Assessment of postgraduate educational environment in public and private hospitals of Karachi

Objectives: to assess the environment of postgraduate fellowship training in teaching hospitals of an urban centre. methods: the cross-sectional study was conducted at one public-sector and two private-sector teaching hospitals in karachi from december 2014 to june 2015. data was collected by using a modified version of postgraduate hospital educational environment measure,a validated questionnaire,for which clinical residents were selected through convenience sampling. data was analyzed using spss 16. results: of the 302 participants,168(55.6%) were males and 134(44.4%) were females. the overall mean age of the respondents was 28.46�3.03 years. the internal reliability of the questionnaire was good with a cronbach's alpha of 0.92. the overall mean score of 93.96�20.79suggested more positive than negative perception with room for improvement. after adjusting for all important socio-demographic and residency co-variates,residency in a private hospital was positively associated with postgraduate hospital educational environment measure score (p<0.01) compared to residency in public hospitals. conclusion: there is an urging need to standardise postgraduate training in terms of teaching,autonomy and social support in public and private hospitals of karachi. � 2017,pakistan medical association. all rights reserved.