Journal of Educational Evaluation for Health Professions

Research articles

Moroccan residents’ perceptions of the hospital learning environment measured with the French version of the Postgraduate Hospital Educational Environment Measure: Hajar Berrani, Redouane Abouqal, Amal Thimou Izgua; J Educ Eval Health Prof. 2020;17:4. Published online January 31, 2020; DOI: https://doi.org/10.3352/jeehp.2020.17.4

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Purpose
This study aimed to assess the educational environment of residents in Morocco and to compare residents’ perceptions depending on their specialty.
Methods
We applied the French version of the Postgraduate Hospital Educational Environment Measure (PHEEM) to measure the educational environment at 6 hospitals in Rabat from January to June 2017. The internal reliability of the questionnaire was assessed using Cronbach’s α coefficient. Principal component analysis was conducted to assess the construct validity of the 3 subscales of the PHEEM questionnaire. Analysis of variance was performed to compare the mean scores of the overall PHEEM, its subscales, and each item among the 6 specialties.
Results
Responses from 255 residents were included. The 40-item PHEEM questionnaire showed a high level of reliability, with a Cronbach’s α of 0.91. Principal component analysis of all 40 items suggested that 3 factors explained 48% of the variance, with better results for the teaching subscale. Moroccan residents perceived their educational environment as more positive than negative. There were significant differences in the overall and subscale scores among the 6 specialties.
Conclusion
The French version of the PHEEM was confirmed to be a valid and reliable instrument in Morocco. Moroccan residents perceived their educational environment as more positive than negative, but room for improvement remained, with challenges including the poor infrastructure, the suboptimal quality of supervision, and inadequate teaching and work regulations.

Citations

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Evaluation of educational environment using the short-version Postgraduate Hospital Educational Environment Measure (PHEEM): A multicenter study
Amin Hoseini Shavoun, Azim Mirzazadeh, Homa Kashani, Seyed Reza Raeeskarami, Roghayeh Gandomkar
Journal of Education and Health Promotion.2025;[Epub] CrossRef
The surgical clinical training measurement: developing and evaluating the quality of surgical clinical training among Syrian surgical residents
Ahmad Ghazal, Mayssoon Dashash
BMC Medical Education.2025;[Epub] CrossRef
Examining the Psychometric Properties of Post-graduate Hospital Educational Environment Measure for Saudi Pediatric Trainees: Principal Component Analysis
Khouloud Abdulrhman Alsofyani, Saud Bahaidarah, Abdulaziz Boker
Iranian Journal of Pediatrics.2024;[Epub] CrossRef
Revisão de escopo da aplicação do Postgraduate Hospital Educational Environment Measure (PHEEM) na residência médica
Patrícia Lofêgo Gonçalves, Ana Paula Moscon Marçal, Renata de Almeida França, Vania dos Santos Nunes Nogueira
Revista Brasileira de Educação Médica.2024;[Epub] CrossRef
Scoping review of the application of the Postgraduate Hospital Educational Environment Measure (PHEEM) in medical residency
Patrícia Lofêgo Gonçalves, Ana Paula Moscon Marçal, Renata de Almeida França, Vania dos Santos Nunes Nogueira
Revista Brasileira de Educação Médica.2024;[Epub] CrossRef
Ambiente educacional y bienestar mental de los residentes de posgrados médicos y quirúrgicos en Medellín, Colombia
María Adelaida Posada Uribe, Verónica Vargas González, Clara Orrego Morales, Carolina Cataño, Elsa María Vásquez, Diana Restrepo
Revista Colombiana de Psiquiatría.2023; 52(1): 20. CrossRef
Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia
María Adelaida Posada Uribe, Verónica Vargas González, Clara Orrego Morales, Carolina Cataño, Elsa María Vásquez, Diana Restrepo
Revista Colombiana de Psiquiatría (English ed.).2023; 52(1): 20. CrossRef
Postgraduate medical trainees at a Ugandan university perceive their clinical learning environment positively but differentially despite challenging circumstances: a cross-sectional study
Paul E. Alele, Joshua Kiptoo, Kathleen Hill-Besinque
BMC Medical Education.2023;[Epub] CrossRef
Evaluation of the Training Environment Among Residents in Morocco: A Multicentric Study
Mohamed EL Mouhajir, Yassine Majbar, Nadir Ammar, Achraf Sakini, Oumaima Lahnaoui, Amine Benkabbou, Amine Souadka, Mohammed Anass Majbar
Journal of Medical and Surgical Research.2023; : 1239. CrossRef
Depression and its associated factors: perceived stress, social support, substance use and related sociodemographic risk factors in medical school residents in Nairobi, Kenya
Sayed Shah Nur Hussein Shah, Ahmed Laving, Violet Caroline Okech-Helu, Manasi Kumar
BMC Psychiatry.2021;[Epub] CrossRef

