Evaluación del ambiente educacional en las residencias del Hospital del Niño Dr. José Renán Esquivel de Panamá, 2023.
[Evaluation of the educational environment during medical residency at Hospital del Niño Dr. José Renán Esquivel of Panama, 2023]2024-08-31
Descargas
Palabras clave:
abiente de aprendizaje, educación médica, medidas del entorno educacional hospitalario, PHEEMKeywords:
learning environment, medical education, Measurement of the hospital educational environment, PHEEMResumen
Objetivo Evaluar el ambiente de aprendizaje, del programa de formación de posgrado en pediatría y subespecialidades del Hospital del Niño Dr. José Renán Esquivel utilizando el cuestionario Postgraduate Hospital Educational Environment Measure (PHEEM). Método Estudio observacional, analítico, transversal. Resultados: Se aplicó el cuestionario a 46 (94%) de los 49 sujetos elegibles, 36 (78.2%) del sexo femenino. La edad promedio de los sujetos fue de 30.4 años ± 2.28 años con una mínima de 24 años y máxima de 34 años. Cuatro (8.6%) corresponden a residentes de primer año, 25 (54%) de segundo año, 9 (19%) de tercer año y 8 (17%) residentes de cuarto y quinto año. El resultado global del cuestionario fue de 97.80± 17.76 que indica un ambiente educacional más positivo que negativo con espacio para mejorar. El dominio de percepción de autonomía resultó en 35.58 ± 6.34 indicando una percepción más positiva del trabajo de cada uno, para percepción de la calidad de enseñanza fue de 36.84 ±7.89 indicando que está encaminado en la dirección correcta. La percepción de respaldo social fue de 25.36 ± 5.10 con más pros que contras. Se obtuvo una diferencia estadísticamente significativa según el año de residencia tanto en el global (p= 0.0003), autonomía (p= 0.0164), enseñanza (p= 0.001) y apoyo social (p= 0.0128), con resultados mayores en el grupo de residentes de 4to y 5to año. No hubo diferencias significativas según universidad de procedencia, centro de internado ni según sexo. Conclusiones: El PHEEM es un instrumento confiable y fácil de administrar, permite valorar el ambiente educacional en el que se desarrolla un programa de entrenamiento en un contexto asistencial.
Abstract
Objective To evaluate the learning environment of the postgraduate training program in pediatrics and subspecialties of the Hospital del Niño Dr. José Renán Esquivel using the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire. Method: Observational, analytical, cross-sectional study. Results: The questionnaire was applied to 46 (94%) of the 49 eligible subjects, 36 (78.2%) of whom were female. The mean age of the subjects was 30.4 years ± 2.28 years with a minimum of 24 years and a maximum of 34 years. Four (8.6%) corresponded to first year residents, 25 (54%) to second year residents, 9 (19%) to third year residents and 8 (17%) to fourth and fifth year residents. The overall result of the questionnaire was 97.80± 17.76 indicating a more positive than negative educational environment with room for improvement. The domain of perception of autonomy was 35.58 ± 6.34 indicating a more positive perception of one's work, for perception of teaching quality it was 36.84 ±7.89 indicating that it is heading in the right direction. The perception of social support was 25.36 ± 5.10 with more pros than cons. A statistically significant difference was obtained according to the year of residency in global (p= 0.0003), autonomy (p= 0.0164), teaching (p= 0.001) and social support (p= 0.0128), with higher results in the group of 4th and 5th year residents. There were no significant differences according to university of origin, internship center or gender. Conclusions: The PHEEM is a reliable and easy-to-administer instrument, it allows us to assess the educational environment in which a training program is developed in a healthcare context.
Citas
Chan C, Sum M, Lim W, Chew N, Samarasekera D, Kang Sim K .Adoption and correlates of Postgraduate Hospital Educational Environment Measure (PHEEM) in the evaluation of learning environments – A systematic review. MEDICAL TEACHER 2016; http://dx.doi.org/10.1080/0142159X.2016.1210108
Soemantri D, Herrera C, Riquelme A. measuring the educational environment in health professions stud¬ies: a systematic review. Medical Teacher 2010; 32(12): 947-952. doi: 10.3109/01421591003686229.
