Department of Paediatrics,, The University of Melbourne, Royal Children's Hospital, Parkville, Melbourne, Victoria, Australia.
Med Teach. 2010;32(2):161-3. doi: 10.3109/01421590903509036.
The use of the Postgraduate Hospital Education Environment Measure (PHEEM) has been previously described in this journal.
We established a nine-hospital project to test the acceptability of the PHEEM in Australia.
We adapted the language of some items in the PHEEM in order to localize the terminology (such as 'beeped'/'paged') and adjusted the demographics section to facilitate tracking of individual hospitals in the project.
Over two years, more than 400 PHEEMs were returned. Eight of the nine hospitals have an educational environment that is 'more positive than negative but with room for improvement'. One has an 'excellent' environment. None are in the two lowest scoring categories. The lowest scoring items in the collaborative project related to 'feedback', 'information and support', 'infrastructure' and 'interruptions'. The highest scoring items related to 'teachers', 'personal security' and 'working together'.
The PHEEM is valuable for systematically collecting information about the educational environment of hospitals. It has brought particular attention to problems associated with protected training time for first year trainees, inappropriate paging and lack of feedback.
本刊之前曾介绍过使用研究生医院教育环境量表（PHEEM）的情况。
我们在澳大利亚开展了一个九家医院参与的项目，以检验 PHEEM 的可接受性。
我们对 PHEEM 中的一些项目的语言进行了调整，以便本地化术语（如“beeped”/“paged”），并调整了人口统计学部分，以方便在项目中跟踪各个医院的情况。
在两年多的时间里，我们收到了 400 多份 PHEEM。九家医院中有八家的教育环境“积极多于消极，但仍有改进的空间”。一家医院的环境“非常出色”。没有一家属于得分最低的两个类别。在合作项目中得分最低的项目与“反馈”、“信息和支持”、“基础设施”和“干扰”有关。得分最高的项目与“教师”、“人身安全”和“协作”有关。
PHEEM 是系统收集医院教育环境信息的有效工具。它特别关注与保护第一年受训者的培训时间、不恰当的呼机呼叫和缺乏反馈等问题有关的问题。
