Skip to main content

Advertisement

Log in

The Educational Environment Is Warming Up: Response to Changes in a Component of a Medical Curriculum

  • Original Research
  • Published:
Medical Science Educator Aims and scope Submit manuscript

This article has been updated

Abstract

Introduction

The Dundee Ready Educational Environment Measure (DREEM) is a valid instrument to evaluate the educational environment of institutions. This quantitative study aimed to discover if applying interactive educational approaches to a component of a traditionally taught medical curriculum improved the educational environment, as measured by the DREEM.

Methods

The bilingual Arabic-English DREEM questionnaire was distributed twice to all third-year medical students (273 students) at the Hashemite University in Jordan. The first data collection occurred at the completion of a traditionally taught component of the Neurology module and the second data collection at the end of an interactively taught component of the same module. A paired t-test was used to compare the results.

Results

The total DREEM score for the innovative interactive course was 120.04/200 (from 183 questionnaires) and for the traditionally taught course was 114.69/200 (from 198 questionnaires). Of the five DREEM sub-scales, the interactive course scored statistically significantly higher than the traditionally taught course for “perceptions of learning” and “perceptions of atmosphere” (p-value 0.013 and 0.011, respectively). The interactively taught course was particularly valued by students for being participative, student-centered, and developing their professional competence. The lowest scoring item for both courses was “there is a good support system for students who get stressed.”

Discussion

This study demonstrated that students value interactive learning environments and that there is benefit in introducing these components to a traditionally taught medical curriculum, when it may not be feasible to bring innovation to the entire medical curriculum due to resource constraints.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Availability of Data and Material

The datasets generated and analyzed during the current study are available in the Mendeley Data Repository.

Change history

  • 21 November 2021

    The author's contact address was updated.

References

  1. Genn J. AMEE Medical Education Guide No. 23 (Part 1): Curriculum, environment, climate, quality and change in medical education-a unifying perspective. Med Teach. 2001;23:337–44.

  2. Roff S, McAleer S. What is educational climate? Med Teach. 2001;23(4):333–4.

    Article  Google Scholar 

  3. Abraham R, Ramnarayan K, Vindo P, Torke S. Students’ perceptions of learning environment in an Indian medical school. BMC Med Educ. 2008;8:20.

    Article  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. Roff S, McAleer S, Harden R, Al-Qahtani M, Uddin A, Deza H, et al. Development and validation of the Dundee Ready Education Environment Measure (DREEM). Med Teach. 1997;19(4):295–9.

    Article  Google Scholar 

  6. Ojuka D, Aseta F, Githambo B, Wambua B. The Medical Education Environment at the University of Nairobi, Kenya: an assessment with the DREEM tool. Ann Afr Surg. 2021;18(2):96–102.

    Article  Google Scholar 

  7. Schubiger M, Lechthaler F, Khamidova M, Parfitt B, Prytherch H, van Twillert E, Wyss K. Informing the medical education reform in Tajikistan: evidence on the learning environment at two nursing colleges. BMC Med Ed. 2019;19(1):1–9.

    Google Scholar 

  8. Akdeniz M, Kavukcu E, Ilhanlı N. DREEM in primary care: students’ perspectives on educational environment of family medicine internship in primary care centres: experiences at Akdeniz University Faculty of Medicine in Turkey. Postgrad Med. 2019;131(6):397–404.

    Article  Google Scholar 

  9. Ahn Y, Hu W. Evaluation of the educational environment at a graduate medical school in South Korea using the DREEM Questionnaire. Med Ed Publish. 2019;8.

  10. Al-Hazimi A, Al-Hyiani A, Roff S. Perceptions of the educational environment of the medical school in King Abdul Aziz University. Saudi Arabia Med Teach. 2004;26(6):570–3.

    Google Scholar 

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

    Article  Google Scholar 

  12. Rukban M, Khalil M, Al-Zalabani A. Learning environment in medical schools adopting different educational strategies. Educ Research Reviews. 2010;5(3):126–9.

    Google Scholar 

  13. Varma R, Tiyagi E, Gupta J. Determining the quality of educational climate across multiple undergraduate teaching sites using the DREEM inventory. BMC Med Educ. 2005;5(1):8.

    Article  Google Scholar 

  14. Zawawi A, Elzubeir M. Using DREEM to compare graduating students’ perceptions of learning environments at medical schools adopting contrasting educational strategies. Med Teach. 2017;34(Suppl 1):25–31.

    Google Scholar 

  15. Dennick R, Exley K. Tomorrow’s doctors today: innovations in medical teaching and learning – responding to the challenge of tomorrow’s doctors. Biochem Educ. 1997;25(1):6–11.

