Assessment of the Family Medicine Residency Training Environment in Guangdong, China, Based on the PHEEM: A Cross-Sectional Study.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Family Medicine Pub Date : 2025-09-17 DOI:10.22454/FamMed.2025.161161

Kangping Deng, Caipu Huang, Weiwen Liu, Xihong Liu, Junxian Wang, Zhihong Huang, Yilan Li, Ning Ma, Kunhao Wu, Yongqiang Li

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引用次数: 0

Abstract

Background and objectives: The clinical learning environment exerts a profound influence on trainees' educational outcomes and professional development. Despite its recognized importance, no validated instrument currently exists to systematically assess this environment within family medicine residency programs in the Chinese context. This study aimed to evaluate the educational environment of family medicine residents in Guangdong Province, China, and to examine the validity of the Chinese version of the Postgraduate Hospital Educational Environment Measure (PHEEM) for this population.

Methods: In this multicenter cross-sectional study, 240 residents from six hospitals were surveyed using the 40-item Chinese version of the PHEEM (scored on a 5-point Likert scale). Principal component analysis with Varimax rotation was used to identify factors (eigenvalue >1).

Results: Three domains were identified-role autonomy, teaching, and social support-explaining 63.07% of total variance. Cronbach's α was 0.966 overall; subscale α values were 0.858, 0.969, and 0.890, respectively.

Conclusions: The PHEEM shows strong internal consistency and structural validity for assessing the family medicine residency learning environment in China. Further research is recommended to confirm its broader applicability.

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基于PHEEM的广东省家庭医学住院医师培训环境评估：一项横断面研究。

背景与目的：临床学习环境对受训者的教育成果和专业发展有着深远的影响。尽管其重要性得到公认，但目前还没有有效的工具来系统地评估中国家庭医学住院医师项目中的这种环境。本研究旨在评估广东省家庭医学住院医师的教育环境，并检验中文版《研究生医院教育环境量表》（PHEEM）在该人群中的效度。方法：采用多中心横断面研究方法，对来自6家医院的240名住院医师进行问卷调查。采用Varimax旋转主成分分析识别因子（特征值>；1）。结果：角色自主、教学和社会支持三个领域解释了总方差的63.07%。Cronbach’s α为0.966；亚量表α值分别为0.858、0.969和0.890。结论：PHEEM在评估中国家庭医学住院医师学习环境方面具有较强的内部一致性和结构效度。建议进一步研究以证实其更广泛的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family Medicine 医学-医学：内科

CiteScore

2.40

自引率

21.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Family Medicine, the official journal of the Society of Teachers of Family Medicine, publishes original research, systematic reviews, narrative essays, and policy analyses relevant to the discipline of family medicine, particularly focusing on primary care medical education, health workforce policy, and health services research. Journal content is not limited to educational research from family medicine educators; and we welcome innovative, high-quality contributions from authors in a variety of specialties and academic fields.