Evaluation of the educational environment during medical residency at Hospital del Niño Dr. José Renán Esquivel of Panama, 2023
[Evaluation of the educational environment during medical residency at Hospital del Niño Dr. José Renán Esquivel of Panama, 2023]2024-08-31
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Keywords:
abiente de aprendizaje, educación médica, medidas del entorno educacional hospitalario, PHEEMKeywords:
learning environment, medical education, Measurement of the hospital educational environment, PHEEMAbstract
Objetivo Evaluar el ambiente de aprendizaje, del programa de formación de posgrado en pediatría y subespecialidades del Hospital del Niño Dr. José Renán Esquivel utilizando el cuestionario Postgraduate Hospital Educational Environment Measure (PHEEM). Método Estudio observacional, analítico, transversal. Resultados: Se aplicó el cuestionario a 46 (94%) de los 49 sujetos elegibles, 36 (78.2%) del sexo femenino. La edad promedio de los sujetos fue de 30.4 años ± 2.28 años con una mínima de 24 años y máxima de 34 años. Cuatro (8.6%) corresponden a residentes de primer año, 25 (54%) de segundo año, 9 (19%) de tercer año y 8 (17%) residentes de cuarto y quinto año. El resultado global del cuestionario fue de 97.80± 17.76 que indica un ambiente educacional más positivo que negativo con espacio para mejorar. El dominio de percepción de autonomía resultó en 35.58 ± 6.34 indicando una percepción más positiva del trabajo de cada uno, para percepción de la calidad de enseñanza fue de 36.84 ±7.89 indicando que está encaminado en la dirección correcta. La percepción de respaldo social fue de 25.36 ± 5.10 con más pros que contras. Se obtuvo una diferencia estadísticamente significativa según el año de residencia tanto en el global (p= 0.0003), autonomía (p= 0.0164), enseñanza (p= 0.001) y apoyo social (p= 0.0128), con resultados mayores en el grupo de residentes de 4to y 5to año. No hubo diferencias significativas según universidad de procedencia, centro de internado ni según sexo. Conclusiones: El PHEEM es un instrumento confiable y fácil de administrar, permite valorar el ambiente educacional en el que se desarrolla un programa de entrenamiento en un contexto asistencial.
Abstract
Objective To evaluate the learning environment of the postgraduate training program in pediatrics and subspecialties of the Hospital del Niño Dr. José Renán Esquivel using the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire. Method: Observational, analytical, cross-sectional study. Results: The questionnaire was applied to 46 (94%) of the 49 eligible subjects, 36 (78.2%) of whom were female. The mean age of the subjects was 30.4 years ± 2.28 years with a minimum of 24 years and a maximum of 34 years. Four (8.6%) corresponded to first year residents, 25 (54%) to second year residents, 9 (19%) to third year residents and 8 (17%) to fourth and fifth year residents. The overall result of the questionnaire was 97.80± 17.76 indicating a more positive than negative educational environment with room for improvement. The domain of perception of autonomy was 35.58 ± 6.34 indicating a more positive perception of one's work, for perception of teaching quality it was 36.84 ±7.89 indicating that it is heading in the right direction. The perception of social support was 25.36 ± 5.10 with more pros than cons. A statistically significant difference was obtained according to the year of residency in global (p= 0.0003), autonomy (p= 0.0164), teaching (p= 0.001) and social support (p= 0.0128), with higher results in the group of 4th and 5th year residents. There were no significant differences according to university of origin, internship center or gender. Conclusions: The PHEEM is a reliable and easy-to-administer instrument, it allows us to assess the educational environment in which a training program is developed in a healthcare context.
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