title: The educational environment: comparisons of the British and American postgraduate psychiatry training programmes in an Asian setting.
abstract: BACKGROUND
  An American styled residency programme for postgraduate psychiatry training introduced in parallel with an existing British-styled programme in Singapore has proved challenging at various levels.
  
  
  OBJECTIVE
  This study determined the educational environment of both programmes using the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire.
  
  
  METHODS
  All residents and trainees were invited to participate in this cross-sectional study with a self-administered PHEEM questionnaire. Statistical analysis was done using SPSS version 16.
  
  
  RESULTS
  Trainees and residents perceived training as "more positive than negative with room for improvement." The subscale score for Teaching was lowest. Residents were dissatisfied with their new structured programme. Perceptions of clinical teachers were low in both training programmes.
  
  
  CONCLUSIONS
  The existence of two programmes impacts the educational environment. Those involved in introducing revisions to educational programmes and curricula must attend to change management.
authors.affiliation: Department of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore , Singapore.
authors.forename: Rathi
authors.initials: R
authors.lastname: Mahendran
authors.forename: Birit
authors.initials: B
authors.lastname: Broekman
authors.forename: John C M
authors.initials: JC
authors.lastname: Wong
authors.forename: Yew Min
authors.initials: YM
authors.lastname: Lai
authors.forename: Ee Heok
authors.initials: EH
authors.lastname: Kua
mesh_terms: D000328:Adult; D001208:Asia; D003430:Cross-Sectional Studies; D003479:Curriculum; D004777:Environment; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D017009:Professional Autonomy; D011570:Psychiatry / Q000193:education*; D012944:Social Support; D013663:Teaching; D006113:United Kingdom; D014481:United States