Perception of clinical educational environment by student of physiotherapy based on the Postgraduate Hospital Educational Environment Measurement Questionnaire in Chile: Karen Córdova-León, Lincoyán Fernández-Huerta, Marcela Rojas-Vargas; J Educ Eval Health Prof. 2019;16:16. Published online June 14, 2019; DOI: https://doi.org/10.3352/jeehp.2019.16.16

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Abstract PDF Supplementary Material

Purpose
It aimed at describing the perception of the clinical educational environment by physiotherapy students based on the Postgraduate Hospital Educational Environment Measurement Questionnaire in Chile.
Methods
The clinical education environment was evaluated according to the Postgraduate Hospital Educational Environment Measure (PHEEM) by 192 students originally enrolled in the fifth year of the physiotherapy career at 3 different headquarters of the academic institution: Santiago, Viña del Mar, and Concepcion Campus (Metropolitan, Valparaiso, and Bio Bio region, respectively), from March to October 2018. The Cronbach’s α was applied to measure the reliability of the instrument and the Student-t and analysis of variance tests were used to compare the differences of PHEEM scores by headquarters, environmental areas, and experience of internship.
Results
A total overall average score of 125.88 was obtained, which meant an excellent educational environment. The overall score was 127.6±22.7 for headquarters 1, 125.6±21.6 for headquarters 2, and 122.5±26.9 for headquarters 3. According to the type of establishment, the scores were of 127.1±22.1 for private and 123.5±26.3 for public institutes. According to the type of area, the score was cataloged as an excellent educational environment in all cases, except in the respiratory care area (lowest score, 117.5±29.1). Finally, the score was 126.9±20.5 for the first internship, 121.7±29.3 for the second, and 129.4±19.6 for the third.
Conclusion
There is relative homogeneity of the clinical educational environment for different headquarters, types of establishment, or type of area; but there are significant differences in the number of the internship. The promotion of a good clinical educational environment can have an important impact on the development and performance of the future professional, being the detection of negative aspects an opportunity to improve the hidden curriculum.

Citations

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Evaluation of the Training Environment Among Residents in Morocco: A Multicentric Study
Mohamed EL Mouhajir, Yassine Majbar, Nadir Ammar, Achraf Sakini, Oumaima Lahnaoui, Amine Benkabbou, Amine Souadka, Mohammed Anass Majbar
Journal of Medical and Surgical Research.2023; : 1239. CrossRef
KNOWLEDGE OF PHYSIOTHERAPY STUDENTS ABOUT SUPERVISION SKILLS DURING THE CLINICAL ROTATION OF INTERNSHIP
Dr. Tabish Fahim, Dr. Shadab Uddin
Pakistan Journal of Rehabilitation.2021; 10(2): 31. CrossRef
Moroccan residents’ perceptions of the hospital learning environment measured with the French version of the Postgraduate Hospital Educational Environment Measure
Hajar Berrani, Redouane Abouqal, Amal Thimou Izgua
Journal of Educational Evaluation for Health Professions.2020; 17: 4. CrossRef
Measuring the impact of oceanographic indices on species distribution shifts: The spatially varying effect of cold‐pool extent in the eastern Bering Sea
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Limnology and Oceanography.2019; 64(6): 2632. CrossRef

