The educational environment: Comparisons of the British and American postgraduate psychiatry training programmes in an Asian setting

Rathi MahendranDepartment of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore, Singapore; RATHI MAHENDRAN, MBBS, MMed(Psych), FAMS is a Senior Consultant Psychiatrist and Associate Professor at the Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore and Senior Consultant Psychiatrist and Associate Dean at the National University Hospital, Singapore.Correspondence[email protected]

Birit BroekmanDepartment of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore, Singapore; BIRIT BROEKMAN, MA, MD, PhD, is a Consultant Psychiatrist at the Department of Psychological Medicine, National University Hospital and a research scientist with the Singapore Institute for Clinical Sciences.

John C.M. WongDepartment of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore, Singapore; JOHN CM WONG, MBBS, MMed(Psych), MSc (Child & Adolescent Mental Health), FAMS is Head and Senior Consultant at the Department of Psychological Medicine, Vice-Chairman Medical Board (Education), National University Hospital and Associate Professor and Head, Department of Psychological Medicine, National University of Singapore.

Yew Min LaiDepartment of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore, Singapore; YEW MIN LAI, MBBS, MMed(Psych), FAMS is a Senior Consultant Psychiatrist at The Department of Psychological Medicine National University Hospital, Postgraduate Education Director in the Department of Psychological Medicine and Associate Programme Director with the National Psychiatry Residency Programme in Singapore.

Ee Heok KuaDepartment of Psychological Medicine, National University Health System and Yong Loo Lin School of Medicine, National University of Singapore, Singapore; EE HEOK KUA, MBBS, MD, FRCPsych is a Senior Consultant Psychiatrist and Professor of Psychiatry at the Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore and Senior Consultant Psychiatrist at the Department of Psychological Medicine, National University Hospital.

Abstract

Background: An American styled residency programme for postgraduate psychiatry training introduced in parallel with an existing British-styled programme in Singapore has proved challenging at various levels.

Aims: This study determined the educational environment of both programmes using the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire.

Method: All residents and trainees were invited to participate in this cross-sectional study with a self-administered PHEEM questionnaire. Statistical analysis was done using SPSS version 16.

Results: Trainees and residents perceived training as “more positive than negative with room for improvement.” The subscale score for Teaching was lowest. Residents were dissatisfied with their new structured programme. Perceptions of clinical teachers were low in both training programmes.

Conclusion: The existence of two programmes impacts the educational environment. Those involved in introducing revisions to educational programmes and curricula must attend to change management.

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The educational environment: Comparisons of the British and American postgraduate psychiatry training programmes in an Asian setting

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