Strides in Development of Medical Education

Document Type : Original Article


1 B.Sc. in Microbiology, Department of Parasitology, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Ph.D. in Immunology, Associated Professor, Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

3 B.Sc. in Nursing, Medical Education Development Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran


Background & Objective: The educational environment has a fundamental role in the quality and efficiency of education The present study was undertaken to identify the perceptions of students on the educational environment in 4 major clinical wards at teaching hospitals affiliated to Hormozgan University of Medical Sciences Iran in 2014 Methods: In this descriptive crosssectional study educational environment was evaluated using the Dundee Ready Educational Environment Measure (DREEM) Sampling was conducted through census and the study population included all medical students (n = 184) passing their clinical courses in the internal pediatrics surgical obstetrics and gynecology wards in 3 hospitals affiliated to Hormozgan University of Medical Sciences Data were analyzed using ANOVA and Tukeys tests Results: The mean score achieved from the total 200 scores of the questionnaire was 10483 (524%) Although there was no significant difference between total scores of major clinical wards the pediatrics and obstetrics and gynecology wards obtained the highest lowest scores respectively No significant correlation was found between education and gender and the subscales of educational environment A significant difference was observed between major clinical wards in the subscale of teachers (P < 0001) Conclusion: The educational environment at clinical wards was considered as good by students Nevertheless problematic areas exist in all subscales of educational environment The obtained results can be utilized to better understand and resolve educational environment issues in Hormozgan University of Medical Sciences 


