Undergraduate paediatric teaching-the medical students’ perspective: using the Dundee ready education environment measure questionnaire

Rose Xavier, Bobby Abraham, Vinod J. Cherian


Background: Educational climate plays a major role in deciding the accomplishment and contentment of the students. Periodic assessment of the educational environment is necessary, after a change in the curriculum and formation of a new exclusive university health care. The objective of the study was to identify the perceptions of medical students undertaking the restructured paediatric curriculum under the newly formed health care university.

Methods: After taking required consents, the Undergraduate paediatric teaching-the medical students’ perspective: using the Dundee ready education environment measure questionnaire (DREEM) questionnaire was administered to medical students in all the three medical colleges in Thrissur, in a face to face session and the data analysed.

Results: The overall average score was 122.21±21.18 on 200 with final year students giving a significantly higher score as compared to pre-finals (p=0.0001). Female students gave a more positive score as compared to male students (p=0.0083). The items that scored below 2 out of a maximum score of 4 are “Teaching over emphasizes factual learning (1.71±0.81), Teachers are authoritarian (1.62±0.87), I am able to memorize all I need (1.54±1.04), There is a good support system for students who get stressed (1.76±1.02) and I am rarely bored on this course (1.95±1.12)”. Highest score was given by final year medical students for “teachers’ are knowledgeable” (3.48±0.59).

Conclusions: Paediatric education should emphasise on problem based learning. Teachers should have regular faculty development programme. Small groups of students need to be assigned to counsellors and mentors, who can be faculty members. Regular feedback needs to be taken from students to make them partners in education rather than as only receivers.


Curriculum, DREEM, KUHS, Paediatric education

Full Text:



Yusoff MSB. The Dundee Ready Educational Environment Measure: A Confirmatory Factor Analysis in a Sample of Malaysian Medical Students. International Journal of Humanities and Social Science. 2012;2(16):314-21.

Demirören M, Palaoglu O, Kemahli S, Özyurda F, Ayhan IH. Perceptions of Students in Different Phases of Medical Education of Educational Environment: Ankara University Faculty of Medicine. Med Educ Online. 2008;13:8. Accessed on 1-2-2016.

Andalib MM, Malekzadeh MM, Agharahimi Z, Daryabeigi M, Yaghmaei B, Ashrafi MR. Evaluation of educational environment for medical students of a tertiary pediatric hospital in Tehran, Using DREEM Questionnaire. Iran J Pediatr. 2015;25(5):e2362.

Roff S, McAleer S, Harden RM, Al-Qahtani M, Ahmed AU, Deza H. Development and validation of the dundee ready education environment measure (DREEM). Med Teacher. 1997;19:295-9. Accessed on 01-02-2016

McAleer S, Roff S. A. practical guide to using the dundee ready education environment measure (DREEM) In: Genn JM, editor. Curriculum, environment, climate, quality and change in medical education. Dundee: Association for Medical Education in Europe. 2001. (AMEE education guide no. 23). Available at:

Uma B. Medical Students’ Perception about the Educational Environment in Western Maharashtra in Medical College using DREEM Scale. Journal of Clin Diagn Res. 2015;9(11):JC01-4.

Unnikrishnan B, Rekha T, Prasanna MP, Nithin K, Reshmi B. Perceptions of medical students about their educational environment in community medicine in a medical college of coastal Karnataka. Indian J Comm Med. 2012;37(2):130-2.

Varun K, Upreet D. Medical students’ perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire. J Educ Eval Health Prof. 2013;10:5. Accessed on 10-03-2016.

Sudhir PK, Praveenlal K, Harilal K, Mohandas K. A SWOT analysis of the new pattern of examinations of the Kerala University of Health Sciences. The National Med J India. 2014;27(1):24-6.

Singh T. Basics of assessment. In: Singh T, Anshu. Principles of assessment in medical education. New Delhi: Jaypee Brothers Publishers; 2012:1-13.

Shyama R. Setting a model on exam front. Miscellaneous. The Hindu. Dated: 17-11-2014.

Ramani S. Twelve tips for excellent physical examination teaching. Med Teach. 2008;30:851-6.

Kiran HS, Gowdappa BH. DREEM comes true - Students' perceptions of educational environment in an Indian medical school. J Postgrad Med. 2013;59:300-5.

Mayya SS, Roff S. Students’ perceptions of educational environment. A comparison of academic achievers and under-achievers at Kasturba Medical College, India. Education for Health. 2004;17(3):280-91.

Abraham R, Ramnarayan K, Vinod P, Torke S. Students’ perceptions of learning environment in an Indian medical school. BMC Med Edu. 2008;8:2.

Pai PG, Menezes V, Srikanth, Atreya MS, Jnaneshwara PS. Medical Students’ Perception of their educational environment. J Clin Diagn Res. 2014;8(1):103-7.