PERCEPTIONS OF MEDICAL STUDENTS ABOUT THE EDUCATIONAL ENVIRONMENT AT THE START AND END OF OBSTETRICS AND GYNAECOLOGY ROTATION AND ITS IMPACT ON CAREER CHOICE
Abstract
Background: The educational environment can influence students’ learning and their attitudes towards various medical specialties, thus affecting their career choices. This study aimed to compare perceptions of medical students about educational environment at the start and end of Obstetrics and Gynaecology (O&G) rotation and to assess if these perceptions influenced their career choices. Methods: This was a Comparative analytical study carried out in the Obstetrics and Gynaecology Department, Combined Military Hospital Lahore Medical College from 1st February to 30th July 2019. Eighty-eight final year MBBS students (60 females and 28 males; average age 22±1.2 years) completed validated Dundee Ready Education Environment Measure (DREEM) questionnaire at the start and end of three weeks of O&G clinical rotation. Two questions were added post rotation to assess impact of their perceptions on career choice. Data was analysed through SPSS version 21 using independent sample t-test. Results: Mean total DREEM score was 126.68±14.17 and 127.49±15.31 out of a maximum of 200 pre and post rotation (p-value 0.001). The sub-scale which improved significantly (p-value 0.010) was Perception of Environment with average scores of 27.88±4.63 and 28.25±4.64 pre and post rotation. Majority of female students (78.7%) felt motivated for choosing O&G as a career after this rotation. Conclusion: Final-year medical students perceived the learning environment to be positive. Clinical rotation helped in improving their perception about O&G learning environment and helped female students get more inclined to choose this specialty as a career.References
References:
Hutchinson L. ABC of learning and teaching, educational environment. BMJ 2003;326:810-2.
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.
Bambaeeroo F , Shokrpour N. The impact of the teachers’ non-verbal communication on success in teaching. J Adv Med Educ Prof 2017; 5(2):51-9.
McAleer S, Roff S. Educational Environment. In: Dent JA, Harden RM, editors. A practical guide for medical teachers. 4th ed. London: Churchill Livingstone, 2013; p. 392-9.
Hongkan W, Arora R, Muenpa R, Chamnan P. Perception of educational environment among medical students in Thailand. Int J Med Educ 2018;9:18–23.
Pal SA. The Status of Postgraduate training in Obstetrics and Gynaecology in Pakistan. J Pak Med Assoc 2007;57(6):276-7.
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 Mar 23;6:195-203.
Blazar D, Kraft MA. Teacher and Teaching Effects on Students’ Attitudes and Behaviors. Educ Eval Policy Anal 2017;39(1): 146–70.
Roff S, McAleer S, Harden R, Al-Qahtani M, Ahmed AU, Deza H, Groenen G, Pimparyon P. Development and validation of the Dundee Ready Education Environment Measure (DREEM) Med Teach 1997;19(4): 295-9.
Barcelo JM. Medical laboratory science and nursing students’ perception of academic learning environment in a Philippine university using Dundee Ready Educational Environment Measure (DREEM). J Educ Eval Health Prof 2016;13:33.
Khan JS, Tabassum 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.
Sunkad MA, Javali S, Shivapur Y, Wantamutte A. Health sciences students’ perception of the educational environment of KLE University, India as measured with the Dundee Ready Educational Environment Measure (DREEM). J Educ Eval Health Professions.2015;12:37. doi https://doi.org/10.3352/jeehp.2015.12.37.
Bakhshialiabad H, Bakhshi G, Hashemi Z, Bakhshi A, Abazari F. Improving students’ learning environment by DREEM: an educational experiment in an Iranian medical sciences university (2011-2016). BMC Med Educ 2019;19:397. doi.org/10.1186/s12909-019-1839-9.
Soemantri D, Herrera C, Riquelme A. Measuring the educational environment in health professions studies: a systematic review. Medical teacher. 2010 Dec 1;32(12):947-52.
Chan CYW, Sum MY, Tan GMY, Tor PC, Sim K. Adoption and correlates of the Dundee Ready Educational Environment Measure (DREEM) in the evaluation of undergraduate learning environments - a systematic review. Med Teach 2018;40(12):1240-7.
Hyde S, Hannigan A, Dornan T, McGrath D. Medical school clinical placements - the optimal method for assessing the clinical educational environment from a graduate entry perspective. BMC Med Educ 2018;18(1):7.
Jawaid M, Raheel S, Ahmed F, Aijaz H. Students’ perception of educational environment at Public Sector Medical University of Pakistan. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2013 May;18(5):417.
