Attitude of undergraduate medical students towards teaching learning process during their course in a teaching hospital of South Kerala

Vincy Nelson, Sabu Stephen, Sony Simon


Background: Student’s perception of the learning environment where they study has shown significant impact on their behavior level and academic level. The aim of the study was to find out the student’s perception of their learning environment in an Indian medical school of South Kerala and to study differences in perceptions between years of study, gender.

Methods: In this study we used the Dundee Ready Education Environment Measure (DREEM) inventory which was administered to undergraduate medical students of first (N=100), second (N=92), third (N=62) and fourth years (N=75) of Travancore Medical College, Kollam. Scores obtained were expressed as mean±standard deviation (SD) and analyzed using one-way ANOVA and post hoc test was used.

Results: A total of 400 students were studying in our medical college. Among them 330 students became participants of the study. Males comprised of 116 (35.2%) and females 214 (64.8%). Students less than 21 years was 200 (60.6%) and above 21 years 130 (39.4%). Final year MBBS students scored well when compared with the first years and second years. Post hoc analysis also showed same results. Significant relation between Student’s Perception of Learning, SPoT (value=0.001); Student’s Academic Self-Perception, SPoA (p value=0.022), SPoA (p value=0.010); and SSSP                            (p value=0.016) between batches has been observed. There was significant difference between males and females in the perception of atmosphere and was found to be statically significant.

Conclusions: In this study the student’s perceptions of educational environment showed that the student’s enthusiasm improved as they move across years and was statically found to be significant. In the sub category student’s perception on atmosphere there was significant difference between males and females and it was statically found to be significant (p value less than 0.05).


Teaching learning, DREEMS, Medical education, Student’s perception

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Roff S, Aleer S, Ifere OS, Bhattacharya S. A global diagnostic tool for measuring educational environment: comparing Nigeria and Nepal. Med Teach. 2001;23(4):378-82.

Audin K, Davy J, Barkham M. University Quality of Life and Learning (UNIQoLL): an approach to student wellbeing, satisfaction and institutional change. J Further Higher Edu. 2003;27(4):365-82.

Roff S, Mcaleer S, Harden RM, Qahtani M, Ahmed AU, Deza H, et al. Development and validation of the Dundee Ready Education Environment Measure (DREEM) Medical Teach. 1997;19(4):295-99.

Roff S. The Dundee ready Educational Environment Measure (DREEM)– a generic instrument for measuring students’ perceptions of undergraduate health professions curricula. Medical Teach. 2005;27(4):322-5.

Pai PG, Menezes V, Subramanian AM, Shenoy JP. Medical students' perception of their educational environment. J Clin Diagn Res. 2014;8(1):103-7.

Sunkad MA, Javali S, Shivapur Y, Wantamutte A. Health sciences students' perception of the educational environment of KLE University, India as measured with the Dundee Ready Educational Environment Measure (DREEM). J Educ Eval Health Prof. 2015;12:37.

Jiffry MT, McAleer S, Fernando S, Marasinghe RB. Using the DREEM questionnaire to gather baseline information on an evolving medical school in Sri Lanka. Med Teach. 2005;27(4):348-52.

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.

Bassaw B, Roff S, McAleer S, Roopnarinesingh S, Lisle J, Teelucksingh S, Gopaul S. Students' perspectives on the educational environment, Faculty of Medical Sciences, Trinidad. Med Teach. 2003;25(5):522-6.

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.

Mayya S, Roff S. Students' perceptions of educational environment: a comparison of academic achievers and under-achievers at kasturba medical college, India. Educ 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 Educ. 2008;8:20.

Maheshwaran G. Kuppuswamy's socio-economic status scale- a revision of income parameter for 2014. Int J Rec Trends Sci Tech. 2014;11(1):1-2.

Karim J, Halabi B, Marwan Y, Sadeq H, Dawas A, Abdulrazzaq D. The educational environment of the undergraduate medical curriculum at Kuwait University. Adv Med Educ Pract. 2015;6:297-303.

Kiran HS, Gowdappa BH. "DREEM" comes true - Students' perceptions of educational environment in an Indian medical school. J Postgrad Med. 2013;59(4):300-5.

Gopalakrishnan S, Mathew P, Vaidyanathan K. Attitude of bachelor of dental surgery students and interns toward teaching-learning process in Government Dental College, Kottayam, Kerala, India. Indian J Dent Res. 2017;28(3):256-60.