1
|
Alfakhry G, Kodmani R, Almasri IA. Psychometric properties of the arabic version of PHEEM applied on a sample of medical residents in Syria. BMC MEDICAL EDUCATION 2024; 24:728. [PMID: 38969997 PMCID: PMC11225230 DOI: 10.1186/s12909-024-05731-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 07/01/2024] [Indexed: 07/07/2024]
Abstract
BACKGROUND The clinical learning environment (CLE) plays a crucial role in shaping the learning experiences and professional development of medical professionals. Understanding and optimising this environment is essential for improving doctors' knowledge acquisition, clinical skills, and overall well-being. The development of the Postgraduate Hospital Educational Environment Measure (PHEEM) and its translation to numerous languages has been a milestone in clinical education. Even though PHEEM was recently translated into Arabic, its psychometric properties in this form remain unevaluated. Therefore, this study aims to conduct a comprehensive psychometric analysis of the Arabic version of the PHEEM questionnaire. METHODS This is a cross-sectional questionnaire survey validation study. The defined population were medical residents in Damascus, Syria. A paper-based survey as well as an online-based one were conducted using several non-probability sampling methods namely, convenience, river and, snowball sampling between June 15, 2023, and June 21, 2023. Both exploratory (EFA) and confirmatory (CFA) factor analyses were conducted. Several psychometric criteria were applied including scree plot, eigenvalue > 1.5 and the 'proportion of variance accounted for' criterion. RESULTS A total of 543 participants completed the questionnaire (56.9% female). Kaiser-Meyer-Olkin measure for sample adequacy was high (0.937) and the P-value for Bartlett's test was < 0.001. EFA revealed five meaningful factors which were labelled: perception of teachers, learner's engagement and social participation, external regulation, work culture, and living conditions. These factors had the following eigenvalues: 12.6, 2.18, 2.03, 1.86, and 1.41 respectively, with a total explained variance of 43.45%. Cronbach's Alpha was 0.938. CFA confirmed the model structure of EFA (SRMR = 0.067 and RMSEA = 0.066). The Average Variance Explained (AVE) value of any given factor was > 0.7. DISCUSSION The Arabic PHEEM inventory demonstrated satisfactory psychometric properties. The extracted domains are of theoretical relevance to the psychosocial-material conceptual framework for learning environment. Nonetheless, this validation was performed in the Syrian context; therefore, future studies in other Arabic countries are recommended to support the applicability of Arabic PHEEM in the wide Arab World.
Collapse
Affiliation(s)
- Ghaith Alfakhry
- Education Quality and Scientific Research Office, Al-Sham Private University, Damascus, Damascus Governorate, Syria.
- Department of Education, University of Oxford, 15 Norham Gardens, Oxford, OX2 6PY, UK.
| | - Rama Kodmani
- University Hospital of Dermatology and Venereology, Damascus University, Damascus, Damascus Governorate, Syria
| | - Imad Addin Almasri
- Department of Applied Statistics, Faculty of Economics, Damascus University, Damascus, Syria
- Stemosis for Scientific Research, Damascus, Syria
| |
Collapse
|
2
|
Alfakhry G, Mustafa K, Khwanda R, Alhaffar M, Alhomsi K, Kodmani R. Translation, cultural adaptation and linguistic validation of the postgraduate hospital educational environment measure into Arabic. BMC MEDICAL EDUCATION 2024; 24:625. [PMID: 38840133 PMCID: PMC11154972 DOI: 10.1186/s12909-024-05611-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 05/28/2024] [Indexed: 06/07/2024]
Abstract
BACKGROUND Assessment of the clinical learning environment (CLE) is an essential step that teaching hospitals routinely undertake to ensure the environment is conducive, learning-oriented and supportive of junior doctors' education. The Postgraduate Hospital Educational Environment Measure (PHEEM) is an internationally recognized tool for assessing the CLE with evidence of high reliability and validity. Translation of PHEEM into other languages such as Spanish, Japanese and Persian enabled wider adoption of the instrument in the world. However, in Syria and other Arabic countries, a validated Arabic translation of PHEEM is still not available, making it difficult to adopt it and use it in Arabic contexts. This study aims to translate and culturally adapt the PHEEM from English into Arabic. METHODS This study followed the structured translation and validation process guideline proposed by Sousa & Rojjanasrirat 2010. First, the PHEEM went through forward translation by three translators, then reconciled with the aid of a fourth translator. Afterwards, two professional bicultural and bilingual translators conducted back translation into English and compared it with the original version. This formed the Pre-final Version (PFV) which was then pretested for clarity on a sample of medical residents in Damascus, Syria. Following appropriate modifications, the PFV was sent to a panel of experts for a comprehensive review of language clarity and to assess content validity. RESULTS A total of thirty-five medical residents were recruited. Ten items with language clarity issues were identified and modified according to the elicited suggestions. Thereafter, the modified PFV was presented to ten subject experts who identified three items in need of revision. The item-content Validity Index (CVI) was over 0.78 for all of the 40 items; the calculated scale-CVI was 0.945. DISCUSSION This study provided the first linguistically valid Arabic translation of the widely used PHEEM inventory. The next step is to conduct a full psychometric analysis of the Arabic PHEEM to provide further evidence of validity and reliability.
