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Inter-relationships between perception of educational environment and learning processes within medical undergraduate psychiatry teaching

A mediational analysis

Bibliographic Data

ID15328506
AuthorsQian Hui Chew (0000-0003-0969-7994, Institute of Mental Health), Eelin Tan (0000-0002-9521-2190, KK Women's and Children's Hospital), Min Yi Sum (0000-0002-5491-6335, Institute of Mental Health), Kang Sim (0000-0003-3209-9626, Institute of Mental Health, corresponding author)
Year2021
Volume26
Issue1
Pages1998944-1998944
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Education Online (JOURNAL)
Journal identifiersISSN: 1087-2981 • E-ISSN: 1087-2981
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/10872981.2021.1998944
PMID34720060
OpenAlexW3208633482
LanguageEN
References cited35

Amongst medical undergraduates, the perception of educational environment (EE) has been associated with academic achievement and positive attitude toward the course. Nonetheless, there are sparse data on how it influences various learning processes and outcomes especially within psychiatry training. Consistent with situativity and self-determination learning theories, we hypothesized that a positive perception of the EE within psychiatry postings will be beneficial for the learning process, specifically pertaining to greater motivation to learn, better engagement, allowing them to feel more equipped, and greater appreciation of the subject. The DREEM (Dundee Ready Education Environment Measure) was administered to fourth-year medical undergraduate students from the Yong Loo Lin School of Medicine, Singapore, undergoing psychiatry rotations from 2015 to 2019. The students also completed five additional items evaluating the specific learning processes (motivation to learn, engagement, equipping, and appreciation of the subject) and overall rating of the posting. We examined the relationship between DREEM domains and learning processes using correlation analysis. We explored learning processes as mediators of the relationship between total DREEM scores and overall rating of the posting. Altogether, 1343 (response rate 89.5%) medical undergraduates participated in the study. The overall DREEM score was 157.01 ± 15.86. Overall DREEM and subdomain scores were significantly correlated with several learning processes (r = 0.354 to 0.558, all p < .001). Motivation and engagement were significant mediators of the relationship between total DREEM scores and overall rating of the psychiatry posting. Our results highlighted that a positive perception of EE was associated with the specific learning processes that mediated the overall rating of the posting. In the context of relevant learning theories and our study findings, improvement of the EE within undergraduate psychiatry training can potentially enhance overall learning experience through better motivation and engagement of our learners

Medical education · Medical school · Perception · Subject (documents · Clinical Psychology · Evaluation of Teaching Practices · Innovations in Medical Education · Learning Styles and Cognitive Differences · Medicine · Psychology

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