“STUDENTS DREEM FROM PRE-CLINICAL TO CLINICAL YEARS – A CROSS SECTIONAL ANALYSIS FROM REHMAN MEDICAL COLLEGE, PESHAWAR.”

Authors

  • Ali Raza Rehman Medical College, Peshawar
  • Tanwir Khaliq Vice Chancellor – Pakistan Institute of Medical Sciences (PIMS) – Islamabad

DOI:

https://doi.org/10.55519/JAMC-01-9110

Abstract

Background: Educational environment is a key indicator of student learning and reflects quality of education and curriculum. With the boom of medical colleges in the private sector, parents put great stress on education and educational environment. The purpose of this study was to investigate the difference in perceptions regarding educational environment between pre-clinical and clinical year MBBS students and to determine year wise strengths and weaknesses of the MBBS program. Methods: The study utilized the cross-sectional study design and employed, “Dundee Ready Educational Environment Measure (DREEM) questionnaire. The survey included 142 pre-clinical (1st and 2nd year MBBS) and 185 clinical students (3rd to Final year MBBS). Results: The total DREEM score for the program was 119/200. Total score for pre-clinical years was 120/200 and that for clinical years was 118/200. There was no statistically significant difference between students’ perceptions of pre-clinical and clinical years. When the sub scale analysis was done, perceptions of learning (POL) (p=0.007), perceptions of teachers (POT) (p=0.003) and social self-perception (SSP) (p=0.025) scales showed statistically significant difference between pre-clinical and clinical years. Academic self-perception (ASP) and perceptions of atmosphere (POA) showed no statistically significant difference. Conclusion: About the educational environment perception students regarded it as more positive than negative. Pre-clinical students were more satisfied than clinical students except for SSP scale. Students pointed out weaknesses in the curriculum especially for teaching and learning and in the atmosphere, more so for clinical students than pre-clinical students. Findings of this study guide that emphasis shall be put on teaching development and CME activities and regular feedback mechanisms for both students and faculty members. et al. Measuring Students’ Perceptions of the Educational Climate of the New Curriculum at the Pontificia Universidad Catσlica de Chile: Performance of the Spanish Translation of the Dundee Ready Education Environment Measure (DREEM). Educ Health (Abingdon) 2009;22(1):112.

References

Genn JM. AMEE Medical Education Guide No. 23 (Part 2): Curriculum, environment, climate, quality and change in medical education – a unifying perspective. Med Teach 2001;23(5):445–54.

Pales J, Gual A, Escaneroi J, Tomás I, Rodríguez de Castro F, Elorudy M, et al. Educational climate perception by preclinical and clinical medical students in five Spanish medical schools. Int J Med Educ 2015;6:65–75.

Bakhshialiabad H, Bakhshi M, Hassanshahi G. Students’ perceptions of the academic learning environment in seven medical sciences courses based on DREEM. Adv Med Educ Pract 2015;6:195–203.

Arzuman H, Yusoff MSB, Phong S. Big Sib Students Perceptions of the Educational Environment at the School of Medical Sciences, Universiti Sains Malaysia, using Dundee Ready Educational Environment Measure (DREEM) Inventory. Malays J Med Sci 2010;17(3):40–7.

Pai PG. Medical Students’ Perception of Their Educational Environment. J Clin Diagn Res 2014;8(1):103.

Genn JM, Harden RM. What is medical education here really like? Suggestions for action research studies of climates of medical education environments. Med Teach 1986;8(2):111–24.

Roff S, McAleer S, Ifere OS, Bhattacharya S. A global diagnostic tool for measuring educational environment: comparing Nigeria and Nepal. Med Teach 2001;23(4):378–82.

Edgren G, Haffling AC, Jakobsson U, Mcaleer S, Danielsen N. Comparing the educational environment (as measured by DREEM) at two different stages of curriculum reform. Med Teach 2010;32(6):e233–8.

Cerón Mackay MC, Garbarini Crisóstomo A, Parro Fluxá J, Lavín Venegas C. Impact of curricular change on the perception of the educational environment by nursing students. Investig Educ Enferm 2015;33(1):63–72.