Collapse
Affiliation(s)
- Ghaith Alfakhry
- Education Quality and Scientific Research Office, Al-Sham Private University, Damascus, Damascus Governorate, N/A, Baramekeh, Syria.
- Program of Medical Education, Syrian Virtual University, Damascus Governorate, N/A, Damascus, Syria.
- Department of Education, University of Oxford, 15 Norham Gardens, Oxford, OX2 6PY, UK.
| | - Khattab Mustafa
- Program of Medical Education, Syrian Virtual University, Damascus Governorate, N/A, Damascus, Syria
- Department of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, Damascus University, Damascus Governorate, N/A, Damascus, Syria
| | - Rawan Khwanda
- Department of Pediatrics, Damascus Hospital, Damascus Governorate, N/A, Damascus, Syria
| | - Mervat Alhaffar
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK
- Syria Research Group, London School of Hygiene & Tropical Medicine, NUS Saw Swee Hock School of Public Health, London, UK
| | - Khaled Alhomsi
- Department of Biomedical Sciences, Al-Sham Private University, Damascus Governorate, N/A, Damascus, Syria
| | - Rama Kodmani
- University Hospital of Dermatology and Venereology, Damascus University, Damascus Governorate, N/A, Damascus, Syria
| |
Collapse
|
3
|
Alahmadi AM, Albaz NK, Alharbi NS. Evaluation of learning environment of different family medicine programs, Jeddah-KSA, 2021. J Family Med Prim Care 2023; 12:551-555. [PMID: 37122656 PMCID: PMC10131954 DOI: 10.4103/jfmpc.jfmpc_1378_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 09/11/2022] [Accepted: 12/22/2022] [Indexed: 05/02/2023] Open
Abstract
Background A supportive educational climate in which learners are educated and monitored is a significant determinant of the medical trainees' performance and progress and eventually contributes to better patient care. Therefore, residents' training programs need to be assessed and incorporated according to the views and expectations of the candidates. The objectives of this research are to compare and evaluate the learning environment of Family Medicine (FM) programs in Jeddah and make practical recommendations for improvement of the learning environment. Methods A descriptive causal-comparative study was designed at FM programs in Jeddah, Saudi Arabia during January, and February 2021, including all residents from R1 to R4. A Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire was used in this study. The overall score and the three domains were calculated. Results Two hundred and eighty-three questionnaires were distributed, and 262 were completed and collected, making a response rate of 92.6%. Females represented were 150 (57.3%), and males were 112 (42.7%). The study shows that 78 (29.8%) of the residents reported that the learning environment was excellent, and 154 (58.8%) described it as a more positive than the negative environment, whereas 29 (11.1%) described it as having a lot of problems. Out of 160 maximum scores, the highest total score (127) was observed among residents at the National Guard program, whereas the lowest score (108) was in the FM joint program, P < 0.001. Conclusion Evaluation of the training programs is an essential component of quality assurance procedures. The satisfaction of the FM residents at different programs in Jeddah, Saudi Arabia, is better than reported previously, but however, further improvement is warranted. Juniors and residents of the National Guard program were more satisfied than their peers. We recommend low score items should have special consideration from high authorities and ongoing evaluation of the FM training program for further improvement of the learning environment.
