Postgraduate Hospital Educational Environment Measure in Urology Program in Saudi Arabia

Abstract

The educational environment has a large influence on the success of medical education and overall outcome. There is little data on how the Saudi urological trainees perceive the educational environment in the hospital and the process of obtaining their skills. We conducted our study using validated questionnaire to evaluate the hospital teaching environment for urology residents in Saudi Arabia. Methods: We have used the postgraduate hospital educational environment measure (PHEEM) to evaluate the perception of the hospital educational environment for residents of urology program. The results are compared between different regions of Saudi Arabia, different health sectors, and level of residency Results: A total of 57 (55.9%) out of 102 registered residents responses were received. Overall, the residents perceived a good impression (98.2 ±18.3) but there is room for more improvement. There was a significant differences in perception among residents of different regions as the southern region has the lowest score (74.8 ± 22.9 p-value =0.01). Residency level significantly affected the perception of role autonomy (P-value=0.01), and overall score (P-value=0.02). However, residents of different health care sectors did not differ significantly in their scores. Conclusion: Perception of educational environment by Saudi urology residents is reaching a satisfactory level but there's still room for improvement. However, there is a variation of perception results between Saudi regions.

Examining the Psychometric Properties of Post-graduate Hospital Educational Environment Measure for Saudi Pediatric Trainees: Principal Component Analysis

“…Al Helal and Al Turki described an overall PHEEM score (86.7 ± 19.5) in a sample of 140 training family medicine residents from 4 educational hospitals in Riyadh City, with the lowest perceptions observed in the teaching domain (28). On the contrary, the PHEEM score in our study was in accordance with those reported by Alhussain et (21,22). However, the perception scores in the 3 inventory domains reported by Alhussain et al contradict our present findings.…”

“…Similar findings were reported by Alhussain et al, where R4-R5 urology residents scored higher than R1-R3 ones. They also observed significant differences between Saudi provinces, where the highest scores were observed in the Eastern region (22). However, Al Hilal and Al Turki did not analyze factors associated with PHEEM.…”

“…In Saudi Arabia, several authors have assessed the learning environments in their local settings for both interns and residents (17), only interns (18), or post-graduate residents in all (19) or specific specialties, including family medicine (20), urology (21,22), and pediatrics (23).…”

Translation, cultural adaptation and linguistic validation of the postgraduate hospital educational environment measure into Arabic

“…The PHEEM inventory has been proved to be a valid and reliable instrument in various countries and languages [ 8 – 12 ]. In the Arab World, PHEEM was applied mostly in its original English version [ 13 ] which has been shown to be reliable and valid in the Arabic context according to one study [ 32 ]. Another study in Saudi Arabia reported the use of both the English version and Arabic translation of the PHEEM [ 33 ]; however, the Arabic translation was not made publicly available and more interestingly, almost all participants (97%) preferred the use of Arabic version over the English version [ 33 ].…”

“…The PHEEM inventory has been translated and validated into many languages including Spanish, Danish, Greek, Japanese and Persian [ 8 – 12 ]. Up to writing this, a validated Arabic translation of PHEEM is not available [ 13 ]. While PHEEM has proven effective in diverse contexts, understanding its impact in the unique setting of Syria is pivotal to underscore the importance of implementing the PHEEM in clinical education systems in conflict affected contexts.…”