Evaluación del ambiente educacional en programas de especialización médica

The Postgraduate Hospital Education Environment Measure (PHEEM) questionnaire, is a valid and reliable instrument to measure the educational environment (EE) in postgraduate medical education. Aim: To evaluate the EE perceived by the residents of a postgraduate training program using the PHEEM. Material and Methods: The PHEEM was applied in 2010-2011 in 35 specialty programs. We calculated their individual results and compared means of both global and individual domain scores of the PHEEM, by gender, university of origin and nationality. Cronbach's alpha coefficients and D study (Generalizability theory) were performed for reliability. Results: Three hundred eighteen residents were surveyed (75.7% of the total universe). The mean score of the PHEEM was 105.09 ± 22.46 (65.7% of the maximal score) which is considered a positive EE. The instrument is highly reliable (Cronbach's alpha = 0.934). The D study found that 15 subjects are required to obtain reliable results (G coefficient = 0.813). There were no significant differences between gender and university of origin. Foreigners evaluated better the EE than Chileans and racism was not perceived. The programs showed a safe physical environment and teachers with good clinical skills. The negative aspects perceived were a lack of information about working hours, insufficient academic counseling, and scanty time left for extracurricular activities. Conclusions: This questionnaire allowed us to identify positive aspects of the EE, and areas to be improved in the specialty programs. The PHEEM is a useful instrument to evaluate the EE in Spanish-speaking participants of medical specialty programs.

Información de Publicación

Autores:

Trinidad Olivos

Institución: Universidad Alberto Hurtado
Facultad: Psicología
Unidad: Psicología

Cristián Herrera

Institución: Pontificia Universidad Católica de Chile
Unidad: Medicina

José Antonio Román

Institución: Universidad Alberto Hurtado
Facultad: Psicología
Unidad: Psicología

Antonia Larraín

Institución: Universidad Alberto Hurtado
Facultad: Psicología
Unidad: Psicología

Margarita Pizarro

Nancy Solis

Alberto Sarfatis

Institución: Pontificia Universidad Católica de Chile
Unidad: Medicina

Patricio Torres

Revista:

Revista Médica de Chile

Año:

2012

Mes:

Diciembre

Lugar:

Santiago, Chile

Volumen:

CXL

Número:

12

Páginas:

1554-1561

Url de Publicación:

http://www.scielo.cl/scielo.php?pid=S0034-98872012001200006&script=sci_arttext.