Collapse
Affiliation(s)
- Abeer M. Alahmadi
- Departmemt of Family Medicine, Joint Program of Postgraduate Studies in Family Medicine, Jeddah, Saudi Arabia
- Address for correspondence: Dr. Abeer M. Alahmadi, Consultant, Joint Program of Postgraduate Studies in Family Medicine – Jeddah, Saudi Arabia. E-mail:
| | - Noof K. Albaz
- Departmemt of Family Medicine, Joint Program of Postgraduate Studies in Family Medicine, Jeddah, Saudi Arabia
| | - Nouf S. Alharbi
- Departmemt of Family Medicine, Joint Program of Postgraduate Studies in Family Medicine, Jeddah, Saudi Arabia
| |
Collapse
|
4
|
Yang L, Yan L, Zhong X, Long H, Chen F, Jin X. Relationship between Job Burnout, Depressive Symptoms, and Career Choice Regret among Chinese Postgraduates of Stomatology. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16042. [PMID: 36498119 PMCID: PMC9740178 DOI: 10.3390/ijerph192316042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 11/10/2022] [Accepted: 11/14/2022] [Indexed: 06/17/2023]
Abstract
A qualified Chinese dental postgraduate requires at least eight years of training. The huge academic burden, strict clinical requirements, and high workload increases the risk of job burnout, depression symptoms, and career choice regret of dental postgraduates, which may cause one to waver in their choice of a career as a doctor. Therefore, we aimed at assessing the relationship between job burnout, depressive symptoms, and career choice regret among Chinese dental postgraduates. The Chongqing Stomatological Association conducted an online cross-sectional study among 558 dental postgraduates in China, with an average age of 22.54 ± 2.44. Demographic information, the Maslach Burnout Inventory, the 2-item Primary Care Evaluation of Mental Disorders scale, and career choice regret scale were included in the questionnaire. About 41.0% of dental postgraduates experienced job burnout, 44.1% had depressive symptoms, and 41.6% reported career choice regret. Logistic regression analysis indicated the risk factors for job burnout were time worked/studied per week, depressive symptoms, and career choice regret. Job burnout and career choice regret was significantly related to depressive symptoms (p < 0.001). Risk factors for career choice regret were gender, postgraduate entrance examination score, daily hours of sleep, job burnout, and depressive symptoms. Such results suggest that job burnout, depressive symptoms, and career choice regrets are prevalent among dental postgraduates. Accurate measures should be taken to change this situation.
Collapse
Affiliation(s)
- Lu Yang
- Key Laboratory of Psychoseomadsy, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China
| | - Li Yan
- School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
| | - Xiaogang Zhong
- Key Laboratory of Psychoseomadsy, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
- NHC Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Huiqing Long
- Key Laboratory of Psychoseomadsy, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China
| | - Fangchun Chen
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China
| | - Xin Jin
- Key Laboratory of Psychoseomadsy, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing 401147, China
| |
Collapse
|
5
|
Al Helal AH, Al Turki Y. Family medicine residents' educational environment and satisfaction of training program in Riyadh. J Family Med Prim Care 2019; 8:1330-1336. [PMID: 31143716 PMCID: PMC6510066 DOI: 10.4103/jfmpc.jfmpc_63_19] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background Improving health outcome indicators worldwide needs well-trained family physicians, and the Kingdom of Saudi Arabia is of no exception from that need. Objectives To address the level of satisfaction and assess the educational environment among residents of family medicine (FM) in Riyadh city. Methodology A cross-sectional study; the Postgraduate Hospital Educational Environment Measure (PHEEM) was used to assess the educational environment for all FM residents in fully structured training centers that include all levels of residents in Riyadh during 2016. Results About 187 surveys were distributed and 140 were collected, with a response rate of 74.87%. Cronbach's alpha scored at 0.917 for overall items. Out of 160 maximum score, the overall score of the PHEEM was 86.73 (standard deviation [SD]: 19.46). The perception of teaching score was 33.11 (SD: 8.80) out of 60, the perception of role autonomy score was 28.60 (SD: 7.35) out of 56, and the perception of social support was 25.02 (SD: 5.43) out of 44. Conclusion The educational environment is an important determinant of medical trainees' achievements and success. The results are better than what had been found in the previous studies, but more attention and effort should be done, especially for the poorly rated points in this study. We recommend a continuous evaluation and reconstruction of the Saudi Board of FM program, and such results could be a tool that might help in fostering better and stronger educational program.
