Trainees’ perceptions on learning environment based on the level of training in a pediatric training program in Indonesia
PHEEM in pediatric training program
Abstract
Background Learning environment in a pediatric specialist training program is complex and may influence trainees’ performance and achievement. We evaluated the trainees’ perception on learning environment and compared it between levels of the training.
Methods We conducted a cross-sectional study to pediatric trainees in Pediatric Specialist Training Program at Universitas Gadjah Mada, Yogyakarta, Indonesia in May 2019. The data was collected online using the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire, which was translated into Indonesian language and was self-completed by the trainees.
Results All (136) trainees, which consisted of 35 (25.7%) junior, 44 (32.3%) middle, and 57 (42%) senior levels, completed the survey. The mean total score of PHEEM for all trainees was 108.10 (+ 17.03), which was not different between levels of the trainees. The mean scores for the role of autonomy, teaching, and social support were not different between levels of training either. Nevertheless, the junior scored less than the middle and senior trainees for questions on performing inappropriate tasks.
Conclusion The learning environment of the pediatric training program in our setting was perceived good but improvement was required. There was no difference in perception of learning environment based on the level of the training.
References
2. Jalili M, Mortaz Hejri S, Ghalandari M, Moradi-Lakeh M, Mirzazadeh A, Roff S. Validating modified PHEEM questionnaire for measuring educational environment in academic emergency departments. Arch Iran Med. 2014;17:372-7. DOI: https://doi.org/10.34172/aim.2022.58
3. Ker J. Teaching made easy: a manual for health professionals. BMJ. 2000;320:1677. DOI: https://doi.org/10.1136/bmj.320.7250.1677
4. Clapham M, Wall D, Batchelor A. Educational environment in intensive care medicine--use of Postgraduate Hospital Educational Environment Measure (PHEEM). Med Teach. 2007;29:e184-91. DOI: https://doi.org/10.1080/01421590701288580.
5. Shimizu T, Tsugawa Y, Tanoue Y, Konishi R, Nishizaki Y, Kishimoto M, et al. The hospital educational environment and performance of residents in the General Medicine In-Training Examination: a multicenter study in Japan. Int J Gen Med. 2013;6:637-40. DOI: https://doi.org/10.2147/IJGM.S45336.
6. Aspegren K, Bastholt L, Bested KM, Bonnesen T, Ejlersen E, Fog I, et al. Validation of the PHEEM instrument in a Danish hospital setting. Med Teach. 2007;29:498-500. DOI: https://doi.org/10.1080/01421590701477357
7. Chan CY, Sum MY, Lim WS, Chew NW, Samarasekera DD, Sim K. Adoption and correlates of Postgraduate Hospital Educational Environment Measure (PHEEM) in the evaluation of learning environments - A systematic review. Med Teach. 2016;38:1248-55. DOI: https://doi.org/10.1080/0142159X.2016.1210108.
8. Gooneratne K, Munasinghe S, Siriwardena C, Olupeliyawa AM, Karunathilake I. Assessment of Psychometric Properties of a Modified PHEEM Questionnaire. Ann Acad Med Singap. 2008;37:993-7.
9. Raharjanti NW, Ramadianto AS. Validity and reliability of Postgraduate Hospital Educational Environment Measure - Bahasa Indonesia version. Indo J Med Ed. 2016;5:6. DOI: https://doi.org/10.22146/jpki.25375
10. Roff S, McAleer S, Skinner A. Development and validation of an instrument to measure the postgraduate clinical learning and teaching educational environment for hospital-based junior doctors in the UK. Med Teach. 2005;27:326-31. DOI: https://doi.org/10.1080/01421590500150874.
11. Soemantri D, Herrera C, Riquelme A. Measuring the educational environment in health professions studies: a systematic review. Med Teach. 2010;32:947-52. DOI: https://doi.org/10.3109/01421591003686229.
