Are the bigger hospitals better: DREEM on?

Bennett, D. and Kelly, M. and O'Flynn, S. (2010) Are the bigger hospitals better: DREEM on? pp. 515-519. ISSN 00211265 (ISSN)

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Abstract

Background: Clinical teaching in the undergraduate medical curriculum occurs at diverse sites. Analysis of the quality or effectiveness of such sites centres on student feedback. The Dundee Ready Education Environment Measure (DREEM) is a standardised instrument used internationally to analyse the educational environment. Aim: Our objective was to analyse and compare the student experience at a range of hospital clinical sites in the year 3 undergraduate medical programme in the School of Medicine in University College Cork using the DREEM. Methods: All year 3 students were asked to complete the DREEM at the end of each hospital rotation. Results: All hospital sites performed well but smaller hospitals perform particularly well. Conclusions: In the current climate, schools are compelled to make strategic decisions regarding the configuration of clinical teaching in a context where healthcare is also increasingly centralised. However, it is clear that smaller hospitals are preferred by students. © 2010 Royal Academy of Medicine in Ireland.

Item Type: Article
Additional Information: Cited By :6; Export Date: 23 February 2015; CODEN: IJMSA; Correspondence Address: Bennett, D.; School of Medicine, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland; email: d.bennett@ucc.ie; References: (2009) Tomorrow's Doctors: Recommendations Outcomes and Standards for Undergraduate Medical Education, , General Medical Council. GMC London; (2010) Medical Education in Ireland: A New Direction, , http://www.dohc.ie/publications/fottrell.html, Department of Health and Children (Fottrell report). Accessed May 2010; (2003) Global Standards in Medical Education: Status and Perspectives, , Association for the Study of Medical Education Blackwell, London; Morrison, J., ABC of learning and teaching in medicine: Evaluation (2003) BMJ, 326 (7385), pp. 385-387. , 10.1136/bmj.326.7385.385 12586676; http://www.hse.ie/eng/staff/FactFile/FactFile_PDFs/ Focus_on_a_Specific_Population/Reconfig.pdf, Accessed May 2010Roff, S., McAleer, S., Harden, R.M., Al-Qahtani, M., Development and validation of the Dundee Ready Evaluation Environment Measure (DREEM) (1997) Med Teach, 19, pp. 295-299. , 10.3109/01421599709034208; McAleer, S., Roff, S., A practical guide to using the Dundee Ready Education Environment Measure (DREEM) (2001) AMEE Medical Education Guide No. 23. Curriculum, Environment, Climate, Quality and Change in Medical Education: A Unifying Perspective, pp. 29-31; Johnston, B.T., Boohan, M., Basic clinical skills: Don't leave teaching to the teaching hospitals (2000) Med Educ, 34 (9), pp. 692-699. , 1:STN:280:DC%2BD3cvntl2gsw%3D%3D 10.1046/j.1365-2923.2000.00631.x 10972746; Parry, J., Mathers, J., Al-Fares, A., Hostile teaching hospitals and friendly district general hospitals: Final year students' views on clinical attachment locations (2002) Med Educ, 36 (12), pp. 1131-1141. , 10.1046/j.1365-2923.2002.01374.x 12472739; Dunne, F.M., McAleer, S., Roff, S., Assessment of the undergraduate medical education environment in a large UK medical school (2006) Health Educ J, 65, pp. 149-158. , 10.1177/001789690606500205; Leinster, S., Learning in the clinical environment (2009) Med Teach, 31 (2), pp. 79-81. , 10.1080/01421590902744936 19330666; Roff, S., The Dundee Ready Educational Environment Measure (DREEM) a generic instrument for measuring students' perceptions of undergraduate health professions curricula (2005) Med Teach, 27 (4), pp. 322-325. , 10.1080/01421590500151054 16024414; Daelmans, H.E., Hoogenboom, R.J., Donker, A.J., Effectiveness of clinical rotations as a learning environment for achieving competences (2004) Med Teach, 26 (4), pp. 305-312. , 1:STN:280:DC%2BD2czgtlCltw%3D%3D 10.1080/01421590410001683195 15203842; Avalos, G., Freeman, C., Dunne, F., Determining the quality of the medical educational environment at an Irish medical school using the DREEM inventory (2007) Ir Med J, 100 (7), pp. 522-525. , 1:STN:280:DC%2BD2srmvVWmug%3D%3D 17886524
Uncontrolled Keywords: DREEM; Hospital clinical attachments; Medical education; Undergraduate clinical teaching; article; clinical education; dundee ready education environment measure; hospital; medical student; questionnaire; Adult; Education, Medical, Undergraduate; Female; Hospital Bed Capacity; Hospitals, Community; Hospitals, General; Hospitals, Teaching; Humans; Ireland; Male; Organizational Culture; Students, Medical; Young Adult
Depositing User: Colin Lowry
Date Deposited: 29 Nov 2015 16:58
Last Modified: 29 Nov 2015 16:59
URI: http://eprints.teachingandlearning.ie/id/eprint/1765

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