Collapse
Affiliation(s)
- Abdullah H Al Helal
- Department of Family Medicine and Employees Health Clinics, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Yousef Al Turki
- Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| |
Collapse
|
6
|
Gruppen L, Irby DM, Durning SJ, Maggio LA. Interventions Designed to Improve the Learning Environment in the Health Professions: A Scoping Review. MEDEDPUBLISH 2018; 7:211. [PMID: 38074598 PMCID: PMC10701832 DOI: 10.15694/mep.2018.0000211.1] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2023] Open
Abstract
This article was migrated. The article was marked as recommended. Purpose: To identify and describe interventions designed to affect the learning environment (LE) in health professions education, summarize factors that influence the LE, and determine gaps that require additional research. The LE can be thought of as a dynamic and complex construct co-created by people in a particular setting. A positive LE represents a welcoming climate for learning, which enhances satisfaction, well-being, academic performance and collaboration, while a negative LE restricts participation and learning, leading to emotional exhaustion, depersonalization and burnout. Method: A six-step scoping review methodology was followed to identify and report on literature that describes interventions affecting the LE in the health professions education: 1. Identify the research question, 2. Identify relevant studies, 3. Select studies to be included, 4. Chart the data, 5. Collate, summarize and report results, and 6. Consult with stakeholders. Results: 2,201 unique citations were identified and reviewed using titles and abstracts. 240 full-text articles were retained for detailed review, resulting in the inclusion of 68 articles. Study results are reported in relation to essential components of the LE: personal, social, organizational, physical and virtual spaces. Results of four different types to the studies of the LE are described: specific interventionsimpacting the LE, comparisonsof perceptions of the LE by two or more different groups, associations with other variable such as well-being with the LE, and descriptivestudies of the LE. Major influences included accreditation regulations, curricular interventions, faculty/staff development grading practices, instructional interventions, placements, physical and virtual spaces, and support services; and are reported along with specific interventions. Conclusion: These results reflect the complexity of the LE and the need for conceptual clarity. Since the quality of the evidence was not evaluated, the identified influences should be viewed as potential opportunities to improve the LE.
Collapse
|
7
|
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 . MEDICAL TEACHER 2016; 38:1248-1255. [PMID: 27564848 DOI: 10.1080/0142159x.2016.1210108] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND The Postgraduate Hospital Educational Environment Measure (PHEEM) is a highly reliable and valid instrument to measure the educational environment during post graduate medical training. This review extends earlier reports by evaluating the extant adoption of PHEEM in various international clinical training sites, and its significant correlations in order to expand our understanding on the use of PHEEM and facilitate future applications and research. METHOD A systematic literature review was conducted on all articles between 2005 and October 2015 that adopted and reported data using the PHEEM. RESULTS Overall 30 studies were included, encompassing data from 14 countries internationally. Notable differences in the PHEEM scores were found between different levels of training, disciplines, and clinical training sites. Common strengths and weaknesses in learning environments were observed and there were significant correlations between PHEEM scores and In-Training Exam (ITE) performance (positive correlation) and level of burnout (negative correlation), respectively. CONCLUSIONS PHEEM is widely adopted in different learning settings, and is a useful tool to identify the strengths and weaknesses of an educational environment. Future research can examine other correlates of PHEEM and longitudinal changes in interventional studies.
Collapse
Affiliation(s)
| | - Min Yi Sum
- b Research Division , Institute of Mental Health , Singapore , Singapore
| | - Wee Shiong Lim
- c Centre for Geriatric Medicine, Cognition and Memory Disorders Service , Tan Tock Seng Hospital , Singapore , Singapore
| | | | - Dujeepa D Samarasekera
- e Centre for Medical Education , National University of Singapore , Singapore , Singapore
| | - Kang Sim
- a Department of General Psychiatry , Institute of Mental Health , Singapore , Singapore
- b Research Division , Institute of Mental Health , Singapore , Singapore
| |
Collapse
|
8
|
Validation of the Postgraduate Hospital Educational Environment Measure (PHEEM) in a sample of 731 Greek residents. BMC Res Notes 2015; 8:734. [PMID: 26619841 PMCID: PMC4666073 DOI: 10.1186/s13104-015-1720-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 11/19/2015] [Indexed: 11/18/2022] Open
Abstract
Background The Greek version of the Postgraduate Hospital Educational Environment Measure (PHEEM) was evaluated to determine its psychometric properties, i.e., validity, internal consistency, sensitivity and responsiveness to be used for measuring the learning environment in Greek hospitals.
