Assessment of Educational Environment in Cardiology Residencies

Amanda Galli, María Eugenia Brissón, Carlos Soler, Susana Lapresa, Alberto Alves de Lima


Introduction: The “educational environment”, which is the combined result of physical environment, interpersonal relations,stressing factors and the reward and penalty system, among others, influences student motivation, readiness to study andacademic achievement. Educational environment assessment focuses on student perception of the context beyond what mightbe “objectively” appreciated by an external observer.Objective: The aim of this study is to present results obtained from the application of a local version of the PHEEM questionnaireto cardiology residents to explore whether their perception differs according to hospital public or private condition.Methods: We applied the PHEEM (Postgraduate Hospital Educational Environment Measure) questionnaire, developed by S.Roff, S. McAleer and A. Skinner, which is a specific tool to assess educational environment in the hospital setting.Results: One hundred and forty eight residents from 31 Buenos Aires City and Greater Buenos Aires hospitals, who attendedthe 2012 Biennial Cardiology Course, completed the questionnaire: 71 residents from public hospitals, 75 from private hospitalsand 2 who did not identify hospital condition. Private hospital residencies showed significantly better learning conditions.Differences were found in supervision availability, sanitation facilities and resting / meeting rooms for doctors on call, thesense of physical security inside the hospital and the adequate number of patients and studies for learning. There were no differencesregarding the high level of exigency, poor feedback and lack of “protected” time to study during working week hours.Conclusions: It would be necessary to evaluate other specialty residencies and programs implemented in other jurisdictions,to analyze whether this is a general conclusion or it only applies to cardiology residencies in the metropolitan area.

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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020