Brief Report

Health sciences students’ perception of the educational environment of KLE University, India as measured with the Dundee Ready Educational Environment Measure (DREEM): Mohan A. Sunkad, Shivalingappa Javali, Yesudas Shivapur, Appasaheb Wantamutte; J Educ Eval Health Prof. 2015;12:37. Published online June 27, 2015; DOI: https://doi.org/10.3352/jeehp.2015.12.37

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Abstract PDF

This study aimed to evaluate the educational environment of the health sciences programs of KLE University, Belgaum, Karnataka, India, to identify their strengths and weaknesses, and to suggest strategies to improve the educational environment to be on par with global standards. A cross-sectional study was conducted using the Dundee Ready Educational Environment Measure (DREEM) questionnaire, filled out by 914 of the 1,004 students (91.0%) who were majoring in medicine, dentistry, nursing, physiotherapy, and public health. The data were analysed according to the DREEM guidelines. Responses were received from 914 students, of whom 34.03% were men and 65.9% were women. The majority (67.1%) of students were 20-24 years of age. The mean overall DREEM score was 120.21±22.4 (maximum, 200) and approached the normal distribution (Lilliefors test, P<0.01). The DREEM scores of each group of students were as follows: dental, 125.0; medical, 122.4; public health, 121.0; physiotherapy, 117.0; and nursing, 116.3. Male students had more positive perceptions than female students (P<0.05), and postgraduate students had more positive perceptions than undergraduate students (P<0.05). The overall DREEM score (120.21) indicates that the educational environment was found to be more positive than negative.

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Student perception of the educational environment in regular and bridging nursing programs in Saudi Arabia using the Dundee Ready Educational Environment Measure
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Medical laboratory science and nursing students’ perception of the academic learning environment at a Philippine university using the Dundee Ready Education Environment Measure
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Research Articles

Does curricular change improve faculty perceptions of student experiences with the educational environment? A preliminary study in an institution undergoing curricular change: Syed Ilyas Shehnaz, Jayadevan Sreedharan, Kadayam Guruswami Gomathi; J Educ Eval Health Prof. 2014;11:7. Published online April 26, 2014; DOI: https://doi.org/10.3352/jeehp.2014.11.7

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Abstract PDF: Purpose
College of Medicine, Gulf Medical University, United Arab Emirates, underwent a major curriculum change from a discipline-based to an organ system-based integrated curriculum. However, it was not known how the faculty perceived the changes in the educational environment as experienced by the students. In this context, we aimed to compare the faculty perceptions of the student experiences in the discipline-based curriculum with those in the organ system-based integrated curriculum.
Methods
The Dundee Ready Education Environment Measure (DREEM) questionnaire was modified to assess faculty perceptions of the student experiences, pilot-tested, and administered to all faculty members (n=28) involved in the discipline-based curriculum (FDC) in January 2009. In the subsequent year, data were collected from the same faculty involved in the new integrated curriculum (FIC). Collected data were transferred to Predictive Analytics Software version 18. Total, domain, and individual statement scores were assessed with the Wilcoxon signed rank test. Percentage agreement, disagreement, and uncertainty were assessed by the McNemar’s test for proportion.
Results
The mean total DREEM score was significantly higher (P<0.001) for FIC (139/200) as compared to FDC (119/200). The FIC perceived significantly more positive student experiences with the educational environment as indicated by the domain scores and statement scores. The differences in proportions of agreement between FIC and FDC also reinforced that the FIC perceived more positive student experiences with the educational environment.
Conclusion
The study showed that the faculty perceived the organ system-based integrated curriculum as providing a better educational environment for the students than the discipline based curriculum.

Students’ perception of the learning environment at Xavier University School of Medicine, Aruba: P. Ravi Shankar, Arun K Dubey, Ramanan Balasubramanium; J Educ Eval Health Prof. 2013;10:8. Published online September 30, 2013; DOI: https://doi.org/10.3352/jeehp.2013.10.8

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Medical students’ perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire: Varun Kohli, Upreet Dhaliwal; J Educ Eval Health Prof. 2013;10:5. Published online June 30, 2013; DOI: https://doi.org/10.3352/jeehp.2013.10.5

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