{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:58:34Z","timestamp":1788184714594,"version":"build-2803163510"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"DOI":"10.1186\/s12909-025-07435-w","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T07:51:15Z","timestamp":1751356275000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Revamping the educational environment and engagement: How ACGME-I accreditation transforming training programs in Qatar"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0319-5109","authenticated-orcid":false,"given":"Shireen","family":"Suliman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas Aadel","family":"Kalfah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muthusamy Thevar Sevugapandian Vija","family":"Jeganath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdalla","family":"Alsaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Robert","family":"Mills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen Jennifer","family":"Al-Aamri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Husameldin Mohamed Ali","family":"Rudwan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3737-8253","authenticated-orcid":false,"given":"Abdullatif","family":"Al-Khal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"7435_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1472-6920-14-119","volume":"14","author":"C Degen","year":"2014","unstructured":"Degen C, Weigl M, Glaser J, Li J, Angerer P. The impact of training and working conditions on junior doctors\u2019 intention to leave clinical practice. BMC Med Educ. 2014;14:1\u20139. https:\/\/doi.org\/10.1186\/1472-6920-14-119.","journal-title":"BMC Med Educ"},{"issue":"5","key":"7435_CR2","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1097\/ACM.0000000000003912","volume":"96","author":"S Corgan","year":"2021","unstructured":"Corgan S, Ford Winkel A, Sugarman R, Young JQ. From burnout to wholehearted engagement: A qualitative exploration of psychiatry residents\u2019 experience of stress. Acad Med. 2021;96(5):709\u201317. https:\/\/doi.org\/10.1097\/ACM.0000000000003912.","journal-title":"Acad Med"},{"issue":"2010","key":"7435_CR3","first-page":"10","volume":"12","author":"WB Schaufeli","year":"2010","unstructured":"Schaufeli WB, Bakker AB. Defining and measuring work engagement: bringing clarity to the concept. Work Engagement: Handb Essent Theory Res. 2010;12(2010):10\u201324.","journal-title":"Work Engagement: Handb Essent Theory Res"},{"issue":"1","key":"7435_CR4","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1080\/09585190701763982","volume":"19","author":"M Salanova","year":"2008","unstructured":"Salanova M, Schaufeli WB. A cross-national study of work engagement as a mediator between job resources and proactive behaviour. Int J Hum Resour Man. 2008;19(1):116\u201331. https:\/\/doi.org\/10.1080\/09585190701763982.","journal-title":"Int J Hum Resour Man"},{"issue":"3","key":"7435_CR5","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1002\/job.248","volume":"25","author":"WB Schaufeli","year":"2004","unstructured":"Schaufeli WB, Arnold B. Bakker. job demands, job resources, and their relationship with burnout and engagement: A Multi-sample study. J Organ Behav. 2004;25(3):293\u2013315. https:\/\/doi.org\/10.1002\/job.248.","journal-title":"J Organ Behav"},{"key":"7435_CR6","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1007\/s40037-017-0364-y","volume":"6","author":"H Verweij","year":"2017","unstructured":"Verweij H, van Hooff ML, van der Heijden FM, Prins JT, Lagro-Janssen AL, van Ravesteijn H, Speckens AE. The relationship between work and home characteristics and work engagement in medical residents. Perspect Med Educ. 2017;6:227\u201336. https:\/\/doi.org\/10.1007\/s40037-017-0364-y.","journal-title":"Perspect Med Educ"},{"key":"7435_CR7","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s40596-015-0459-x","volume":"40","author":"G Agarwal","year":"2016","unstructured":"Agarwal G, Karpouzian T. An exploratory analysis of work engagement, satisfaction, and depression in psychiatry residents. Acad Psychiatry. 