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Findings from 3389 responses of the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire

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4:10 pm

26 February 2024

Exhibition Hall (Poster 1)

Assessment in postgraduate and surgical training

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Presentation Description

Rasmus Soegaard Hansen1
Michael Dall2, Christine Dichmann3, Sune K N Laugesen4, Anja Karina Fabrin5 and Niels Thomas Hertel6
1 Dept. of Clinical Biochemistry, Odense University Hospital, Odense, Denmark
2 Board of Directors, Odense University Hospital, Odense, Denmark
3 Centre for Postgraduate Medical Education, Dep. of Clinical Development, Odense University Hospital, Odense, Denmark
4 Emergency Department, Odense University Hospital, Odense, Denmark
5 Centre for Postgraduate Medical Education and Dept. of Cardiac, Thoracic and Vascular surgery, Odense University Hospital, Odense, Denmark
6 H C Andersens Childrens Hospital, Odense University Hospital, Odense, Denmark 



Background:
Assessing how residents experience their autonomy, learning environment and social support is important, and the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire investigate this. The purpose of this study was to explore which factors that were associated with a high PHEEM score of autonomy, good learning environment and social support. 


Summary of work:
We evaluated PHEEM responses from 2015 to 2022 for residents of any medical specialty and all levels working at Odense University Hospital (1). Besides PHEEM responses, data regarding age, gender, department, medical specialty, job position and number of meetings with supervisor were assessed. 


Results
During the study period, 4399 residents were invited, of which 3389 completed the PHEEM questionnaire. Total PHEEM score was significantly lower in female residents than male residents, and residents in introductory positions had significantly higher total score than residents in specialty training or basic clinical training. No association between age and PHEEM score was found. Residents that had meetings with a supervisor once every second month (0.5 meetings per month) reported a significantly higher PHEEM score than residents had meetings with a supervisor once every fifth month (0.2 meetings per month). 


Discussion:
A systematic review of 30 PHEEM studies found no association between gender and PHEEM score, and further found that entry-level residents had a higher PHEEM score than senior-level (2). However, the included studies were small with about 100 responses in each study. Taking this and our findings into account, indicates that further studies on the potential difference and reasons for such is needed. 


Conclusion:
Our study suggest that male gender, introductory position and more frequent meetings (0.5 meetings per month) with a supervisor is associated with a higher PHEEM score. 



References (maximum three) 

1 Hansen RS, Dall M, Dichmann C, Laugesen SKN, Fabrin AK, Hertel NT (2023). Key Factors Associated with a High Postgraduate Hospital
 Educational Environment Measure (PHEEM) score. (Manuscript in 

preparation). 

2 Chan CY, Sum MY, Lim WS, Chew NW, Samarasekera DD, Sim K. Adoption and correlates of Postgraduate Hospital Educational Environment Measure
 (PHEEM) in the evaluation of learning environments - A systematic review. 

Med Teach 2016;38(12):1248-55. 

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