    Article  Google Scholar 

  16. Barrows H. Problem-based learning in medicine and beyond: a brief overview. New Direc Teach Learn. 1996;68:3–12.

    Article  Google Scholar 

  17. Barakat H. The Arab World: Society, Culture and State. Berkeley: University of California Press; 1993.

    Google Scholar 

  18. Alazzi K. Teachers’ perceptions of critical thinking: a study of Jordanian secondary school social studies teachers. Social Studies. 2008;99(6):243–8.

    Article  Google Scholar 

  19. Al-Ayed I, Sheik S. Assessment of the educational environment at the College of Medicine of King Saud University. Riyadh Eastern Mediterr Health J. 2008;14(4):953–9.

    Google Scholar 

  20. Swift L, Miles S, Leinster S. The analysis and reporting of the Dundee Ready Education Environment Measure (DREEM): some informed guidelines for evaluators. Creat Educ. 2013;4(5):340–7.

    Article  Google Scholar 

  21. Vaughan B, Carter A, Macfarlane C, Morrison T. The DREEM, part 1: measurement of the educational environment in an osteopathy teaching program. BMC Med Ed. 2014;14:99.

    Article  Google Scholar 

  22. Fidelma D, McAleer S, Roff S. Assessment of the undergraduate medical education environment in a large UK medical school. Health Educ J. 2006;65(2):149–58.

    Article  Google Scholar 

  23. Edgren G, Haffling A, 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. https://doi.org/10.3109/01421591003706282.

    Article  Google Scholar 

  24. Miles S, Leinster S. Medical students’ perceptions of their educational environment: Expected versus actual perceptions. Med Educ. 2007;41(3):265–72.

    Article  Google Scholar 

  25. 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. 2004;17(2):192–203.

    Article  Google Scholar 

  26. Shehnaz S, Sreedharan J, Gomathi K. 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.

    Article  Google Scholar 

  27. dos Santos Fernandes D, Taquette S, Rodrigues N. The educational environment of a traditional public school of medicine in Brazil with the DREEM questionnaire. Med  Ed Publish. 2019;8.

  28. Abbas M, Salih K, Elhassan K, Ishag M, Alfaifi J, Eledum H. Measurement of the educational environment of an innovative, undergraduate medical program in the Kingdom of Saudi Arabia using DREEM. Int Jour Med Dev Coun. 2020;4(11):1734–7.

    Google Scholar 

  29. Hasan T, Gupta P. Assessing the learning environment at Jazan medical school of Saudi Arabia. Med Teach. 2013;35(Suppl 1):90–6.

    Article  Google Scholar 

  30. Atwa H, Alkhadragy R, Abdelaziz A. Medical students’ perception of the educational environment in a gender-segregated undergraduate program. J Med Edu. 2020;19(3):e104934.

  31. 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.

    Google Scholar 

  32. Helal R, El-Masry R, El-Gilany A. Quality of educational environment among Egyptian medical students using DREEM questionnaire. World J Med Educ Res. 2013;3(1):6–14.

    Google Scholar 

  33. Van De Ridder J, Stokking K, McGaghie W, Ten Cate O. What is feedback in clinical education? Med Ed. 2008;42(2):189–97.

    Article  Google Scholar 

  34. Bonwell C, Eison J. Active learning: creating excitement in the classroom AEHE-ERIC Higher Education Report No. 1. Washington D.C.: Jossey-Bass; 1991.

  35. Ausubel DP. The acquisition and retention of knowledge: a cognitive view. Dordrecht: Kluwer Academic Publishers; 2000.

    Book  Google Scholar 

  36. Yoo D, Kim D. The relationship between students’ perception of the educational environment and their subjective happiness. BMC Med Ed. 2019;19(1):1–10.

    Google Scholar 

Download references

Acknowledgements

The authors wish to acknowledge Professor Ibrahim AlAyed, College of Medicine, King Saud University, Saudi Arabia, for providing the Arabic-English DREEM questionnaire.

Author information

Authors and Affiliations

Authors

Contributions

Together KM and AA conceived and designed the study. AA was the major contributor in gathering the data. MY was the major contributor in analyzing and interpreting the data. KM was the major contributor in writing and editing the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Katherine Miles.

Ethics declarations

Ethics Approval and Consent to Participate

The study proposal was submitted to the Hashemite University Ethics Committee which concluded that the study could be conducted without formal approval since the study did not include interventions on human subjects and consent to participate was obtained by participants signing a consent form.

Conflicts of Interests

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Research was conducted at the Faculty of Medicine, The Hashemite University, Zarqa, Jordan.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 271 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Miles, K., Al-Shudifat, AE. & Yousuf, M.S. The Educational Environment Is Warming Up: Response to Changes in a Component of a Medical Curriculum. Med.Sci.Educ. 31, 1677–1684 (2021). https://doi.org/10.1007/s40670-021-01359-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40670-021-01359-y

Keywords

Navigation