2016;40:85\u20138. https:\/\/doi.org\/10.1007\/s40596-015-0459-x.","journal-title":"Acad Psychiatry"},{"key":"7435_CR8","doi-asserted-by":"publisher","unstructured":"Bakker AB, Demerouti E, Sanz-Vergel AI. Burnout and work engagement: The JD\u2013R approach. Annu Rev Organ Psychol Organ Behav. 2014; 389\u2013411. https:\/\/doi.org\/10.1146\/annurev-orgpsych-031413-091235","DOI":"10.1146\/annurev-orgpsych-031413-091235"},{"issue":"11","key":"7435_CR9","doi-asserted-by":"publisher","first-page":"1110","DOI":"10.1080\/0142159X.2017.1359522","volume":"39","author":"JW van den Berg","year":"2017","unstructured":"van den Berg JW, Mastenbroek NJ, Scheepers RA, Jaarsma AD. Work engagement in health professions education. Med Teach. 2017;39(11):1110\u20138. https:\/\/doi.org\/10.1080\/0142159X.2017.1359522.","journal-title":"Med Teach"},{"key":"7435_CR10","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s10459-014-9538-0","volume":"20","author":"RA Scheepers","year":"2015","unstructured":"Scheepers RA, Arah OA, Heineman MJ, Lombarts KM. In the eyes of residents good supervisors need to be more than engaged physicians: the relevance of teacher work engagement in residency training. Adv Health Sci Educ. 2015;20:441\u201355. https:\/\/doi.org\/10.1007\/s10459-014-9538-0.","journal-title":"Adv Health Sci Educ"},{"issue":"16","key":"7435_CR11","doi-asserted-by":"publisher","first-page":"1687","DOI":"10.1001\/jama.2013.193","volume":"309","author":"KB Weiss","year":"2013","unstructured":"Weiss KB, Bagian JP, Nasca TJ. The clinical learning environment: the foundation of graduate medical education. JAMA. 2013;309(16):1687\u20138. https:\/\/doi.org\/10.1001\/jama.2013.193.","journal-title":"JAMA"},{"issue":"6","key":"7435_CR12","doi-asserted-by":"publisher","first-page":"e184","DOI":"10.1080\/01421590701288580","volume":"29","author":"M Clapham","year":"2007","unstructured":"Clapham M, Wall D, Batchelor A. Educational environment in intensive care medicine \u2013 Use of postgraduate hospital educational environment measure (PHEEM). Med Teach. 2007;29(6):e184\u201391. https:\/\/doi.org\/10.1080\/01421590701288580.","journal-title":"Med Teach"},{"key":"7435_CR13","doi-asserted-by":"publisher","first-page":"1120","DOI":"10.1097\/00001888-200411000-00025","volume":"79","author":"MD Delva","year":"2004","unstructured":"Delva MD, Kirby J, Schultz K, Godwin M. Assessing the relationship of learning approaches to workplace climate in clerkship and residency. Acad Med. 2004;79:1120\u20136. https:\/\/doi.org\/10.1097\/00001888-200411000-00025.","journal-title":"Acad Med"},{"key":"7435_CR14","doi-asserted-by":"publisher","first-page":"637","DOI":"10.2147\/ijgm.s45336","volume":"6","author":"T Shimizu","year":"2013","unstructured":"Shimizu T, Tsugawa Y, Tanoue Y, et al. The hospital educational environment and performance of residents in the general medicine In-Training examination: A multicenter study in Japan. Int J Gen Med. 2013;6:637\u201340. https:\/\/doi.org\/10.2147\/ijgm.s45336.","journal-title":"Int J Gen Med"},{"key":"7435_CR15","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1111\/j.1365-2923.2008.03282.x","volume":"43","author":"LN Dyrbye","year":"2009","unstructured":"Dyrbye LN, Thomas MR, Harper W, et