  1. Khoursandi M. Khosravi Sh. Investigation of the view of nursing and midwifery students about clinical education condition in nursing and midwifery college of Arak University of Medical Sciences. Arak Med Univ J. 2002;5(1): 32-29. [In Persian]
  2. Genn JM. AMEE Medical Education Guide No. 23 (Part 1): Curriculum, environment, climate, quality and change in medical education-a unifying perspective. Med Teach. 2001;23(4):337-344.
  3. Al-Mohaimeed A. Perceptions of the educational environment of a new medical school, Saudi Arabia. Int J Health Sci (Qassim). 2013;7(2):150-9.
  4. Varma R, Tiyagi E, Gupta JK. Determining the quality of educational climate across multiple undergraduate teaching sites using the DREEM inventory. BMC Med Educ. 2005;5(1):8.
  5. Soltani Arabshahi K, Kouhpayezade J, Sobuti B. The educational environment of main clinical wards in educational hospitals affiliated to Iran university of medical sciences: Learners' viewpoints based on DREEM model. Iran J Med Educ. 2008; 8(1): 43-50. [In Persian]
  6. Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study of medical students' perceptions of teaching. BMJ. 2004;329(7469):770-3.
  7. Seabrook MA. Clinical students' initial reports of the educational climate in a single medical school. Med Educ. 2004;38(6):659-69.
  8. Taramsaria MR, Badsar A, Seyednejadb R, Amir Maafib AR. Assessment of students’ perceptions of educational environment in clinical wards of university hospitals at an Iranian Medical Sciences University. Procedia Soc Behav Sci. 2012; 46: 715-20.
  9. Roff S, McAleer S, Harden RM, Al-Qahtani M, Uddin Ahmedb A, Dezac H, et al. Development and validation of the Dundee ready education environment measure (DREEM). Med Teach. 1997; 19(4): 295-9.
  10. Aghamolaei T, Fazel I. Medical students' perceptions of the educational environment at an Iranian Medical Sciences University. BMC Med Educ. 2010;10(1):87.
  11. McAleer S, Roff S. A practical guide to using the Dundee Ready Education Environment Measure (DREEM). AMEE Medical Education Guide. 2001; 23: 29-33.
  12. Edgren G, Haffling AC, 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.
  13. Parmar D, Shah C, Parmar R. Students perception of educational environment Indian Medical School Using DREEM Inventory. Annals of Community Health. 2015. 3 (1): 4-12.
  14. Park KH, Park JH, Kim S, Rhee JA, Kim JH, Ahn YJ, et al. Students' perception of the educational environment of medical schools in Korea: findings from a nationwide survey. Korean J Med Educ. 2015;27(2):117-30.
  15. 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 (Abingdon). 2004;17(2):192-203.
  16. Makhdoom NM. Assessment of the quality of educational climate during undergraduate clinical teaching years in the college of medicine, Taibah University. J Taibah Univ Med Sci. 2009; 4(1):42-52.
  17. Bouhaimed M, Thalib L, Doi SA. Perception of the educational environment by medical students undergoing a curricular transition in Kuwait. Med Princ Pract. 2009;18(3):204-8.
  18. Hasanzadeh GhR, Javadi M, Salehzadeh Y. The opinion of Qazvin medical students on their future cureer. J Qazvin Univ Med Sci. 2006; 10(3):92-95. [In Persian]
  19. Hem E, Haldorsen T, Aasland OG, Tyssen R, Vaglum P, Ekeberg  O.  Suicide  rates  according  to education  with  a  particular  focus  on  physicians  in Norway  1960–2000.  Psychol  Med.  2005; 35(6):873-80.
  20. Miller  NM,  McGowen  RK.  The  painful  truth: physicians  are  not  invincible.  South  Med  J. 2000;93(10):966-73.
  21. Voltmer  E,  Kieschke  U,  Schwappach  DL, Wirsching  M,  Spahn  C.  Psychosocial  health  risk factors  and  resources  of  medical  students  and physicians:  a  cross-sectional  study.  BMC  Med Educ.  2008;8(1):46.
  22. Nandi  PL,  Chan  JN,  Chan  CP,  Chan  P,  Chan  LP. Undergraduate  medical  education:  comparison  of problem-based learning and conventional teaching.  Hong  Kong  Med  J.  2000;  6(3):301-6.
  23. Dahlin  M,  Joneborg  N,  Runeson  B.  Stress  and depression  among  medical  students:  a  crosssectional  study.  Med  Educ.  2005;39(6):594-604.
  24. Taheri  M.  Students'  perceptions  of  learning environment  in  Guilan  University  of  Medical Sciences.  J  Med  Educ.  2009;  13(4):7.
  25. Whittle  SR,  Whelan  B,  Murdoch-Eaton  DG. DREEM  and  beyond;  studies  of  the  educational environment  as  a  means  for  its  enhancement. Educ  Health  (Abingdon).  2007;20(1):7.
  26. Hutchinson L.  Educational  environment.  BMJ. 2003;326(7393):810-2.
  27. Sisco BR.  Setting  the  climate  for  effective teaching  and  learning.  New  directions  for  adult and  continuing  education.  1991;  1991(50):  41-50.
  28. Moosavi  M,  Koohpayehzadeh  J,  Soltani Arabshahi  K,  Bigdeli  Sh,  Hatami  K.  Assessment of  educational  environment  at  main  clinical  wards in  teaching  hospitals  affiliated  to  Iran  University of  Medical  Sciences:  stagers  and  Interns viewpoints  based  on  modified  DREEM.  Razi  J Med  Sci.  2015;  21(129):  58-67.
  29. Faghani  M,  Jouybari  L,  Sanago  A,  Mansouriyan AR.  The  Perspectives  of  Student  about Educational  Climate  of  Golestan  University  of Medical  Sciences  In  2010.  J  Med  Educ  Dev. 2014;  6(12):  43-50.  [In  Persian]
  30. Dunne  F,  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.
  31. Miles S,  Leinster  SJ.  Medical  students' perceptions  of  their  educational  environment: expected  versus  actual  perceptions.  Med  Educ. 2007;41(3):265-72.
  32. PovzunVD.  Psychological  characteristics  of student's  creative  potential  and  their  changes  in University  Educational  Environment.  [Cited  2015 Dec 4-5]. Available  from: