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      Evaluation of the Learning Environment for Diploma in Family Medicine with the Dundee Ready Education Environment (DREEM) Inventory

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          Abstract

          The primary healthcare system is at a turning point in Saudi Arabia. However, the sustainability of family medicine as the core element of that system is increasingly being called into question because of lack of family physicians. In keeping view this problem; a postgraduate diploma program in family medicine has started in 2008. A validated measure of educational environment i.e., Dundee Ready Education Environment (DREEM) questionnaire consisting of 50 questions having five domains of perception was administered to all 13 trainees of the diploma course at the completion of the program to check their perception about learning evironment. The trainees comprised of 4 males (40%) and 6 females (60%). The overall score showed more positive than negative side (147/200). There is no significant difference ( P > 0.05) in the mean scores of five different domains of perception. The subclasses of five domains showed that teaching perceived as positive by 50%, moving towards right direction by 80%, feeling more positive by 50%, positive attitude by 80% and the 70% scored the course as not too bad. The overall high score and positive attitude towards the course assures the better teaching environment. However, there are areas to improve and it requires continuous evaluation.

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          Most cited references13

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          The Dundee Ready Educational Environment Measure (DREEM)--a generic instrument for measuring students' perceptions of undergraduate health professions curricula.

          Sue Roff (2005)
          Students' perceptions of their educational environment have been studied at all levels of the education system, from primary through post-secondary education. Recent imperatives towards enhanced quality assessment monitoring at a time when health professions education is increasingly committed to student-centred teaching and learning have stimulated a revival of interest in this field. This paper reports a body of research in health professions institutions around the world based on the Dundee Ready Educational Environment Measure (DREEM), a reliable, validated inventory that claims to be generic to undergraduate health professions education and non-culturally specific.
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            AMEE Medical Education Guide No. 23 (Part 2): Curriculum, environment, climate, quality and change in medical education - a unifying perspective.

            J Genn (2000)
            This paper looks at five focal terms in education - curriculum, environment, climate, quality and change - and the interrelationships and dynamics bemeen and among them. It emphasizes the power and utility of the concept of climate as an operationalization or manifetation of the curriculum and the other three concepts. Ideas pertaining w the theory of climate and its measurement can provide a greater understanding of the medical cumadurn. The environment is an impoltant detemzinant of behaviour. Environment is perceived by students and it is perceptions of environment that are related w behaviour. The environment, as perceived, may be designated as climate. It is argued that the climate is the soul and spirit of the medical school environment and curriculum. Students' experiences of the climate of their medical education environment are related w their achievements, sangaction and success. Measures of educational climate are reviewed and the possibilities of new climate measures for medical education are discussed. These should take account of current trends in medical education and curricula. Measures of the climate may subdivide it inw dzfferent components giving, for example, separate assessment of so-called Faculty Press, Student Press, Administration Press and Physical or Material Environmental Press. Climate measures can be used in different modes with the same stakeholders. For example, students may be asked to report, first, their perceptions of the actual environment they have experienced and, second, w report on their ideal or preferred environment. The same climate index can be used with different stakeholders giving, for example, staff and student comparisons. The climate is important for staff as well as for students. The organizational climate that teaching staff experience in the work environment that they inhabit is important for their well-being, and that of their students. The medical school is a learning organization evolving and changing in the illuminative evaluation it makes of its environment and its curriculum through the action research studies of its climate. Consderations of climate in the medical school along the lines of continuous quality improvement and innovation are likely to further the medical school as a learning organization with the attendant benefits. Unless medical schools become such learning organizations their quality of health and their longevity may be threatened.
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              A global diagnostic tool for measuring educational environment: comparing Nigeria and Nepal.

              The paper reports comparative data from a Nigerian undergraduate medical school and a Nepalese health professions institution in order to explore the value of the previously reported Dundee Ready Education Environment Measure (DREEM) in 'diagnosing' the environment and climate of particular institutions and making comparative analyses in two culturally diverse situations. The Nigerian undergraduate medical school scored 118 out of a possible 200 on the DREEM global score. There were significant differences on five of the items between the male and female students and several significant differences on individual items between the students in Years 4 and 5, Years 5 and 6, and Years 4 and 6. The Nepalese global score was 130/200 and there were significantly different scores for six items between the male and female students. The scores for Years 1-3 also showed several significantly different items. These scores permitted two distinct 'diagnoses' of the two medical schools.
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                Author and article information

                Journal
                J Educ Eval Health Prof
                JEEHP
                Journal of Educational Evaluation for Health Professions
                National Health Personnel Licensing Examination Board of the Republic of Korea
                1975-5937
                2010
                29 November 2010
                : 7
                : 2
                Affiliations
                Centre for Postgraduate Studies in Family Medicine, Riyadh, Saudi Arabia.
                Author notes
                Corresponding email: drsattarkhan@ 123456gmail.com
                Article
                10.3352/jeehp.2010.7.2
                3000606
                21179228
                41863d76-a380-42b1-aa3a-fb90674278be
                © 2010, National Health Personnel Licensing Examination Board of the Republic of Korea

                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
                : 05 August 2010
                : 19 November 2010
                Categories
                Brief Report

                Assessment, Evaluation & Research methods
                postgraduate studies,teaching environment,family medicine,dundee ready education environment

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