Abstract
Family Medicine, which comprises and integrates behavioural, biological and clinical sciences, has been recognized as a separate discipline within Medicine since 1969. Residency training programs, created to enhance learning in this discipline. The educational environment affects teaching and learning processes. A valid and reliable way is needed to assess and evaluate the educational environment in Family Medicine residency training programs in Riyadh. Through a cross-sectional design a study was conducted through the Postgraduate Hospital Educational Environment Measure (PHEEM) between 2017-2018.
Questionnaires distributed in person to 230 family medicine residents, in eight family medicine residency training programs in the region of Riyadh. A total of 178 residents answered the questionnaire out of 230 (77.4%). Perception of teaching was highly rated in all sub-scales by family medicine residents (37.7% ± 9.4%). Followed by Autonomy (33.19% ± 6.7%). While the perception of social support was evaluated at the lowest rate (26.7% ± 6.5%).According to result, the learning environment of the family medicine residency training program found to be satisfactory.
Keywords: Medical Education, Healthcare professionals, Training Program, Family Medicine
References
- Wall D, Clapham M, Riquelme A, Vieira J, Cartmill R, Aspegren K, Roff S. Is PHEEM a multi-dimensional instrument? An international perspective. Medical teacher. 2009 Jan 1;31(11):e521-7.
- org. (2019). Definition of Family Medicine. [online] Available at: https://www.aafp.org/about/policies/all/family-medicine-definition.html
- Carek PJ, Anim T, Conry C, Cullison S, Kozakowski S, Ostergaard D, Potts S, Pugno PA. Residency Training in Family Medicine. Family medicine. 2017 Apr;49(4):275-81.
- Khoja AT. Evaluation of the educational environment of the Saudi family medicine residency training program. J Fam Commun Med. 2015;22(1):49. doi: 10.4103/2230-8229.149591.
- Abdulrahman KA, Al-Dakheel A. Family medicine residency program in Kingdom of Saudi Arabia: Residents opinion. Pak J Med Sci. 2006;22(3):250-7.
- Mahendran R, Broekman B, Wong JC, 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(11):959–961.
- com (2019). What is PHEEM? [online] Available at: http://www.pmcv.com.au/education/pheem
- 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(4):326–331.
- Vieira JE. The Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement. Clinics. 2008;63(6):741–746.
- Riquelme A, Herrera C, Aranis C, Oporto J, Padilla O. Psychometric analyses and internal consistency of the PHEEM questionnaire to measure the clinical learning environment in the clerkship of a Medical School in Chile. Med Teach. 2009;31(6):e221–e225.
- Boor K, van der Vleuten C, Teunissen P, Scherpbier A, Scheele F. Development and analysis of D-RECT, an instrument measuring residents’ learning climate. Med Teach. 2011;33(10):820–827.
- 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 2015;6:271–7.
- Clapham M, Wall D, Batchelor A. Educational environment in intensive care medicine—use of Postgraduate Hospital Educational Environment Measure (PHEEM). Med Teach. 2007;29(6):e184–e191.
- IBM SPSS Statistics for Windows, version XX (IBM Corp., Armonk, N.Y., USA).
- Sullivan GM, Artino, AR Jr. Analyzing and interpreting data from Likert-type scales. J Grad Med Educ. 2013;5(4):541–542.
- org.sa. (2019). family Medicine residency training program curriculum, 2016. [online] Available at: https://www.scfhs.org.sa/MESPS/TrainingProgs/TrainingProgsStatement/Documents/Family%20medicine.pdf [Accessed 21 Aug. 2019].
- Bari A, Rathore AW, Khan RA. 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(3):417-422.
- Naidoo KL, Van Wyk JM, Adhikari M. The learning environment of paediatric interns in South Africa. BMC Med Educ. 2017;17:235
- Al-Marshad S, Alotaibi G. Evaluation of Clinical Educational Environment at King Fahad Hospital of Dammam University Using the Postgraduate Hospital Education Environment Measure (PHEEM) Inventory. Education in Medicine Journal. 2011 Dec 1;3(2).
- Chan CYW, Sum MY, Lim WS, Chew NWM, 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(12):1248–55.
Corresponding Author
Adel Yasky
Family Medicine King Abdelaziz Medical City Riyadh / King Abdullah International Medical Research Center, Saudi Arabia