Nephrology Specialists and Resident’s Perception towards Training Program at Sudan Medical Specialization Board (SMSB)
Abstract
Background: Optimum learning environments (LEs) are linked with positive training outcomes for residents. However, there is few data concerning how the residents perceive the learning environments in teaching hospitals. This study aims to analyze the residents’ perceptions of their learning environments.
Methods: This cross-sectional, hospital-based study was carried out between November 2020 and January 2021, using a Postgraduate Hospital Educational Environment Measurement (PHEEM) questionnaire. Statistical analysis was conducted using SPSS 20.
Results: The total number was 45 participants, 40 of them successfully responded. The total Cronbach` s alpha score was 0.93, which reflects good reliability. The full-scale score was 128 out of 160, which indicates a good learning environment. The autonomy score was 44, the teachers' score was 50, and social support was 34. Finally, the overall mean score for females was 43.3 compared to 39.4 for males, with a P-value of 0.55. Furthermore, no significant difference in residents’ perceptions of their learning environment according to their training was observed in this study.
Conclusion: Significant challenges in the LE were identified; more attention and effort should be given, especially to the poorly rated point in this study: the existence of an informative program, clear clinical protocols, and proper setting expectations. The lowest score was for catering, housing. A high social support score indicates a healthy workplace environment and job satisfaction.
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Introduction
The presence of high-quality healthcare services is an important factors that determine patient safety within health systems. Physician training, who are the primary service providers, is one of the primary aims of the health system for the public[1] .
The educational environment has a unique contribution to the knowledge, thinking, and learning of medical students[2]. The educational environment hugely impacts the learning process, and this may have a profound effect on student's performance, their behavior, and the outcome of their learning process [3]. In general, students' success, satisfaction, and achievement have been linked to the educational environment [4]. An excellent educational environment is where teaching and learning opportunities are well planned and patient-focused with reasonable medical practices[5]
For better training, an effective training program and an encouraging educational environment where postgraduate trainees are nurtured, trained and supervised is essential. This learning environment would ultimately improve patient care [6]. Almost all of the training received by postgraduate residents is within the hospital program.
Conclusion
This result showed that it is essential for the nephrology council at SMSB to make more efforts to create an appropriate educational environment to reduce deficiencies in providing a better learning environment with more facilities and support systems. Area of weakness should be identified and follow up with a regular assessment of the educational environment using PHEEM as a means of quality control.