Why a teacher centered medical school curriculum may result in a poor educational environment?

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal

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J Contemp Med Edu. 2014; 2(2): 85-90

doi: 10.5455/jcme.20140620013233

Why a teacher centered medical school curriculum may result in a poor educational environment?

Eiad Abdelmohsen AlFaris, Naghma Naeem, Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan, Amr Jamal.

Cited by (3)

Abstract
Context: Studentsâ€™ achievements, satisfaction, and success have been found to correlate with their perception of their educational environment (EE). Objectives: The objectives of the present study were to identify (a) the medical studentsâ€™ perceptions of their EE at a school with a teacher-centered curriculum (b) the reasons behind the items with low ratings and (c) ways to improve the EE at this school. Methods: In this article, the focus will be on the qualitative part of the mixed method of study, which was conducted at a large medical school in Riyadh, Saudi Arabia during 2006-2007. A total of 1132 students filled out a bilingual (Arabic and English) version of the Dundee Ready Educational Environment Measure (DREEM) inventory. Five focus group discussions with 28 students were conducted. The low scoring areas of the DREEM were used as input for the discussion. Findings: The mean total DREEM score for the medical school was 94.7 (± 21.5) out of a maximum of 200. The main curriculum variables contributing to poor DREEM scores were curriculum overload, stress, lack of feedback, and poor teaching skills. The possible solutions to these problems, as suggested by the students were to involve the students in the learning process, courses to help the faculty to develop their teaching skills, assessments with provision of feedback, stronger student support system and introduction of study skills courses for studentâ€™s. Conclusions: This study provides insight into the reasons associated with a poor learning climate. The strategies to promote a healthy EE point to relatively more student-centered elements in the curriculum and the introduction of a study skills course in the 1st year.

Key words: Curriculum, dundee ready educational environment measure inventory, educational climate, environment, perceptions, undergraduate medical students

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REFERENCES

1. Fraser BJ. The birth of a new journal: EditorÃ¢â‚¬â„¢s introduction. LearnEnviron Res 1998;1:1-5.

2. Roff S, McAleer S. What is educational climate? Med Teach2001;23:333-4.

3. Pimparyon P, McAleer S, Pemba S, Roff S. Educational environment,student approaches to learning and academic achievement in a Thainursing school. Med Teach 2000;22:359-64. [DOI via Crossref]

4. Al Rukban MO, Khalil MS, Al-Zalabani A. Learning environment inmedical schools adopting different educational strategies. Educ ResRev 2010;5:126-9.

5. Genn JM. AMEE Medical Education Guide No 23 (Part 1): Curriculum,environment, climate, quality and change in medical education - Aunifying perspective. Med Teach 2001;23:337-44. [DOI via Crossref] [Pubmed]

6. Pascarella ET. College environmental influences on studentsÃ¢â‚¬â„¢educational aspirations. J High Educ 1984;55:751-71. [DOI via Crossref]

7. Roff S. The Dundee Ready Educational Environment Measure (DREEM)Ã¢â‚¬" A generic instrument for measuring studentsÃ¢â‚¬â„¢ perceptions ofundergraduate health professions curricula. Med Teach 2005;27:322-5. [DOI via Crossref] [Pubmed]

8. Roff S, McAleer S, Harden RM, Al-Qahtani M, Ahmed AU, Deza H,et al. Development and validation of the Dundee ready educationenvironment measure (DREEM). Med Teach 1997;19:295-9. [DOI via Crossref]

9. Roff S, McAleer S, Ifere OS, Bhattacharya S. A global diagnostic toolfor measuring educational environment: Comparing Nigeria andNepal. Med Teach 2001;23:378-82. [DOI via Crossref] [Pubmed]

10. Al-Hazimi A, Al-Hyiani A, Roff S. Perceptions of the educationalenvironment of the medical school in King Abdul Aziz University,Saudi Arabia. Med Teach 2004;26:570-3. [DOI via Crossref] [Pubmed]

11. Nahar N, Talukder HK, Khan TH, Mohammad S, Nargis T. StudentsÃ¢â‚¬â„¢perception of educational environment of medical colleges inBangladesh. Bangabandhu Sheikh Mujib Med Univ J 2010;3:97-102.

12. Jiffry MT, McAleer S, Fernando S, Marasinghe RB. Using the DREEMquestionnaire to gather baseline information on an evolving medicalschool in Sri Lanka. Med Teach 2005;27:348-52. [DOI via Crossref] [Pubmed]

13. Mayya S, Roff S. StudentsÃ¢â‚¬â„¢ perceptions of educational environment:A comparison of academic achievers and under-achievers at KasturbaMedical College, India. Educ Health (Abingdon) 2004;17:280-91. [DOI via Crossref] [Pubmed]

14. Zaini R. The use of DREEM as curriculum need analysis tool. MedTeach 2005;27:385.

15. Al-Hazimi A, Zaini R, Al-Hyiani A, Hassan N, Gunaid A, Ponnamperuma G,et al. Educational environment in traditional and innovative medicalschools: A study in four undergraduate medical schools. Educ Health(Abingdon) 2004;17:192-203. [DOI via Crossref] [Pubmed]

16. Aghamolaei T, Fazel I. Medical studentsÃ¢â‚¬â„¢ perceptions of theeducational environment at an Iranian Medical Sciences University.BMC Med Educ 2010;10:87. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

17. Al-Ayed IH, Sheik SA. Assessment of the educational environmentat the College of Medicine of King Saud University, Riyadh. EastMediterr Health J 2008;14:953-9.