Methods The PHEEM was administered to Greek hospital residents. Internal consistency was measured using Cronbach’s alpha. Root Mean Square Error of Approximation (RMSEA) was used to evaluate the fit of Structural Equation Models. Content validity was addressed by the original study. Construct validity was tested using confirmatory (to test the set of underlying dimensions suggested by the original study) and exploratory (to explore the dimensions needed to explain the variability of the given answers) factor analysis using Varimax rotation. Convergent validity was calculated by Pearson’s correlation coefficient regarding the participant’s PHEEM score and participant’s overall satisfaction score of the added item “Overall, I am very satisfied with my specialization in this post”. Sensitivity was checked by comparing good versus poor aspects of the educational environment and by satisfied versus unsatisfied participants. Results A total of 731 residents from 83 hospitals and 41 prefectures responded to the PHEEM. The original three-factor model didn’t fit better compared to one factor model that is accounting for 32 % of the variance. Cronbach’s α was 0.933 when assuming one-factor model. Using a three-factor model (autonomy, teaching, social support), Cronbach’s α were 0.815 (expected 0.830), 0.908 (0.839), 0.734 (0.793), respectively. The three-factor model gave an RMSEA value of 0.074 (90 % confidence interval 0.071, 0.076), suggesting a fair fit. Pearson’s correlation coefficient between total PHEEM and global satisfaction was 0.765. Mean question scores ranged from 19.0 (very poor) to 73.7 (very good), and mean participant scores from 5.5 (very unsatisfied) to 96.5 (very satisfied). Conclusions The Greek version of PHEEM is a valid, reliable, and sensitive instrument measuring the educational environment among junior doctors in Greek hospitals and it can be used for evidence-based SWOT analysis and policy.
Collapse
|
9
|
de Luca K, Tuchin P, Bonello R. A web-based survey of the motivations and challenges faced by emerging researchers in the chiropractic profession. THE JOURNAL OF CHIROPRACTIC EDUCATION 2015; 29:151-8. [PMID: 26090697 PMCID: PMC4582614 DOI: 10.7899/jce-14-35] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 01/20/2015] [Accepted: 04/04/2015] [Indexed: 05/24/2023]
Abstract
OBJECTIVE To investigate the motivations, challenges and perceptions of the educational environment of emerging researchers in chiropractic. METHODS A descriptive web-based survey of higher-degree chiropractic research students was performed between October and November 2013. The survey consisted of open and closed questions and the Dundee Ready Education Environment Measure. RESULTS Twenty-two students currently enrolled in a higher-degree research program participated. Students were most commonly enrolled in a doctor of philosophy program at a part-time rate. Motivations of research were desire to improve the clinical care aspects of chiropractic for the public and belief that chiropractic research is lacking. The greatest challenges were the negative attitudes towards chiropractic, finding enough time to do everything required, and feelings of isolation. The higher-degree research educational environment was perceived to be more positive than negative, with the stimulating nature of research a positive feature. A negative feature of the educational environment was poor undergraduate preparation for higher-degree research. CONCLUSION This study is the first study to describe higher-degree chiropractic research students. Primary motivations included building research, while challenges included not only negative attitudes toward the chiropractic profession but also negative attitudes toward researchers from within the profession. The higher-degree research educational environment was perceived to be positive. By acknowledging the issues that surround emerging researchers in chiropractic, the profession is better placed to foster academics and build research capacity.
Collapse
|
10
|
H K, H S, S F, N T. An Analysis of Background Factors Influencing Selection of Residency Facility for Dental Students in Universities Located in Rural Areas in Japan. Open Dent J 2015; 9:159-67. [PMID: 26140061 PMCID: PMC4484232 DOI: 10.2174/1874210601509010159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2014] [Revised: 03/26/2015] [Accepted: 03/27/2015] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND In Japan, since 2006, participation in a 1-year residency programme by all dentists who have passed the National Board Dental Examination has been mandatory. Therefore, a 'matching system' has become necessary for dental students in their final year to decide their desired residency facility, but the rate of matching in dental schools located in rural areas is still low. Aim : The principal aim of this study was to elucidate the background factors influencing the selection of residency facilities by dental students in rural areas to facilitate the training of dentists working in local communities. Methods : Using the matching results from 554 final-year students of Kagoshima University Faculty of Dentistry from 2005 to 2013, multiple logistic regression analysis was performed on the background factors of the subjects. Results : Concerning the selection of the residency facility, it was verified that there were strong background factors for subjects to select residency facilities in their hometown, but compared with subjects from other regions, those from Kinki and Kanto regions did not select residency facilities in their hometown. Compared with males, a significantly higher number of females selected residency facilities in their hometown. A significantly higher number of subjects who repeated a school year selected the residency facility of their alma mater. Conclusion : In dental schools of national universities located in provinces, the establishment of a quota system for students from the region, where possible, is one of the most effective steps for securing future dental trainees.
