Sheikh Shiraz, Kumari Bhavita, Obaid Munazza, Khalid Noman
APPNA Institute of Public Health, Jinnah Sindh Medical University, Karachi.
Liaquat National Medical College, Karachi.
J Pak Med Assoc. 2017 Feb;67(2):171-177.
To assess the environment of postgraduate fellowship training in teaching hospitals of an urban centre.
The cross-sectional study was conducted at one public-sector and two private-sector teaching hospitals in Karachi from December 2014 to June 2015. Data was collected by using a modified version of Postgraduate Hospital Educational Environment Measure, a validated questionnaire, for which clinical residents were selected through convenience sampling. Data was analyzed using SPSS 16.
Of the 302 participants, 168(55.6%) were males and 134(44.4%) were females. The overall mean age of the respondents was 28.46±3.03 years. The internal reliability of the questionnaire was good with a Cronbach's alpha of 0.92. The overall mean score of 93.96±20.79suggested more positive than negative perception with room for improvement. After adjusting for all important socio-demographic and residency co-variates, residency in a private hospital was positively associated with Postgraduate Hospital Educational Environment Measure score (p<0.01) compared to residency in public hospitals.
There is an urging need to standardise postgraduate training in terms of teaching, autonomy and social support in public and private hospitals of Karachi.
评估城市中心教学医院的研究生奖学金培训环境。
2014年12月至2015年6月，在卡拉奇的一家公立和两家私立教学医院开展了横断面研究。采用经过修改的《研究生医院教育环境评估量表》（一份经过验证的问卷）收集数据，通过便利抽样选取临床住院医师。使用SPSS 16进行数据分析。
302名参与者中，168名（55.6%）为男性，134名（44.4%）为女性。受访者的总体平均年龄为28.46±3.03岁。问卷的内部信度良好，克朗巴哈系数为0.92。总体平均得分为93.96±20.79，表明总体看法积极多于消极，但仍有改进空间。在对所有重要的社会人口学和住院医师协变量进行调整后，与公立医院的住院医师相比，私立医院的住院医师与《研究生医院教育环境评估量表》得分呈正相关（p<0.01）。
卡拉奇的公立和私立医院迫切需要在教学、自主权和社会支持方面规范研究生培训。
