Initial Development of Items
We identified The Surgical Learning Educational Environment Measure (9)
and used this as a starting point in the development of our instrument.
This questionnaire developed by Cassar was principally aimed at basic
surgical trainees, we therefore removed the items that are less relevant
to higher surgical trainees. Further changes were made after reviewing
the Anaesthetic Theatre Educational Environment Measure (8), the
Postgraduate Hospital Education Environment Measure (7) and the Dundee
Ready Education Environment Measure (10). The initial items for
inclusion in our own questionnaire were then put through a validation
process initially with a focus group.