al. The learning environment and medical student burnout: A multicentre study. Med Educ. 2009;43:274\u201382. https:\/\/doi.org\/10.1111\/j.1365-2923.2008.03282.x.","journal-title":"Med Educ"},{"issue":"2","key":"7435_CR16","doi-asserted-by":"publisher","first-page":"237","DOI":"10.4300\/jgme-d-24-00150.1","volume":"16","author":"JA Arrighi","year":"2024","unstructured":"Arrighi JA, Lewis LC, Nasca TJ. The role of ACGME international in enhancing opportunities of residents for advanced subspecialty training. J Grad Med Educ. 2024;16(2):237\u201340. https:\/\/doi.org\/10.4300\/jgme-d-24-00150.1.","journal-title":"J Grad Med Educ"},{"key":"7435_CR17","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1080\/01421590500150874","volume":"27","author":"S Roff","year":"2005","unstructured":"Roff S, McAleer S, Skinner A. Development and validation of an instrument to measure the postgraduate clinical learning and teaching educational environment for hospital-based junior Doctors in the UK. Med Teach. 2005;27:326\u201331. https:\/\/doi.org\/10.1080\/01421590500150874.","journal-title":"Med Teach"},{"key":"7435_CR18","doi-asserted-by":"publisher","unstructured":"Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire: a cross-national study. Educ Psychol Meas. 2006;66:701\u201316. https:\/\/doi.org\/10.1177\/0013164405282471.","DOI":"10.1177\/0013164405282471"},{"issue":"2","key":"7435_CR19","doi-asserted-by":"publisher","first-page":"26","DOI":"10.7748\/nm.2017.e1553","volume":"24","author":"M O\u2019Connor","year":"2017","unstructured":"O\u2019Connor M, Cotrel-Gibbons L, World, Caf\u00e9. A proactive approach to working with mentors. Nurs Manag (Harrow). 2017;24(2):26\u20139. https:\/\/doi.org\/10.7748\/nm.2017.e1553.","journal-title":"Nurs Manag (Harrow)"},{"key":"7435_CR20","volume-title":"Qualitative research and evaluation methods","author":"MQ Patton","year":"2002","unstructured":"Patton MQ. Qualitative research and evaluation methods. Volume 4. Thousand Oaks (CA): Sage; 2002."},{"key":"7435_CR21","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/BF00988593","volume":"13","author":"JM Corbin","year":"1990","unstructured":"Corbin JM, Strauss A. Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol. 1990;13:3\u201321. https:\/\/doi.org\/10.1007\/BF00988593.","journal-title":"Qual Sociol"},{"issue":"4 Suppl","key":"7435_CR22","doi-asserted-by":"publisher","first-page":"213","DOI":"10.4300\/JGME-D-19-00429","volume":"11","author":"KD Holt","year":"2019","unstructured":"Holt KD, Miller RS, Byrne LM, Day SH. The positive effects of accreditation on graduate medical education programs in Singapore. J Grad Med Educ. 2019;11(4 Suppl):213\u20137. https:\/\/doi.org\/10.4300\/JGME-D-19-00429.","journal-title":"J Grad Med Educ"},{"issue":"1","key":"7435_CR23","doi-asserted-by":"publisher","first-page":"5","DOI":"10.5847\/wjem.j.1920-8642.2018.01.001","volume":"9","author":"A Aalam","year":"2018","unstructured":"Aalam A, Zocchi M, Alyami K, Shalabi A, Bakhsh A, Alsufyani A, Sabbagh A, Alshahrani M, Pines JM. Perceptions of emergency medicine residents on the quality of residency training in the united States and Saudi Arabia. World J Emerg Med. 2018;9(1):5\u201312. https:\/\/doi.org\/10.5847\/wjem.j.1920-8642.2018.01.001.","journal-title":"World J Emerg Med"},{"issue":"3","key":"7435_CR24","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1007\/s10459-005-8555-4","volume":"11","author":"DJ Davis","year":"2006","unstructured":"Davis DJ, Ringsted C. Accreditation of undergraduate and graduate medical education: how do the standards contribute to quality? Adv Health Sci Educ Theory Pract. 