Roff S, McAleer S. What is education climate? Med Teach 2001; 23(4):333-4. doi: 10.1080/01421590120063312.
Roth LM, Severson RK, Probst JC, Monsur JC, Markova T, Kushner SA, Schenk M. Exploring physician and staff perceptions of the learning environment in ambulatory residency clinics. Fam Med. 2006 Mar;38(3):177-84. PMID: 16518735.
Herrera C, Pacheco J, Rosso F, Cisterna C, Aichele D, Becker S, et al. Evaluación del ambiente educacional pre-clínico en seis Escuelas de Medicina en Chile. Rev Med Chile 2010; 138(6): 677-84. http://dx.doi.org/10.4067/S0034-98872010000600003
Aghamolaei T, Fazel I. Medical students` perceptions of the educational environment at an Iranian Medical Sciences University. Revista BMC Medical Education 2010; 10(1): 1-7. DOI:10.1186/1472-6920-10-87
Ortega J, Pérez C, Ortiz L, Fasce E, McColl P, Torres G, et al. Estructura factorial de la escala DREEM en estudiantes de medicina chilenos. Rev Med Chile 2015; 143 (5): 651-7. http://dx.doi.org/10.4067/S0034-98872015000500013
World Federation of Medical Education. The changing medical profession: implications for medical education. A world conference. Med Educ. 1993 Jan;27(1):1-2. PMID: 8433653.
Roff S, McAleer S, Harden R, Al-Qahtani M, Uddin A, Deza H, et al. Development and Validation of the Dundee Ready Education Environment Measure (DREEM). Med Teach 1997; 19 (4): 295-9.DOI:10.3109/01421599709034208
Holt MC, Roff S. Development and validation of the Anaesthetic Theatre Educational Environment Measure (ATEEM). Med Teach 2004; 26(6):553–558. doi: 10.1080/01421590410001711599.
Cassar K. Development of an instrument to measure the surgical operating theatre learning environment as perceived by basic surgical trainees. Med Teach 2004; 26(3):260–264. doi: 10.1080/0142159042000191975.
Riquelme A, Padilla O, Herrera C et al. Development of ACLEEM questionnaire, an instrument measuring residents’ educational environment in postgraduate ambulatory setting. Med Teach 2013; 35(1):e861–6. doi: 10.3109/0142159X.2012.714882.
Roff S, McAleer S, Skinner A. Development and Validation of an instrument to measure postgraduate clinical learning and teaching educational environment for hospital based junior doctors in the UK. Med Teach 2005;27(4): 326-331. doi: 10.1080/01421590500150874.
Pinnock R, Reed P, Wright M. The learning environment of paediatric trainees in New Zealand. J Paediatr Child Health 2009;45(9):529–34. doi: 10.1111/j.1440-1754.2009.01553.x.
Galli A, Brissón MA, Soler C, Yulitta H, Eiguchi K. Evaluación del ambiente educacional en sistemas de residencias médicas del gobierno de la ciudad autónoma de Buenos Aires. Revista Argentina de Educación Médica 2015;6(3):100-106.
Medina ML, Gabriel Medina M, Teresita Gauna N, Molfino L, Merino LA. Evaluación del ambiente educacional en la residencia de Clínica Pediátrica en un Hospital de Referencia Provincial. Educ Med 2020;21(1):24-31. DOI: 10.1016/j.edumed.2018.04.013
Hernández-Domínguez j, Ramírez-Dueñas LK, Roco-Zúñiga AL, Fernández-Vázquez MU. Ambiente clínico académico de las residencias médicas en el instituto mexicano del seguro social, Puebla. Revista de educación y desarrollo 2022; 62:37-46.
