• Carolina González, Alina Ahtamon, Walter Brokering, María Catalina Budge, María José Cadagan, Pamela Jofre, Nadia Muñoz, Ximena Ocampo, Felipe Pizarro, Nakita Reyes, Pamela San-Martín, María Paz Silva, María Gabriela Ugarte, Ernesto Vega, Loreto Vergara, Francisca Yuri, Karin Kleinsteuber, María de Los Ángeles Avaria, and Arnoldo Riquelme.
• Facultad de Medicina, Universidad de los Andes, Santiago, Chile.
• Rev Med Chil. 2022 Mar 1; 150 (3): 381-390.

BackgroundThe Learning Environment (LE) influences the performance of students, learning, social life, mental health, and the future of work.AimTo assess the learning environment (LE) among medical residents of 64 specialties.Material And MethodsTwo validated instruments "Postgraduate Hospital Education Environment Measure" (PHEEM) and "Ambulatory Care Learning Educational Environment" (ACLEEM), and open questions were answered online by 1259 residents from 15 universities. A descriptive and analytical statistical analysis and semantic deductive-inductive analyses of open questions were performed.ResultsLE was positive rather than negative (PHEEM of 100.5 points (79-116) and ACLEEM of 138.5 points (120-157)). An age over 32 years, male sex, studying in a private university, being in first year of residence and being in a non-surgical specialty were associated with a better PHEEM score (p < 0.05). For ACLEEM, the first year of specialty, a non-surgical specialty and studying in a private university were associated with better scores (p < 0.05). Two programs had excellent LE (Pathological Anatomy and Ophthalmology) and no specialty had a very poor performance or many problems. Aspects of teaching, clinical activities, and teachers were strengths reported by students. Aspects to improve were teaching, protected times and clinical activities.ConclusionsLE among medical specialties had more positive than negative features, but with areas that should be improved.

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