Evaluation of the Clinical learning environment of Tikur Anbessa Specialized Teaching Hospital of Addis Ababa University using the Post Graduate Hospital Health Education’s Environment Measure
Background: Public universities in Ethiopia are the only available training institutions for post graduate medical education. Have inadequate resources to satisfy patients and post-graduate students; circumstances which impact educational outcomes. As a first step to informed reform, we applied the Post Graduate Hospital Education Environment (PHEEM) survey tool to identify the weaknesses and strengths of the clinical learning environment.
Objectives: To assess the post graduate clinical education environment of Internal medicine, Pediatrics, Surgery, Obstetrics and Gynecology in Tikur Anbessa Specialized Teaching Hospital.
Methods: This cross sectional study was conducted from April 1-30, 2016 using the English version of the PHEEM tool.
Results: Out of 363 residents 218 residents (60.06%) completed the questionnaire; 152 males (71.7%), and 60 females (28.3%), with 89 residents in year one (42%), 64 residents in year 2 (30.2%), 38 year 3 (17.9%) and 20 were in year 4 (20%)). Twenty-two items were rated as poor with a score of less than 2. The overall score on the three domains of PHEEM was 76.8/160, indicating significant perceived problems with the clinical learning environment, including a statistically significant difference among genders, year of residency and department of residency in the perception of the learning environment within each department with p < 0.05, p =0.002, p < 0.001 respectively.
Conclusion and recommendations: Improving the quality of duty rooms, more supervision during working hours, reducing the work load, providing better orientation of junior doctors among other reforms may improve residency.Key words: environment, PHEEM, Hospital, resident,
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