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Evaluation of educational environment using the short-version Postgraduate Hospital Educational Environment Measure
Amin Hoseini Shavoun1, Azim Mirzazadeh2, Homa Kashani3
1Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Journal of Education and Health Promotion
|March 27, 2025
Summary
Resident perceptions of the educational environment (EE) reveal significant issues, particularly concerning harassment and working conditions, necessitating immediate improvements in residency training programs.
Area of Science:
- Medical Education Research
- Postgraduate Training Quality Assessment
- Healthcare Professional Development
Background:
- The educational environment (EE) critically impacts resident learning outcomes and professional growth.
- Evaluating resident perceptions of the EE is essential for identifying areas needing improvement in postgraduate training.
Purpose of the Study:
- To assess the postgraduate hospital educational environment using the short-version Postgraduate Hospital Educational Environment Measure (PHEEM).
- To compare resident perceptions of the EE based on age, sex, residency year, and specialty.
Main Methods:
- A multicenter cross-sectional study involving 538 residents from 24 specialties across 12 teaching hospitals.
- Data collected via the 12-item short-version PHEEM, assessing senior doctor support, working conditions, and lack of harassment.
- Statistical analysis to determine associations between PHEEM scores and demographic/training variables.
Main Results:
- Overall PHEEM scores averaged 20.60 (SD 5.44), indicating areas for improvement in the EE.
- Significant differences in EE perceptions were noted across specialties, with occupational medicine residents reporting higher scores than forensic medicine residents.
- While no significant differences were found in total PHEEM scores by sex or residency year, subscale differences by sex were significant.
Conclusions:
- The study highlights substantial problems within the residency training educational environment, particularly during the COVID-19 pandemic.
- Immediate attention and follow-up are required to address the identified issues and enhance the quality of resident education.
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