University Teachers’ Point of View about Educational Environment in Major Clinical Wards in Educational Hospitals of Iran University of Medical Sciences, Based on Modified DREEM Model


Seyed Kamran Soltani Arabshahi 1 , * , Jalil Kohpaye Zadeh 1


1 Iran


Strides in Development of Medical Education: 6 (1); e61224
Published Online: July 27, 2009
Article Type: Research Article
Received: September 02, 2017
Accepted: January 02, 2008




Background & Objective: Educational institutions use different tools for evaluating their own
activities. In this study, DREEM (Dundee Ready Education Environment Measure) model was
used as a diagnostic tool to evaluate curriculum problems and efficacy of change in education.
Methods: This cross-sectional study was conducted in four major clinical wards including internal
medicine, pediatrics, obstetrics &gynecology and general surgery in four educational hospitals of
Iran University of Medical Sciences. A questionnaire including 35 questions concerning three
domains of students’ learning, teachers, and educational atmosphere was distributed amongst 53
clinical teachers in the aforementioned wards.
Results: The mean score was 116 out of 140 which was interpreted as very satisfactory.
Regarding all three domains of learning, teachers, and educational environment, the highest mean
score belonged to pediatrics ward whereas the least belonged to internal medicine ward. There
was a significant difference between clinical wards concerning educational environment
(P=0.042). The internal medicine ward’s score was 39.3 while pediatrics ward got 46.2.
Conclusion: According to the mean score, it seems that the university teachers consider learning
and teaching to be suitable. As for the least score which was given to educational environment in
internal medicine ward, it seems that problems in appropriate communication between teachers
and learners in this ward have led to a stressful environment. Since DREEM model is suitable for
educational changes, comparing teachers and learners’ points of view and planning to solve
problems in internal ward could be useful.


Educational environment Clinical wards Educational evaluation Teaching and learning DREEM model

© 2009, Strides in Development of Medical Education. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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