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Perception of Current Educational Environment, Clinical Competency, and Depression among Malaysian Medical Students in Clinical Clerkship

A Cross-Sectional Study

Bibliographic Data

ID15513342
AuthorsRosnaini Sudi (National University of Malaysia), Wai Leng Chang (National University of Malaysia), Nur Hidayah Arshad (National University of Malaysia), Syasya Nabilah Zainal Abidin (National University of Malaysia), Ulyssies Suderman (National University of Malaysia), Luke Sy‐Cherng Woon (0000-0002-8216-0694, National University of Malaysia, corresponding author)
Year2022
Volume19
Issue23
Pages16274-16274
Publication date2022-12-05
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192316274
PMID36498345
OpenAlexW4311527776
LanguageEN
Citations received1
References cited9

The COVID-19 pandemic has altered the educational environment of medical students in clinical clerkship, with potential impacts on clinical competency and reported increased prevalence of depression. This study aimed to determine the relationship between the perception of the educational environment, self-perceived clinical competency, and depression among them. Subjects ( N = 196) at the National University of Malaysia participated through convenience sampling in an online survey including sociodemographic data, COVID-19-related stressors, Dundee Ready Education Environment Measure (DREEM), self-perceived clinical competency, and Patient Health Questionnaire (PHQ-9). The cut-off point for depression was a PHQ-9 score ≥ 15. Multiple logistic regression followed bivariate analyses to identify factors for depression. The participants (mean age: 23.2 years, SD ± 0.98 years) were mainly female (71.9%) and Malay (59.2%). The prevalence of depression was 17.4% (95% CI: 12.3-23.4%). Most participants perceived the educational environment positively. In logistic regression, ethnicity (Adjusted OR = 3.1, 95% CI: 1.2-8.1) and DREEM score were significantly associated with depression, whereas self-perceived clinical competency was not. A higher DREEM score indicating a better perception of the educational environment was linked to a lower likelihood of depression ( p = 0.046). Besides ethnicity, perception of the educational environment emerged as a factor associated with depression. This relationship between the educational environment and mental well-being warrants further exploration

Anxiety · Cross-sectional study · Depression (economics · Depressive symptoms · Ethnic group · Family medicine · Logistic regression · Mental health · Patient Health Questionnaire · Psychiatry · Stressor · Clinical Psychology · COVID-19 and Mental Health · Health and Well-being Studies · Healthcare professionals’ stress and burnout · Medicine · Psychology · Gerontology · Internal Medicine

  • Perceptions of the educational environment during clinical training among Vietnamese medical students

    Open Access•Linh Bui, Thao Tran et al.•BMC Medical Education•2026

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    Suzanne Rose•JAMA•2020

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    Open Access•Syed Sameer Aga, Muhammad Anwar Khan et al.•Education Research International•2021

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    Open Access•Laura Giusti, Silvia Mammarella et al.•BMC Psychology•2021

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    Open Access•Jessica Cockburn, Chee Yang Tan et al.•BMC Psychology•2022

  • The Psychological Impact of Movement Restriction during the Covid-19 Outbreak on Clinical Undergraduates

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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