Collapse
Affiliation(s)
- Kono H
- Department of Dental Education, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Sasahara H
- Department of Integrated Health Sciences, Hiroshima University Institute of Biomedical and Health Sciences, Hiroshima, Japan
| | - Furukawa S
- Department of Dental Education, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Taguchi N
- Department of Dental Education, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| |
Collapse
|
11
|
Flaherty GT, Connolly R, O’Brien T. Measurement of the Postgraduate Educational Environment of Junior Doctors Training in Medicine at an Irish University Teaching Hospital. Ir J Med Sci 2015; 185:565-571. [DOI: 10.1007/s11845-015-1303-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 04/18/2015] [Indexed: 10/23/2022]
|
12
|
Khoja AT. Evaluation of the educational environment of the Saudi family medicine residency training program. J Family Community Med 2015; 22:49-56. [PMID: 25657612 PMCID: PMC4317995 DOI: 10.4103/2230-8229.149591] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objectives: The study was conducted to evaluate the educational environment (EE) in Family Medicine Training Programs. Materials and Methods: A cross-sectional survey, The Postgraduate Hospital Educational Environment Measure (PHEEM), was distributed to all residents at the four training centers in the central region. Cronbach's alpha was used to test the reliability. The mean and standard deviation (SD) for each item, the overall score and the three domains were calculated. A multiple linear regression model was developed with PHEEM scores as an outcome. The Mann–Whitney–Wilcoxon test was used to compare each item based on the selected factors. Results: The overall score was 67.1/160 (SD: 20.1). The PHEEM's domains scores: 24.2/56 (SD: 7.13) for perception of role autonomy; 25.3/60 (SD: 8.88), for perception of teaching; and 17/44 (SD: 5.6), for perception of social support. Training center and Level of training were the significant outcome predictors. Centre 1 (Joint Program) significantly had better scores than Centre 2. The instrument showed great reliability with a Cronbach's alpha of 0.92. Conclusions: There are many problems in the training program. Urgent actions are needed to improve the residents' learning experience particularly during rotations. Also, the curriculum should be restructured, and effective training methods introduced using the Best Evidence in Medical Education to meet the expectations and learning needs of family physicians.
Collapse
Affiliation(s)
- Abdullah T Khoja
- Departments of Family Medicine and Public Health, Imam Mohammed Ibn Saud University, Riyadh, Kingdom of Saudi Arabia ; Department of Health Policy and System, Johns Hopkins School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States
| |
Collapse
|
13
|
Taguchi N, Ogawa T. OSCEs in Japanese postgraduate clinical training Hiroshima experience 2000-2009. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2010; 14:203-9. [PMID: 20946247 DOI: 10.1111/j.1600-0579.2009.00610.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
BACKGROUND Hiroshima University Hospital used the Objective Structured Clinical Examination (OSCE) as a formative and summative assessment tool to evaluate trainees' competence. AIM To reflect on Hiroshima University Hospital experience of OSCEs in postgraduate training in terms of OSCE structure and trainees' perception of the OSCE they attended. METHODS A total 27 OSCEs implemented in Hiroshima University Hospital from 2000 to 2009 were examined. The OSCE in postgraduate training, Hiroshima University Hospital, was influenced by many factors from organisational and pedagogical perspectives, and changed to meet social and curriculum needs. At each OSCE, all examinees were required to answer an anonymous questionnaire, which consisted of ten checklists, just after their experience of OSCE. RESULTS Five hundred and forty trainees who attended each OSCE were required to answer a questionnaire and 510 were returned (94.4%). In the comparison between formative and summative OSCEs, the number of trainees who answered "the OSCE is meaningful" in formative OSCE was significantly higher than that in summative OSCE (P < 0.001). In the comparison between before and after the 2006/2007 academic year, trainees who indicated that OSCEs were meaningful increased after 2006/2007 (P < 0.05), and trainees who felt they were evaluated appropriately by these OSCEs increased after 2006/2007 (P < 0.01). CONCLUSION Trainees viewed OSCEs positively and appreciated their effectiveness from a pedagogical perspective, and OSCE positively affected the trainees' approach to learning. A ten-year process of OSCE change has helped with educational reforms because of its adaptability. Flexible attitudes to change are necessary for stakeholders to achieve the desired reforms.
Collapse
Affiliation(s)
- N Taguchi
- Advanced General Dentistry, Hiroshima University Hospital, Minami-ku, Hiroshima, Japan.
| | | |
Collapse
|
14
|
Algaidi SA. Assessment of Educational Environment for Interns Using Postgraduate Hospital Educational Environment Measure (PHEEM). J Taibah Univ Med Sci 2010. [DOI: 10.1016/s1658-3612(10)70118-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|