Positive changes in the medical educational environment following introduction of a new systems-based curriculum: DREEM or reality? Curricular change and the Environment
Positive changes in the medical educational environment following introduction of a new systems-based curriculum: DREEM or reality? Curricular change and the Environment
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DOI：
10.1007/s11845-013-1000-4
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发表时间：
2014-06-01
影响因子：
2.1
通讯作者：
Dunne, F.
中科院分区：
文献类型：
--
作者：
Finn, Y.;Avalos, G.;Dunne, F.
背景使用经过验证的邓迪就绪教育环境（DREEM）清单对爱尔兰医学院本科生的新系统课程进行了评估。方法对225名新课程医学生进行DREEM测试。数据分析采用SPSS17.0统计软件和Student非配对t检验。学生们认为有更好的机会发展人际交往能力，提出问题和学习同情心。关注的领域包括能力建设、对有压力的学生的支持和提供反馈。临床学生认为他们的整体环境更加积极。临床前学生对通过考试更有信心，并为临床实践做了更好的准备。男生对环境的看法更积极，认为教学更有刺激性。女生认为她们解决问题的能力得到了更大的发展。非爱尔兰学生不再认为气氛和他们的社会自我认知比爱尔兰学生更消极，是在旧的courseum.Conclusions DREEM的情况下，是一个有价值的工具，在评估教育环境和监测课程变化的影响。
Background Evaluation of a new systems-based curriculum in an undergraduate Irish Medical School was carried out with the validated Dundee Ready Educational Environment (DREEM) inventory. Comparison was made with the results from a previous DREEM study in the old curriculum.Methods DREEM was administered to 225 medical students enrolled in the new curriculum. Data analysis was carried out using SPSS 17.0 and the Student unpaired t test.Results Increased mean scores supported greater satisfaction with the educational environment in the new curriculum. Students perceived better opportunities to develop interpersonal skills, ask questions and learn about empathy. Areas of concern included timetabling, support for stressed students and provision of feedback. Clinical students perceived their overall environment more positively. Preclinical students were more confident about passing exams and felt better prepared for clinical practice. Male students were more positive about the environment and found the teaching more stimulating. Female students perceived greater development of their problem-solving skills. Non-Irish students no longer perceived the atmosphere and their social self-perceptions more negative than Irish students, as was the case in the old curriculum.Conclusions DREEM is a valuable tool in evaluating the educational environment and monitoring the impact of curricular change.