Shehnaz SI, Sreedharan J, Gomathi KG. Faculty and students’ perceptions of student experiences in a medical school undergoing curricular transition in the United Arab Emirates. Sultan Qaboos Univ Med J 2012;12(1):77–85.

Kohli V, Dhaliwal U. Medical students’ perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire. J Educ Eval Health Prof 2013;10:5.

Luciani E, van Dun PLS, Esteves JE, Lunghi C, Petracca M, Papa L, et al. Learning Environment, Preparedness and Satisfaction in Osteopathy in Europe: The PreSS Study. Ciccozzi M, editor. PLoS One 2015;10(6):e0129904.

Khan JS, Tabasum S, Yousafzai UK, Mukhtar O. Measuring the medical education environment in undergraduate medical colleges across Punjab, Pakistan. Biomedica 2011;27(1):14–8.

Imran N, Khalid F, Haider II, Jawaid M, Irfan M, Mahmood A, et al. Student’s perceptions of educational environment across multiple undergraduate medical institutions in Pakistan using DREEM inventory. J Pak Med Assoc 2015;65(1):24–8.

Roff S, McAleer S, Harden RM, Al-Qahtani M, Ahmed AU, Deza H, et al. Development and validation of the Dundee ready education environment measure (DREEM). Med Teach 1997;19(4):295–9.

McAleer S, Roff S. A Practical Guide to Using the Dundee Ready Educational Environment Measure (DREEM). AMEE Med Educ Guide 2001;23(5):29–33.

Rahman NI, Abd Aziz A, Zulkifli Z, Haj MA, Nasir FH, Pergalathan S, et al. Perceptions of students in different phases of medical education of the educational environment: Universiti Sultan Zainal Abidin. Adv Med Educ Pract 2015;6:211.

Miles S, Swift L, Leinster SJ. The Dundee Ready Education Environment Measure (DREEM): A review of its adoption and use. Med Teach 2012;34(9):e620–34.

Herrera C, Pacheco J, Rosso F, Cisterna C, Aichele D, Becker S, et al. Evaluation of the undergraduate educcational environmental in six Medical School in Chile. Rev Med Chile 2010;138(6):677–84.

Al-Hazimi A, Zaini R, Al-Hyiani A, Hassan N, Gunaid A, Ponnamperuma G, et al. Educational Environment in Traditional and Innovative Medical Schools: A Study in Four Undergraduate Medical Schools. Educ Health (Abingdon) 2004;17(2):192–203.

Mayya S, Roff S. Students Perceptions of Educational Environment: A Comparison of Academic Achievers and Under-Achievers at Kasturba Medical College, India. Educ Health (Abingdon) 2004;17(3):280–91.

Khan JS, Tabasum S, Yousafzai UK, Fatima M. DREEM on: validation of the dundee ready education environment measure in Pakistan. J Pak Med Assoc 2011;61(9):885–8.

Aghamolaei T, Fazel I. Medical students’ perceptions of the educational environment at an Iranian Medical Sciences University. BMC Med Educ 2010;10(1):87.

Rotthoff T, Ostapczuk MS, De Bruin J, Decking U, Schneider M, Ritz-Timme S. Assessing the learning environment of a faculty: Psychometric validation of the German version of the Dundee Ready Education Environment Measure with students and teachers. Med Teach 2011;33(11):e624–36.

Roff S. The Dundee Ready Educational Environment Measure (DREEM)—a generic instrument for measuring students’ perceptions of undergraduate health professions curricula. Med Teach 2005;27(4):322–5.

McAleer SR. What is educational climate? Med Teach 2001;23(4):333–4.

Karim J, Al-Halabi B, Marwan Y, Sadeq H, Dawas A, Al-Abdulrazzaq D. The educational environment of the undergraduate medical curriculum at Kuwait University. Adv Med Educ Pract 2015;6:297–303.

Riquelme A, Oporto M, Oporto J, Méndez JI, Viviani P, Salech F, et al. Measuring Students’ Perceptions of the Educational Climate of the New Curriculum at the Pontificia Universidad Catσlica de Chile: Performance of the Spanish Translation of the Dundee Ready Education Environment Measure (DREEM). Educ Health (Abingdon) 2009;22(1):112.

Published

2022-01-01