2018
Publication statusPublished - 2018


  • post-graduate medical training
  • quality of care
  • patient outcomes
  • teaching hospitals


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