Rehman R, Ghias K, Fatima SS, Hussain M, Alam F. Students’ perception of educational environment at Aga Khan University Medical College, Karachi, Pakistan. Pakistan journal of medical sciences. 2016 May;32(3):720.
Khan JS, Tabasum SA, Yousafzai UK, Mukhtar OS. Measuring the medical education environment in undergraduate medical colleges across Punjab, Pakistan. Biomedica. 2011 Jan;27(1):14-8.
Imran N, Khalid F, Haider II, Jawaid M, Irfan M, Mahmood A. Student's perceptions of educational environment across multiple undergraduate medical institutions in Pakistan using DREEM inventory. J Pak Med Assoc. 2015 Jan 1;65(1):24-8.
Khursheed I, Baig L. Students’ perceptions of educational environment of a private medical school in Pakistan. J Pak Med Assoc. 2014 Nov 1;64(11):1244-9.
Zafar U, Daud S, Shakoor Q, Chaudhry AM, Naser F, Mushtaq M. Medical students’ perceptions of their learning environment at Lahore Medical and Dental College Lahore. Journal of Ayub Medical College Abbottabad. 2017 Oct 15;29(4):595-8.
Irum S, Iqbal MZ, Naumeri F. Perception of medical students regarding educational environment in a public sector medical college: A cross-sectional survey using the Dundee Ready Education Environment Measure questionnaire. Annals of King Edward Medical University. 2018 Apr 17;24(1):643-7.
Higher Education Commission, Pakistan. Category Wise Ranking. Available from:
https://www.hec.gov.pk/english/services/universities/Ranking/2010/Pages/Category-Wise-Rankings.aspx [Accessed on 30 June 2020]
Palés J, Gual A, Escaneroi J, Tomás I, de Castro FR, Elorudy M, Virumbrales M, Rodríguez G, Arce V. Educational climate perception by preclinical and clinical medical students in five Spanish medical schools. International journal of medical education. 2015;6:65.
Bakhshialiabad H, Bakhshi G, Hashemi Z, Bakhshi A, Abazari F. Improving students’ learning environment by DREEM: an educational experiment in an Iranian medical sciences university (2011–2016). BMC medical education. 2019 Dec 1;19(1):397.
Park KH, Park JH, Kim S, Rhee J, Kim JH, Ahn YJ, Han JJ, Suh DJ, Park KH, Park JH, Kim S. Students' perception of the educational environment of medical schools in Korea: findings from a nationwide survey. Korean journal of medical education. 2015 May 26;27(2):117-30.
Imran M, Shamim MS, Baig M, Farouq M, Gazzaz ZJ, Al-Mutairi OM. Tale of two cities: comparison of educational environment of two colleges (Jeddah and Rabigh) affiliated with one university. J Pak Med Assoc. 2016 Mar 1;66(3):316-9.
Ade-Oshifogun TO, Cadet JA, Ade-Oshifogun JB. A Cross Sectional Study of Medical Students’ Perception of Their Educational Environment in Ghana. Journal of Education and Development. 2019 May 16;3(2):15.
Tackett S, Shochet R, Shilkofski NA, Colbert-Getz J, Rampal K, Bakar HA, Wright S. Learning environment assessments of a single curriculum being taught at two medical Schools 10,000 miles apart. BMC medical education. 2015 Dec 1;15(1):105.
Mayya S, Roff S. Students’ perceptions of educational environment: a comparison of academic achievers and underachievers at Kasturba Medical College, India. Educ Health (Abingdon) 2004;17(3):280-91.
Anand R, Sankaran PS. Factors influencing the career preferences of medical students and interns: a cross-sectional questionnaire-based survey from India. J Educ Eval Health Prof 2019;16:12.
Rehman A, Rehman T, Shaikh MA, Yasmin H, Asif A, Kafil H. Pakistani medical students’ specialty preference and the influencing factors. J Pak Med Assoc 2011;61(7):713-18.
Dossajee H, Obonyo N, Ahmed SM. Career preferences of final year medical students at a medical school in Kenya- a cross-sectional study. BMC Med Educ 2016:16:5. doi 10.1186/s12909-016-0528-1
Ossai EN, Uwakwe KA, Anyanwagu UC, Ibiok NC, Azuogu BN, Ekeke N. Specialty preferences among final year medical students in medical schools of southeast Nigeria: need for career guidance. BMC Med Educ 2016:16:529. doi 10.1186/s12909-016-0781-3
Guraya SY, Almaramhy HH. Mapping the factors that influence the career specialty preferences by the undergraduate medical students. Saudi J Biol Sci 2018;25(8):1096-1101.
Querido S, van den Broek S, de Rond M, Wigersma L, ten Cate O. Factors affecting senior medical students’ career choice. Int J Med 2018;9:332-9.
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