Validating modified PHEEM questionnaire for measuring educational environment in academic emergency departments

Mohammad Jalili, Sara Mortaz Hejri, Mina Ghalandari, Maziar Moradi-Lakeh, Azim Mirzazadeh, Susanne Roff

    Research output: Contribution to journalArticle

    19 Citations (Scopus)


    BACKGROUND: The quality of the educational environment is a key determinant in postgraduate training programs. In order to evaluate and understand this environment a valid and reliable instrument is required. The PHEEM (Postgraduate Hospital Educational Environment Measure) questionnaire is one of the most widely used tools for evaluating the perception of hospital-based residents. The aim of this study was to examine the psychometric quality of the PHEEM in the context of emergency medicine program.

    METHODS: This study evaluated the reliability, construct validity and applicability of the Persian version of the PHEEM questionnaire using a sample of emergency medicine residents from 3 emergency medicine residency programs in Iran. Eighty-nine residents were asked to complete the questionnaire and indicate their agreement with each of the 37 statements using a 5-point Likert scale(strongly disagree: 0 to strongly agree: 4). Cronbach's alpha coefficient was calculated to determine internal consistency. Confirmatory and explanatory factor analyses were performed to assess the construct validity of the original 3 subscales of the questionnaire.

    RESULTS: The mean score for the total questionnaire was 2.24 (SD: 0.06). The Cronbach's alpha value was found to be 0.86. Factor analysis did not confirm the original three subscales of the PHEEM questionnaire.

    CONCLUSION: The Persian version of PHEEM proved a reliable and practical tool for assessing clinical educational environment in emergency medicine departments.

    Original languageEnglish
    Pages (from-to)372-7
    Number of pages6
    JournalArchives of Iranian Medicine
    Issue number5
    Publication statusPublished - May 2014


    • Academic Medical Centers
    • Emergency Medicine
    • Emergency Service, Hospital
    • Female
    • Humans
    • Internship and Residency
    • Iran
    • Male
    • Questionnaires
    • Reproducibility of Results


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