What is PHEEM?

PHEEM is the Postgraduate Hospital Educational Environment Measure, a scored forty item questionnaire that was developed in the UK by Roff et al to evaluate various aspects of the clinical learning environment for junior doctors. PHEEM scores three domains of the clinical learning environment: perceptions of autonomy; perceptions of teaching; and perceptions of social support. Psychometric testing of the PHEEM instrument in 2007 by Boor et al concluded that it is one-dimensional and does not measure three domains; however, further psychometric testing in 2009 by Riquelme et al suggests the PHEEM instrument is multi-dimensional. PHEEM has been used successfully in several countries including England, Scotland, Chile, Japan, Denmark, Brazil, and Sri Lanka.