Galli A, Brissón ME, Lapresa S, Soler C, Alves de Lima A. Evaluación del ambiente educacional en residencias de cardiología. Rev Argent Cardiol 2014; 82 (5): 396-401. DOI:10.7775/rac.es.v82.i5.3875
Koutsogiannou P, Dimoliatis ID, Mavridis D, Bellos S, Karathanos V, Jelastopulu E. Validation of the Postgraduate Hospital Educational Environment Measure (PHEEM) in a sample of 731 Greek residents. BMC Res Notes. 2015 Nov 30; 8:734. doi: 10.1186/s13104-015-1720-9.
Algaidi SA. Assessment of Educational Environment for Interns Using Postgraduate Hospital Educational Environment Measure (PHEEM). JTUMED 2010; 5(1): 1-12. DOI:10.1016/S1658-3612(10)70118-9
Khoja AT. Evaluation of the educational environment of the Saudi family medicine residency training program. J Family Community Med. 2015 Jan-Apr;22(1):49-56. doi: 10.4103/2230-8229.149591.
Vincent García MD. El tutor de formación sanitaria especializada en España (parte ii): funciones y medidas para facilitar el desempeño de la tutoría. Educación Médica 2021; 22:287-293. DOI: 10.1016/j.edumed.2021.04.003
Vieira JE. The postgraduate hospital educational environment measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement. Clinics (Sao Paulo). 2008;63(6):741–6. doi: 10.1590/s1807-59322008000600006.
Al-Shiekh MH, Ismail MH, Al-Khater SA. Validation of the postgraduate hospital educational environment measure at a Saudi university medical school. Saudi Med J. 2014 Jul;35(7):734-8. PMID: 25028232.
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: 10.3352/jeehp.2015.12.14
Triasih R, Ang F, Kusuma W, Rahayu GR. Trainees’ perceptions on learning environment in a pediatric training program in Indonesia Paediatr Indones 2022;62(4):249-256. DOI:10.14238/pi62.4.2022.249-56
Berrani H, Abouqal R, Izgua AT. Moroccan residents’ perceptions of the hospital learning environment measured with the French version of the Postgraduate Hospital Educational Environment Measure. J Educ Eval Health Prof 2020; 17:4. doi: 10.3352/jeehp.2020.17.4.
van Hell EA, Kuks JB, Cohen-Schotanus J. Time spent on clerkship activities by students in relation to their perceptions of learning environment quality. Med Educ. 2009 Jul;43(7):674-9. doi: 10.1111/j.1365-2923.2009.03393.
x29. 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):e184–191. doi: 10.1080/01421590701288580.
Gough J, Bullen M, Donath S. PHEEM 'downunder'. Med Teach. 2010;32(2):161-3. doi: 10.3109/01421590903509036.
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. 2016 Aug;185(3):565-571. doi: 10.1007/s11845-015-1303-8.
Jalili M, MortazHejri 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(5):372–377
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. doi: 10.3109/0142159X.2013.815707.
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; 6:271–277. doi: 10.2147/AMEP.S81133. eCollection 2015.
Lucas MN, Samarage DK. Trainees’ perception of the clinical learning environment in the post graduate training programme in paediatrics. Sri Lanka J Child Health 2008; 37:76–80. DOI = 10.4038/sljch.v37i3.105
Concepción Gómez RA, Asprilla González JA. Aplicación del cuestionario PHEEM a médicos internos en 5 hospitales de Panamá. Investigación educ. médica 2018; 26:45-53
https://doi.org/10.1016/j.riem.2017.04.007
Llera J, Durante E. Correlación entre clima edu¬cacional y síndrome de desgaste profesional en los programas de residencia de un hospital universitario. Arch Argent Pediatr 2014; 112 (1):6-11. http://dx.doi.org/10.5546/aap.2014.e6.
Licencia
Derechos de autor 2024 Infomedic Intl.Derechos autoriales y de reproducibilidad. La Revista Pediátrica de Panamá es un ente académico, sin fines de lucro, que forma parte de la Sociedad Panameña de Pediatría. Sus publicaciones son de tipo gratuito, para uso individual y académico. El autor, al publicar en la Revista otorga sus derechos permanente para que su contenido sea editado por la Sociedad y distribuido Infomedic International bajo la Licencia de uso de distribución. Las polítcas de distribución dependerán del tipo de envío seleccionado por el autor.
