West Midlands Deanery, United Kingdom.
Med Teach. 2007 Sep;29(6):e184-91. doi: 10.1080/01421590701288580.
The educational climate is an important measure within medical education. This is because there are still accounts of poor teaching, humiliation, bullying and harassment of doctors in training. Deaneries and schools must be able to demonstrate to the Postgraduate Medical Education and Training Board that trainees are working and learning in a good environment.
This study used the Postgraduate Hospital Educational Environment Measure (PHEEM) to measure the educational climate in nine intensive care training schemes within hospitals in England and Scotland. 134 trainees replied out of 190 (71% response). Neither the identities of the nine units nor the trainees were known to the researchers.
The results showed that there was a good overall educational climate in the intensive care units studied, with no racism or sexism, and trainees were happy with their teaching, their support and the work they did. The junior trainees (house officers and senior house officers) perceived a significantly better climate than did the senior trainees (specialist registrars). There were also significant differences in scores for the nine different intensive care units.
PHEEM has proved to be a reliable and consistent tool to assess educational climate with an overall Cronbach's alpha of 0.921.
教育氛围是医学教育的重要衡量标准。这是因为仍有报道称，在培训医生的过程中存在教学质量差、羞辱、欺凌和骚扰等现象。学院和学校必须能够向研究生医学教育和培训委员会证明，受训者在良好的环境中工作和学习。
本研究使用住院医师教育环境量表（PHEEM）来衡量英格兰和苏格兰 9 个重症监护培训计划中的教育氛围。190 名受训者中有 134 名（71%的回应率）做出了回应。研究人员并不知道这 9 个单位的身份和受训者的身份。
结果表明，在所研究的重症监护病房中，整体教育氛围良好，没有种族主义或性别歧视，受训者对他们的教学、支持和所做的工作感到满意。初级受训者（住院医师和高级住院医师）感知到的氛围明显好于高级受训者（专科住院医师）。9 个不同的重症监护病房之间的分数也存在显著差异。
PHEEM 已被证明是一种可靠且一致的评估教育氛围的工具，其整体 Cronbach's alpha 为 0.921。
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