12. Gough J, Bullen M, Donath S. PHEEM ‘downunder’. Med Teach. 2010;32:161-3. DOI: https://doi.org/10.3109/01421590903509036.
13. Khoja AT. Evaluation of the educational environment of the Saudi family medicine residency training program. J Family Community Med. 2015;22:49-56. DOI: https://doi.org/10.4103/2230-8229.149591.
14. Lucas N, Samarage DK. Trainees’ perception of the clinical learning environment in the postgraduate training programme in paediatrics. Sri Lanka J Child Health. 2008;37:76-80. DOI: https://doi.org/10.4038/sljch.v37i3.105
15. Pinnock R, Reed P, Wright M. The learning environment of paediatric trainees in New Zealand. J Paediatr Child Health. 2009;45:529-34. DOI: https://doi.org/10.1111/j.1440-1754.2009.01553.x
16. Moelyo A, Riza M, Nur F, Nugroho H, Martuti S, Hidayah D, et al. Learning environment assessment on the pediatric residency program at Dr. Moewardi Hospital, Surakarta, Indonesia. J Natural Sci Biol Med. 2019;10:144-9. DOI: https://doi.org/10.4103/jnsbm.JNSBM_110_19
17. BuAli WH, Khan AS, Al-Qahtani MH, Aldossary S. Evaluation of hospital-learning environment for pediatric residency in eastern region of Saudi Arabia. J Educ Eval Health Prof. 2015;12:14. DOI: https://doi.org/10.3352/jeehp.2015.12.14.
18. Bari A, Khan RA, Rathore AW. Postgraduate residents' perception of the clinical learning environment; use of postgraduate hospital educational environment measure (PHEEM) in Pakistani context. J Pak Med Assoc. 2018;68:417-22.
19. Goulding J, Passi V. Evaluation of the educational climate for specialty trainees in dermatology. J Eur Acad Dermatol Venereol. 2016;30:951-5. DOI: https://doi.org/10.1111/jdv.13159.
20. Mahendran R, Broekman B, Wong JCM, Lai YM, Kua EH. The educational environment: comparisons of the British and American postgraduate psychiatry training programmes in an Asian setting. Med Teach. 2013;35:959-61. DOI: https://doi.org/10.3109/0142159X.2013.815707
21. Ong AM, Fong WW, Chan AK, Phua GC, Tham CK. Evaluating the educational environment in a Singaporean residency programme: can we help reduce burnout rates? Singapore Med J. 2020;61:476-82. DOI: https://doi.org/10.11622/smedj.2019094
22. Binsaleh S, Babaeer A, Alkhayal A, Madbouly K. Evaluation of the learning environment of urology residency training using the postgraduate hospital educational environment measure inventory. Adv Med Educ Pract. 2015;6:271-7. DOI: https://doi.org/10.2147/AMEP.S81133
23. Walton M. Creating a "no blame" culture: have we got the balance right? Qual Saf Health Care. 2004;13:163-4. DOI: https://doi.org/10.1136/qshc.2004.010959
24. Leotsakos A, Ardolino A, Cheung R, Zheng H, Barraclough B, Walton M. Educating future leaders in patient safety. J Multidiscip Healthc. 2014;7:381-8. DOI: https://doi.org/10.2147/JMDH.S53792
25. Silver HK, Glicken AD. Medical student abuse. Incidence, severity, and significance. JAMA. 1990;263:527-32. DOI: https://doi.org/10.1001/jama.1990.03440040066030
26. Rautio A, Sunnari V, Nuutinen M, Laitala M. Mistreatment of university students most common during medical studies. BMC Med Educ. 2005;5:36. DOI: https://doi.org/10.1186/1472-6920-5-36.
27. Wood DF. Bullying and harassment in medical schools. BMJ. 2006;333:664-5. DOI: https://doi.org/10.1136/bmj.38954.568148.BE
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Accepted 2022-08-10
Published 2022-08-10
