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Focus on Quality: Investigating Residents' Learning Climate Perceptions.

PLoS One · 2016 · PMC4713097 · PMID 26765742

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a positive trendno p-value reported
Explaining learning climate change over time Regarding our aim (to investigate whether the learning climate perceptions of residents change over time) our findings suggest a positive trend in the D-RECT scores.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.