ArticleClinics (Sao Paulo, Brazil)2008
The postgraduate hospital educational environment measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement.
Article in Clinics (Sao Paulo, Brazil), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 68 citations in OpenAlex.
- A validated Arabic version of the clinical learning evaluation questionnaire for medical students and interns.Medical education online · 2026Article
- Quality in postgraduate medical education: A contested idea.Clinical medicine (London, England) · 2026Review
- Residents' and faculty's experience and satisfaction with TOACS in dental residency program.BMC oral health · 2026Article
- Evaluating the educational environment among Saudi board dental residents at King Abdulaziz Medical City in Riyadh using PHEEM tool.BMC medical education · 2024Article
- Assessment of the Educational Environment of Plastic Surgery Training Programs in Iran using the PHEEM Questionnaire: A Cross-sectional Study.World journal of plastic surgery · 2023Article
- Depression and its associated factors: perceived stress, social support, substance use and related sociodemographic risk factors in medical school residents in Nairobi, Kenya.BMC psychiatry · 2021Article
- Internal Medicine Residents' Perceptions of the Learning Environment of a Residency Training Program in Ethiopia: a Mixed Methods Study.Advances in medical education and practice · 2021Article
- Perception of clinical educational environment by student of physiotherapy based on the Educational Environment Measurement Questionnaire of the Postgraduate Hospital in Chile.Journal of educational evaluation for health professions · 2019Observational
- Perceptions of emergency medicine residents on the quality of residency training in the United States and Saudi Arabia.World journal of emergency medicine · 2018Article
- The learning environment of paediatric interns in South Africa.BMC medical education · 2017Article
- Measurement of the Postgraduate Educational Environment of Junior Doctors Training in Medicine at an Irish University Teaching Hospital.Irish journal of medical science · 2016Article
- Validation of the Postgraduate Hospital Educational Environment Measure (PHEEM) in a sample of 731 Greek residents.BMC research notes · 2015Article
- A web-based survey of the motivations and challenges faced by emerging researchers in the chiropractic profession.The Journal of chiropractic education · 2015Article
- Evaluation of the learning environment of urology residency training using the postgraduate hospital educational environment measure inventory.Advances in medical education and practice · 2015Article
- Postgraduate training in Ireland: expectations and experience.Irish journal of medical science · 2014Article
- Psychometric properties of the postgraduate hospital educational environment measure in an Iranian hospital setting.Medical education online · 2014Article
- The hospital educational environment and performance of residents in the General Medicine In-Training Examination: a multicenter study in Japan.International journal of general medicine · 2013Article
- Development and validation of Digi-MEE Instrument measuring online learning environments in medical education.Pakistan journal of medical sciencesArticle
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis 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.
introductionEfforts 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.
methodsThe 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.
resultsThe 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.
conclusionsThis 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.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.