18. Varma R, Tiyagi E, Gupta JK. Determining the quality of educationalclimate across multiple undergraduate teaching sites using theDREEM inventory. BMC Med Educ 2005;5:8. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

19. Riquelme A, Oporto M, Oporto J, MÃ©ndez JI, Viviani P, Salech F,et al. Measuring studentsÃ¢â‚¬â„¢ perceptions of the educational climateof the new curriculum at the Pontificia Universidad CatÃ³lica deChile: Performance of the Spanish translation of the Dundee ReadyEducation Environment Measure (DREEM). Educ Health (Abingdon)2009;22:112.

20. Dunne F, McAleer S, Roff S. Assessment of the undergraduatemedical education environment in a large UK medical school. HealthEduc J 2006;65:149-58.

21. Lokuhetty MD, Warnakulasuriya SP, Perera RI, De Silva HT,Wijesinghe HD. StudentsÃ¢â‚¬â„¢ perception of the educational environmentin a medical faculty with an innovative curriculum in Sri Lanka. S EastAsian J Med Educ 2010;4:9-16.

22. TontuÃ¾ HÃ–. DREEM; dreams of the educational environment as itseffect on education result of 11 medical faculties of Turkey. J ExpClin Med 2011;27(3):104-108.

23. Seabrook MA. Clinical studentsÃ¢â‚¬â„¢ initial reports of the educationalclimate in a single medical school. Med Educ 2004;38:659-69. [DOI via Crossref] [Pubmed]

24. McAleer S, Roff S. Part 3: A practical guide to using the Dundee ReadyEducation Environment Measure (DREEM). In: Dundee GJ, Editor.Scotland: AMEE Medical Education Guide No. 23. 2002. p. 29-33.

25. Cameron J. Focussing on the focus group. In: Hay I, editor. QualitativeResearch Methods in Human Geography. Oxford/Melbourne: OxfordUniversity Press; 2000. p. 83-102.

26. Shaikh BT, Kahloon A, Kazmi M, Khalid H, Nawaz K, Khan N, et al.Students, stress and coping strategies: A case of Pakistani medicalschool. Educ Health (Abingdon) 2004;17:346-53. [DOI via Crossref] [Pubmed]

27. Oelschlager AM, Smith S, Tamura G, Carline J, Dobie S. Where domedical students turn? The role of the assigned mentor in the fabricof support during medical school. Teach Learn Med 2011;23:112-7. [DOI via Crossref] [Pubmed]

28. Ko SM, Kua EH, Fones CS. Stress and the undergraduates. SingaporeMed J 1999;40:627-30.

29. Schultz KW, Kirby J, Delva D, Godwin M, Verma S, Birtwhistle R,et al. Medical StudentsÃ¢â‚¬â„¢ and ResidentsÃ¢â‚¬â„¢ preferred site characteristicsand preceptor behaviours for learning in the ambulatory setting: Across-sectional survey. BMC Med Educ 2004;4:12. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]

30. Higgins R, Hartley P, Skelton A. The conscientious consumer:Reconsidering the role of assessment feedback in student learning.Stud Higher Educ 2002;27:53-64. [DOI via Crossref]

31. Weaver MR. Do students value feedback? Student perceptions oftutorsÃ¢â‚¬â„¢ written responses. Assess Eval High Educ 2006;31:379-94. [DOI via Crossref]

32. Norman G, Neville A, Blake JM, Mueller B. Assessment steerslearning down the right road: Impact of progress testing on licensingexamination performance. Med Teach 2010;32:496-9. [DOI via Crossref] [Pubmed]

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How to Cite this Article

Pubmed Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. Why a teacher centered medical school curriculum may result in a poor educational environment?. J Contemp Med Edu. 2014; 2(2): 85-90. doi:10.5455/jcme.20140620013233

Web Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. Why a teacher centered medical school curriculum may result in a poor educational environment?. http://www.jcmedu.org/?mno=48945 [Access: June 19, 2019]. doi:10.5455/jcme.20140620013233

AMA (American Medical Association) Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. Why a teacher centered medical school curriculum may result in a poor educational environment?. J Contemp Med Edu. 2014; 2(2): 85-90. doi:10.5455/jcme.20140620013233

Vancouver/ICMJE Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. Why a teacher centered medical school curriculum may result in a poor educational environment?. J Contemp Med Edu. (2014), [cited June 19, 2019]; 2(2): 85-90. doi:10.5455/jcme.20140620013233

Harvard Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal (2014) Why a teacher centered medical school curriculum may result in a poor educational environment?. J Contemp Med Edu, 2 (2), 85-90. doi:10.5455/jcme.20140620013233

Turabian Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. 2014. Why a teacher centered medical school curriculum may result in a poor educational environment?. Journal of Contemporary Medical Education, 2 (2), 85-90. doi:10.5455/jcme.20140620013233

Chicago Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal. "Why a teacher centered medical school curriculum may result in a poor educational environment?." Journal of Contemporary Medical Education 2 (2014), 85-90. doi:10.5455/jcme.20140620013233

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Eiad Abdelmohsen AlFaris, Naghma Naeem , Sean McAleer, Riaz Qureshi, Cees van der Vleuten, Farhana Irfan , Amr Jamal (2014) Why a teacher centered medical school curriculum may result in a poor educational environment?. Journal of Contemporary Medical Education, 2 (2), 85-90. doi:10.5455/jcme.20140620013233

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