title: [Evaluation of the educational environment in medical specialty programs].
abstract: BACKGROUND
  The Postgraduate Hospital Education Environment Measure (PHEEM) questionnaire, is a valid and reliable instrument to measure the educational environment (EE) in postgraduate medical education.
  
  
  OBJECTIVE
  To evaluate the EE perceived by the residents of a postgraduate training program using the PHEEM.
  
  
  METHODS
  The PHEEM was applied in 2010-2011 in 35 specialty programs. We calculated their individual results and compared means of both global and individual domain scores of the PHEEM, by gender, university of origin and nationality. Cronbach's alpha coefficients and D study (Generalizability theory) were performed for reliability.
  
  
  RESULTS
  Three hundred eighteen residents were surveyed (75.7% of the total universe). The mean score of the PHEEM was 105.09 ± 22.46 (65.7% of the maximal score) which is considered a positive EE. The instrument is highly reliable (Cronbach's alpha = 0.934). The D study found that 15 subjects are required to obtain reliable results (G coefficient = 0.813). There were no significant differences between gender and university of origin. Foreigners evaluated better the EE than Chileans and racism was not perceived. The programs showed a safe physical environment and teachers with good clinical skills. The negative aspects perceived were a lack of information about working hours, insufficient academic counseling, and scanty time left for extracurricular activities.
  
  
  CONCLUSIONS
  This questionnaire allowed us to identify positive aspects of the EE, and areas to be improved in the specialty programs. The PHEEM is a useful instrument to evaluate the EE in Spanish-speaking participants of medical specialty programs.
authors.affiliation: Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
authors.forename: Cristian A
authors.initials: CA
authors.lastname: Herrera
authors.forename: Trinidad
authors.initials: T
authors.lastname: Olivos
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Román
authors.forename: Antonia
authors.initials: A
authors.lastname: Larraín
authors.forename: Margarita
authors.initials: M
authors.lastname: Pizarro
authors.forename: Nancy
authors.initials: N
authors.lastname: Solís
authors.forename: Alberto
authors.initials: A
authors.lastname: Sarfatis
authors.forename: Patricio
authors.initials: P
authors.lastname: Torres
authors.forename: Oslando
authors.initials: O
authors.lastname: Padilla
authors.forename: Catalina
authors.initials: C
authors.lastname: Le Roy
authors.forename: Arnoldo
authors.initials: A
authors.lastname: Riquelme
mesh_terms: D001938:Brazil; D004503:Education, Medical, Graduate / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012931:Social Environment; D011795:Surveys and Questionnaires / Q000592:standards*