The Postgraduate Hospital Educational Environment Measure (PHEEM) Questionnaire Identifies Quality of Instruction as a Key Factor Predicting Academic Achievement

Abstract

Vieira JE. The postgraduate hospital educational environment measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement. Clinics. 2008;63:741-6. OBJECTIVE:This study analyzes the reliability of the PHEEM questionnaire translated into Portuguese. We present the results of PHEEM following distribution to doctors in three different medical residency programs at a university hospital in Brazil. INTRODUCTION: Efforts to understand environmental factors that foster effective learning resulted in the development of a questionnaire to measure medical residents' perceptions of the level of autonomy, teaching quality and social support in their programs. METHODS:The questionnaire was translated using the modified Brislin back-translation technique. Cronbach's alpha test was used to ensure good reliability and ANOVA was used to compare PHEEM results among residents from the Surgery, Anesthesiology and Internal Medicine departments. The Kappa coefficient was used as a measure of agreement, and factor analysis was employed to evaluate the construct strength of the three domains suggested by the original PHEEM questionnaire. RESULTS: The PHEEM survey was completed by 306 medical residents and the resulting Cronbach's alpha was 0.899. The weighted Kappa was showed excellent reliability. Autonomy was rated most highly by Internal Medicine residents (63.7% ± 13.6%). Teaching was rated highest in Anesthesiology (66.7% ± 15.4%). Residents across the three areas had similar perceptions of social support (59.0% ± 13.3% for Surgery; 60.5% ± 13.6% for Internal Medicine; 61.4% ± 14.4% for Anesthesiology). Factor analysis suggested that nine factors explained 58.9% of the variance. CONCLUSIONS: This study indicates that PHEEM is a reliable instrument for measuring the quality of medical residency programs at a Brazilian teaching hospital. The results suggest that quality of teaching was the best indicator of overall response to the questionnaire.

Correlación entre el clima educacional y el síndrome de desgaste profesional en los programas de residencia de un hospital universitario

“…13 crearon el Postgraduate Hospital Educational Environment Measure (PHEEM) para evaluar una instancia similar a nuestro internado rotatorio. Este ha sido validado al portugués 14 y al español, 15 y se realizó una evaluación multicéntrica que lo mostró como un instrumento multidimensional y altamente confiable. 16 En los últimos tiempos, ha ganado atención la presencia del síndrome de BO en la profesión médica, con particular interés en la evaluación de los residentes.…”

Perceptions of emergency medicine residents on the quality of residency training in the United States and Saudi Arabia

“…[6] The survey has subsequently been validated in countries including Brazil, Greece, Singapore, Australia, Chile and Iran, and has also been validated in SA in several studies. [7][8][9][10][11][12][13][14][15] Specifi cally, Al-Shiekh et al [15] validated the PHEEM tool in a Saudi Arabian teaching hospital, with a sample of 193 interns and residents. The results showed high internal consistency with a Cronbach's alpha score of 0.936.…”

Satisfação com o Internato Médico em Portugal

“…8,[20][21][22][23][24][25][26][27][28][29][30][31] Este questionário é constituído por 40 afirmações, sendo respondido em poucos minutos. A tradução e adaptação do questionário foram realizadas por médico interno com certificado Certificate of Proficiency in English emitido por Cambridge English Language Assessment, tendo sido revista por um grupo de trabalho composto por médicos de diferentes especialidades, também fluentes em inglês.…”

“…Desde 2004 este questionário foi traduzido e aplicado em instituições de diversos países. 8,[20][21][22][23][24][25][26][27][28][29][30][31] Em Portugal, não está implementada a realização regular de inquéritos de satisfação aos médicos internos. Encontra-se publicado na literatura um reduzido número de inquéritos realizados no nosso país, destacando-se a escassa informação disponível sobre os fatores que caracterizam a satisfação dos Médicos Internos.…”