2006;11(3):305\u201313. https:\/\/doi.org\/10.1007\/s10459-005-8555-4.","journal-title":"Adv Health Sci Educ Theory Pract"},{"issue":"4 Suppl","key":"7435_CR25","doi-asserted-by":"publisher","first-page":"5","DOI":"10.4300\/JGME-D-19-00432","volume":"11","author":"SH Day","year":"2019","unstructured":"Day SH, Nasca TJ. ACGME international: the first 10 years. J Grad Med Educ. 2019;11(4 Suppl):5\u20139. https:\/\/doi.org\/10.4300\/JGME-D-19-00432.","journal-title":"J Grad Med Educ"},{"issue":"4","key":"7435_CR26","doi-asserted-by":"publisher","first-page":"434","DOI":"10.4300\/JGME-D-11-00193.1","volume":"4","author":"B Clyne","year":"2012","unstructured":"Clyne B, Smith JL, Napoli AM. Influence of clinical experience and productivity on emergency medicine faculty teaching scores. J Grad Med Educ. 2012;4(4):434\u20137. https:\/\/doi.org\/10.4300\/JGME-D-11-00193.1.","journal-title":"J Grad Med Educ"},{"issue":"6","key":"7435_CR27","doi-asserted-by":"publisher","first-page":"e0197276","DOI":"10.1371\/journal.pone.0197276","volume":"13","author":"LC Dominguez","year":"2018","unstructured":"Dominguez LC, Stassen L, de Grave W, Sanabria A, Alfonso E, Dolmans D. Taking control: is job crafting related to the intention to leave surgical training? PLoS ONE. 2018;13(6):e0197276. https:\/\/doi.org\/10.1371\/journal.pone.0197276.","journal-title":"PLoS ONE"},{"key":"7435_CR28","doi-asserted-by":"publisher","first-page":"279","DOI":"10.5271\/sjweh.615","volume":"27","author":"E Demerouti","year":"2001","unstructured":"Demerouti E, Bakker AB, De Jonge J, Janssen PP. Burnout and engagement at work as a function of demands and control. Scand J Work Environ Health Scand J Work Environ Health. 2001;27:279\u201386. http:\/\/www.jstor.org\/stable\/40967145.","journal-title":"Scand J Work Environ Health Scand J Work Environ Health"},{"key":"7435_CR29","doi-asserted-by":"publisher","DOI":"10.31478\/201811a","author":"K Chappell","year":"2018","unstructured":"Chappell K, Holmboe E, Wall JR. The role of health care profession accreditors in promoting health and well-being across the learning continuum. Natl Acad Med. 2018. https:\/\/doi.org\/10.31478\/201811a.","journal-title":"Natl Acad Med"},{"key":"7435_CR30","unstructured":"https:\/\/www.acgme-i.org\/globalassets\/acgme-international\/specialties\/common\/foundinternationalresidency.pdf"},{"key":"7435_CR31","doi-asserted-by":"publisher","first-page":"2561","DOI":"10.2147\/PRBM.S383292","volume":"15","author":"A Fute","year":"2022","unstructured":"Fute A, Sun B, Oubibi M. Assessing teaching compassion, work engagement and compassion fatigue among teachers during the pandemic. Psychol Res Behav Manag. 2022;15:2561\u201371. https:\/\/doi.org\/10.2147\/PRBM.S383292.","journal-title":"Psychol Res Behav Manag"},{"issue":"2","key":"7435_CR32","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/s10459-018-9868-4","volume":"24","author":"LSS Lases","year":"2019","unstructured":"Lases LSS, Arah OA, Busch ORC, Heineman MJ, Lombarts KMJMH. Learning climate positively influences residents\u2019 work-related well-being. Adv Health Sci Educ Theory Pract. 2019;24(2):317\u201330. https:\/\/doi.org\/10.1007\/s10459-018-9868-4.","journal-title":"Adv Health Sci Educ Theory Pract"},{"issue":"1","key":"7435_CR33","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1186\/s12909-018-1411-z","volume":"18","author":"JW van den Berg","year":"2018","unstructured":"van den Berg JW, Verberg CPM, Scherpbier AJJA, Jaarsma ADC, Arah OA, Lombarts KMJMH. Faculty\u2019s work engagement in patient care: impact on job crafting of the teacher tasks. BMC Med Educ. 2018;18(1):312. https:\/\/doi.org\/10.1186\/s12909-018-1411-z. PMID: 30567540; PMCID: PMC6300023.","journal-title":"BMC Med Educ"},{"key":"7435_CR34","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1108\/13665620810892067","volume":"20","author":"S Akkerman","year":"2008","unstructured":"Akkerman S, Petter C, de Laat M. Organising communities-of\u2010practice: facilitating emergence. J Workplace Learn. 