Educational environment of university and nonuniversity hospitals in Japan

被引：12

作者：

Tokuda, Yasuharu ^{[1
]}

Goto, Eiji ^{[2
]}

Otaki, Junji ^{[3
]}

Jacobs, Joshua ^{[4
]}

Omata, Fumio ^{[5
]}

Shapiro, Mina ^{[5
]}

Soejima, Kumiko ^{[5
]}

Ishida, Yasushi ^{[5
]}

Ohde, Sachiko ^{[5
]}

Takahashi, Osamu ^{[5
]}

Fukui, Tsuguya ^{[5
]}

机构：

[1] Univ Tsukuba, Inst Clin Med, Tsukuba, Ibaraki, Japan

[2] Yokohama City Univ, Grad Sch Med Sci, Dept Med Educ & Behav Med, Yokohama, Kanagawa, Japan

[3] Tokyo Med Univ, Dept Med Educ, Tokyo, Japan

[4] Univ Hawaii, John A Burns Sch Med, Honolulu, HI 96822 USA

[5] St Lukes Int Hosp, St Lukes Life Sci Inst, Ctr Clin Epidemiol, Tokyo, Japan

来源：

INTERNATIONAL JOURNAL OF MEDICAL EDUCATION | 2010年 / 1卷

关键词：

Educational environment; postgraduate medical education; university hospital;

D O I：

10.5116/ijme.4ba1.4034

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Objectives: The greater satisfaction of residents in nonuniversity hospitals in Japan found in a previous survey may reflect a better educational environment in these hospitals compared to university hospitals. We aimed to compare the educational environment of university hospitals and nonuniversity hospitals. Methods: A cross-sectional survey was sent to 6725 1styear resident physicians. The Postgraduate Hospital Educational Environment Measure (PHEEM) was used as a reliable and validated instrument to evaluate the educational environment of teaching hospitals. Results: A total of 2429 PGY-1 physicians-in-training (38% women) completed the questionnaire (response rate, 36%). The mean total scores on the PHEEM ranged from 77 to 125 (mean, 99) for 80 university hospitals, and from 46 to 149 (mean, 102) for 255 non-university hospitals. The PHEEM score was significantly higher for non-university hospitals compared to university hospitals (p= 0.001). Among the top ten of hospitals with the greatest scores, there were nine non-university hospitals but only one university hospital. Conclusions: The difference in educational environment may explain the greater satisfaction of non-university residents in Japan and account for the massive shift of residents from university to non-university hospitals after introduction of the new postgraduate medical education program in Japan.

引用

页码：10 / 14

页数：5

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