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      Medical students’ satisfaction with the Applied Basic Clinical Seminar with Scenarios for Students, a novel simulation-based learning method in Greece

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          Abstract

          Purpose:

          The integration of simulation-based learning (SBL) methods holds promise for improving the medical education system in Greece. The Applied Basic Clinical Seminar with Scenarios for Students (ABCS3) is a novel two-day SBL course that was designed by the Scientific Society of Hellenic Medical Students. The ABCS3 targeted undergraduate medical students and consisted of three core components: the case-based lectures, the ABCDE hands-on station, and the simulation-based clinical scenarios. The purpose of this study was to evaluate the general educational environment of the course, as well as the skills and knowledge acquired by the participants.

          Methods:

          Two sets of questions were distributed to the participants: the Dundee Ready Educational Environment Measure (DREEM) questionnaire and an internally designed feedback questionnaire (InEv). A multiple-choice examination was also distributed prior to the course and following its completion. A total of 176 participants answered the DREEM questionnaire, 56 the InEv, and 60 the MCQs.

          Results:

          The overall DREEM score was 144.61 (±28.05) out of 200. Delegates who participated in both the case-based lectures and the interactive scenarios core components scored higher than those who only completed the case-based lecture session (P=0.038). The mean overall feedback score was 4.12 (±0.56) out of 5. Students scored significantly higher on the post-test than on the pre-test (P<0.001).

          Conclusion:

          The ABCS3 was found to be an effective SBL program, as medical students reported positive opinions about their experiences and exhibited improvements in their clinical knowledge and skills.

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          Most cited references15

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          The Dundee Ready Education Environment Measure (DREEM): a review of its adoption and use.

          The Dundee Ready Education Environment Measure (DREEM) was published in 1997 as a tool to evaluate educational environments of medical schools and other health training settings and a recent review concluded that it was the most suitable such instrument. This study aimed to review the settings and purposes to which the DREEM has been applied and the approaches used to analyse and report it, with a view to guiding future users towards appropriate methodology. A systematic literature review was conducted using the Web of Knowledge databases of all articles reporting DREEM data between 1997 and 4 January 2011. The review found 40 publications, using data from 20 countries. DREEM is used in evaluation for diagnostic purposes, comparison between different groups and comparison with ideal/expected scores. A variety of non-parametric and parametric statistical methods have been applied, but their use is inconsistent. DREEM has been used internationally for different purposes and is regarded as a useful tool by users. However, reporting and analysis differs between publications. This lack of uniformity makes comparison between institutions difficult. Most users of DREEM are not statisticians and there is a need for informed guidelines on its reporting and statistical analysis.
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            Linking simulation-based educational assessments and patient-related outcomes: a systematic review and meta-analysis.

            To examine the evidence supporting the use of simulation-based assessments as surrogates for patient-related outcomes assessed in the workplace.
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              Medical students’ perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire

              Purpose: The objective of this study was to assess student perceptions of the environment in this medical college using the Dundee Ready Educational Environment Measure (DREEM). Methods: Cross-sectional study; 348 medical student volunteers (68.1%) of all semesters participated (511 enrolled). DREEM has 50 items, each rated from 0–4 (Likert scale: 0, strongly disagree to 4, strongly agree), that measure five domains: students’ perceptions of learning; perceptions of teachers; academic self-perception; perceptions of the atmosphere; and social self-perception. Mean item scores, domain scores, and global scores were computed. Results: The three highest rated items were knowledgeable teachers, having good friends, and confidence about passing; the three most problematic items were a poor support system for stressed students, inability to memorize everything, and over-emphasis on factual learning. The percentage score for perception of learning (47.26± 14.85) was significantly lower than that for teachers (52.28± 9.91; P< 0.001); academic self-perception (52.14 ± 15.21; P < 0.001); perception of the atmosphere (51.21 ± 13.60; P = 0.001); and social self-perception (50.63± 13.90; P= 0.010). The global scores were lowest for eighth-semester students (89.8± 21.24) when compared to second (101.33± 21.05; P= 0.003), fourth (107.69± 18.96; P< 0.001), and sixth (100.07± 20.61; P= 0.020). Conclusion: Improvement is required across all domains of the educational environment at this institution. Students, particularly of the eighth semester, perceived the teaching negatively. The lowest scores were given to the support system, burdensome course content, and factual learning; thus, a hybrid curriculum that includes problem-based learning might provide students with stimulating learning; structured clinical teaching with specific curricular objectives, as well as mentoring of senior students by faculty and near-peers, might improve the learning environment for senior students.
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                Author and article information

                Journal
                J Educ Eval Health Prof
                J Educ Eval Health Prof
                JEEHP
                Journal of Educational Evaluation for Health Professions
                Korea Health Personnel Licensing Examination Institute
                1975-5937
                2016
                24 March 2016
                : 13
                : 13
                Affiliations
                [1 ]Medical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
                [2 ]Medical Department, National and Kapodistrian University of Athens, Athens, Greece
                [3 ]Medical Department, University of Thessaly, Larissa, Greece
                [4 ]Medical Department, Democritus University of Thrace, Alexandroupolis, Greece
                [5 ]The London Deanery HEE, Queen Mary University London, United Kingdom
                [6 ]First Department of Cardiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
                [7 ]First Department of Surgery, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
                [8 ]Second Propaedeutic Department of Internal Medicine, Hippokration Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
                Author notes
                *Corresponding email: ppantele@ 123456auth.gr
                Author information
                http://orcid.org/0000-0001-5394-832X
                http://orcid.org/0000-0001-7249-6197
                http://orcid.org/0000-0002-3263-7132
                http://orcid.org/0000-0002-2404-8725
                http://orcid.org/0000-0003-3522-2108
                http://orcid.org/0000-0002-6177-7281
                http://orcid.org/0000-0003-1815-7228
                http://orcid.org/0000-0002-4199-6700
                http://orcid.org/0000-0001-7491-6319
                http://orcid.org/0000-0001-5043-7962
                http://orcid.org/0000-0003-1517-6984
                Article
                jeehp-13-13
                10.3352/jeehp.2016.13.13
                4835742
                27012313
                1f00bfa8-c0f8-40a7-be12-a68aaea3b389
                © 2016, Korea Health Personnel Licensing Examination Institute

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 February 2016
                : 23 March 2016
                Categories
                Research Article

                Assessment, Evaluation & Research methods
                medical education,greece,personality inventory,surveys and questionnaires

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