Perception of the learning environment among trainees of the Public Health Supervisor-I Training Program at the University of Community Health, Magway, Myanmar
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20264053Keywords:
DREEM, Public Health Supervisor-I training, Myanmar, Public Health Supervisor-I TrainingAbstract
Background: A positive and supportive learning environment is an important determinant for the academic achievement of trainees in health professional education. In Myanmar, the Public Health Supervisor-I Training Program has recently transitioned to a hybrid model, necessitating an assessment of its learning environment.
Methods: This study used a cross-sectional explanatory sequential mixed-methods design to assess the perceptions of 197 PSH-I trainees regarding their learning environment at the University of Community Health, Magway, using the Dundee Ready Educational Environment Measure (DREEM), and to explore their perspectives on the strengths and weaknesses of the current learning environment.
Results: The overall DREEM score was 152.57/200, indicating an excellent educational environment. The mean scores of five domains were: students’ perceptions of learning (35.38/48), students’ perceptions of teachers (36.65/44), students’ academic self-perceptions (25.53/32), students’ perceptions of atmosphere (34.49/48), and students’ social self-perceptions (20.52/28). Female students perceived the program more positively than male students (p=0.249), with a significant difference in students’ perceptions of teachers (p=0.034). In-depth interviews with 13 trainees showed transition burden, uneven learning environments, teacher support, academic pressure, peer support, and suggestions for system improvement. Trainees appreciated supportive teaching and peer relationships but experienced stress from the hybrid structure, travel, accommodation issues, crowded classrooms, inconsistency between on-campus and off-campus teaching, and academic pressure.
Conclusions: Overall, the learning environment was perceived positively. However, structural improvements are needed to reduce burdens associated with the hybrid model and create a more supportive, coherent, and learner-centered environment.
References
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.
Roff S. The Dundee Ready Educational Environment Measure (DREEM): a generic instrument for measuring students' perceptions of undergraduate health professions curricula. Med Teach. 2005;27(4):322-5.
Mohammadi S, Kenarkoohi A, Rostami A, Bastami M, Rezagholi P, Sadeghi M, et al. A DREEM-based assessment of the educational environment as perceived by paramedical students. J Health Sci Surveill Syst. 2024;12(3):271-9.
Dorman JP. Classroom environment research: progress and possibilities. Queensland J Educ Res. 2002;18(2):112-40.
Hutchinson L. ABC of learning and teaching: educational environment. BMJ. 2003;326(7393):810-2.
Kohli V, Dhaliwal U. Medical students' perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment Measure questionnaire. J Educ Eval Health Prof. 2013;10:5.
Mukhalalati B, Aly A, Yakti O, Elshami S, Daud A, Awaisu A, et al. Examining the perception of undergraduate health professional students of their learning environment, learning experience and professional identity development: a mixed-methods study. BMC Med Educ. 2024;24(1):26.
Dávidovics A, Makszin L, Németh T. A national DREEM: exploring medical and dental students' perceptions on their learning environment across Hungary. BMC Med Educ. 2024;24(1):10.
Noreen K, Khan KA, Nehra RA. Students' perception of learning environment using Dundee Ready Education Environment Measure (DREEM) inventory. Pak J Public Health. 2018;8(2):112-6.
Mehta A, Mehta K, Mistry N, Mehta V, Saiyad S, Sheth J. Evaluation of educational environment using the Dundee Ready Educational Environment Measure-12: abridged version of the Dundee Ready Educational Environment Measure-50 questionnaire among final year MBBS students in a medical college in Ahmedabad. CHRISMED J Health Res. 2023;10(3):205-9.
Kyaw HS, Ei PW, Aung EM, Tun T. Perception of students on the educational environment in selected medical universities teaching an integrated curriculum in Myanmar. South East Asian J Med Educ. 2025;19(1):43-9.
Yousry YM, Azab MM. Hybrid versus distance learning environment for a paediatric dentistry course and its influence on students' satisfaction: a cross-sectional study. BMC Med Educ. 2022;22(1):8.
Almansour M, Abouammoh N, Idris RB, Alsuliman OA, Alhomaidi RA, Alhumud MH, et al. Exploring medical students' experience of the learning environment: a mixed methods study in Saudi medical college. BMC Med Educ. 2024;24(1):723.
Aung YP, Hein T, Phyo Z, Naing TT, Hlaing KH, Htun KA. Bridging expectations and reality: student experiences in outcome-based medical education at Defence Services Medical Academy, Myanmar. ISRG J Arts Humanit Soc Sci. 2025;3(2):11-7.
Ata M, Sultana S, Imran M. Using DREEM to get closer to a dream: assessing the educational environment in a Pakistani university. Health Prof Educ J. 2024;7(1):25-30.
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Copyright (c) 2026 Yamin Thaung , Chaw Su Maung, Khin Cho Aye, Ye Phyo Aung , Htun Tin, Tin Tun

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