2008;20:383\u201399.","journal-title":"J Workplace Learn"},{"key":"7435_CR35","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1111\/j.1464-0597.2008.00336.x","volume":"58","author":"FD Belschak","year":"2009","unstructured":"Belschak FD, Den Hartog DN. Consequences of positive and negative feedback: the impact on emotions and extra-role behaviors. Appl Psychol. 2009;58:274\u2013303. https:\/\/doi.org\/10.1111\/j.1464-0597.2008.00336.x.","journal-title":"Appl Psychol"},{"issue":"5\u20136","key":"7435_CR36","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1007\/s40037-013-0080-1","volume":"2","author":"BAM van den Berg","year":"2013","unstructured":"van den Berg BAM, Bakker AB, Ten Cate TJ. Key factors in work engagement and job motivation of teaching faculty at a university medical centre. Perspect Med Educ. 2013;2(5\u20136):264\u201375. https:\/\/doi.org\/10.1007\/s40037-013-0080-1.","journal-title":"Perspect Med Educ"},{"key":"7435_CR37","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/j.jsp.2005.11.001","volume":"43","author":"JJ Hakanen","year":"2006","unstructured":"Hakanen JJ, Bakker AB, Schaufeli WB. Burnout and work engagement among teachers. J Sch Psychol. 2006;43:495\u2013513. https:\/\/doi.org\/10.1016\/j.jsp.2005.11.001.","journal-title":"J Sch Psychol"},{"issue":"1","key":"7435_CR38","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1080\/1359432X.2010.546711","volume":"20","author":"AB Bakker","year":"2011","unstructured":"Bakker AB, Albrecht SL, Leiter MP. Work engagement: further reflections on the state of play. Eur J Work Organizational Psychol. 2011;20(1):74\u201388. https:\/\/doi.org\/10.1080\/1359432X.2010.546711.","journal-title":"Eur J Work Organizational Psychol"},{"key":"7435_CR39","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.apnr.2017.05.012","volume":"36","author":"A Orgamb\u00eddez-Ramos","year":"2017","unstructured":"Orgamb\u00eddez-Ramos A, de Almeida H. Work engagement, social support, and job satisfaction in Portuguese nursing staff: A winning combination. Appl Nurs Res. 2017;36:37\u201341. https:\/\/doi.org\/10.1016\/j.apnr.2017.05.012.","journal-title":"Appl Nurs Res"},{"issue":"2","key":"7435_CR40","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1037\/0022-3514.60.2.307","volume":"60","author":"DL Paulhus","year":"1991","unstructured":"Paulhus DL, Reid DB. Enhancement and denial in socially desirable responding. J Pers Soc Psychol. 1991;60(2):307. https:\/\/doi.org\/10.1037\/0022-3514.60.2.307.","journal-title":"J Pers Soc Psychol"}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-025-07435-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-025-07435-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-025-07435-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T07:51:18Z","timestamp":1751356278000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmededuc.biomedcentral.com\/articles\/10.1186\/s12909-025-07435-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["7435"],"URL":"https:\/\/doi.org\/10.1186\/s12909-025-07435-w","relation":{},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,1]]},"assertion":[{"value":"7 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study received expedited ethical approval by Hamad Medical Corporation Ethical Review Boards; HMC- MRC-01-23-684.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"983"}}