STUDENTS’ PERCEPTION ABOUT CLINICAL LEARNING ENVIRONMENT IN THE PRIMARY, SECONDARY AND TERTIARY MEDICAL FACILITIES

https://doi.org/10.22146/jpki.35555

Dian Puspita Dewi(1*), Gandes Retno Rahayu(2), Tri Nur Kristina(3)

(1) Fakultas Kedokteran Universitas Diponegoro, Semarang - INDONESIA
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: Learning environment is an important factor in learning process and can affect students' competence and work-readiness. Learning environment is not only about physical facilities but also social and psychological condition. The complexity of clinical learning environments pose challenges and problems that may affect students learning process so it is necessary to monitoring and evaluating students learning environments. This study aims to assess students' perception of their learning environment and the effect of primary, secondary and tertiary health care services utilization as clinical learning environments.

Method: This study was conducted with a cross sectional study design. The subjects were 36 students of obstetrics and gynecology department. Data obtained from learning environment questionnaires in tertiary, secondary and primary health care services. A non-parametric test was applied to compared learning environment score in each health care level.

Results: Students perception of their learning environment between tertiary and secondary as well as tertiary and primary health care services were significantly different. Students stated advantages and disadvantages of each learning environment that can affect their competence level.

Conclusion: Students have a good perception of the their learning environment. There was significant difference between tertiary and two other health care services.




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References

  1. Lai NM, Nalliah S, Jutti RC, Hla YY, Lim VKE. The educational environment and self-perceived clinical competence of senior medical students in malaysian medical school. Educ Health. 2009; 22(2).
  2. Genn JM. AMEE Medical Education Guide No. 23 (Part 1): Curriculum, environment, climate, quality and change in medical education-a unifying perspective. Med Teach. 2001; 23(4): 337-44.
  3. Hutchinson L. Educational environment. BMJ. 2003; 326(7393): 810-2.
  4. Leman. Persepsi mahasiswa mengenai lingkungan belajar, motivasi belajar, strategi belajar, dan hasil belajar di Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta. M.Med.Ed.tesis. 2014. Universitas Gadjah Mada.
  5. Emilia O. Kompetensi dokter dan lingkungan belajar klinik di rumah sakit. Yogyakarta: Gadjah Mada University Press; 2008.
  6. Thistlethwaite J. Learning Environment. In: Cantillon P, Wood D, editors. ABC of Learning and Teaching in Medicine. London: John Wiley & Sons Ltd; 2010. 60-3.
  7. Ramani S, Leinster S. AMEE Guide no. 34: teaching in the clinical environment. Med Teach. 2008; 30(4): 347-64.
  8. Spencer J. Learning and teaching in the clinical environment. BMJ. 2003; 326: 591-4.
  9. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia, 2nd ed, Jakarta. 2012.
  10. Stewart J, O'Halloran C, Barton JR, Singleton SJ, Harrigan P, Spencer J. Clarifying the concepts of confidence and competence to produce appropriate self-evaluation measurement scales. Med Educ. 2000; 34: 903-9.
  11. Konsil Kedokteran Indonesia. Standar Pendidikan Profesi Dokter Indonesia, 2nd ed, Jakarta. 2012.
  12. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 1045/MENKES/PER/XI/2006 tentang Pedoman organisasi rumah sakit di lingkungan departemen kesehatan
  13. Jaschinski J, deVilliers MR. Factors influencing the development of practical skills of interns working in regional hospitals of the Western Cape province of South Africa. SA Fam Pract. 2008; 50(1): 70.
  14. Emilia O. The relationship between the clinical learning environment and the approaches to learning of medical students. PhD.thesis. The University of New South Wales. 2003.
  15. Tokuda Y, Goto E, Otaki J, Jacobs J, Omata F, Saphiro M. Educational environment of university and non-university hospitals in Japan. Int J Med Educ. 2010; 1: 10-4.
  16. Gupta TKS, Murray RB, McDonell A, Murphy B, Underhill AD. Rural internships for final year students: clinical experience, education and workforce. Rural Remote Health. 2008; 8: 827.
  17. Salminen H, Ohman E, Stenfors-Hayes T. Medical students’ feedback regarding their clinical learning environment in primary healthcare: a qualitative study. BMC Med Educ. 2016; 16: 313.
  18. Dehmer JJ, Amos KD, Farrel TM, Meyer AA, Newton WP, Meyers MO. Competence and confidence with basic procedural skills: The experience and opinions of fourth year medical students at a single institution. Acad Med. 2013; 88(5): 682-7.
  19. Kim JY, Myung SJ. Could clinical experience during clerkship enhance students' clinical performance?. BMC Med Educ. 2014; 14: 209.
  20. Bennet D, Kelly M, O'Flynn S. Are the bigger hospital better: DREEM on?. Ir J Med Sci. 2010; 179: 515-9.
  21. Van Hell EA, Kuks JBM, Raat AN, van Lohuizen MT, Cohen-Schotanus J. Instructiveness of feedback during clerkship: influence of supervisor, observation and student initiative. Med Teach. 2009; 31: 45-50.
  22. Epstein RM. Assessment in medical education. N Engl J Med. 2007; 356(4): 387–96.
  23. Church MA, Elliot AJ, Gabble SL. Perception of classroom environment achievement goals and achievement outcomes. J Educ Psychol. 2001; 93(1): 43-54.
  24. Shimizu T, Tsugawa Y, Tanoue Y, Konishi R, Nishizaki Y, Kishimoto M. The hospital educational environment and performance in residents in general medicine in-training examination: a multicenter study in Japan. Int J Gen Med. 2013; 6: 637-40.
  25. Khurseed I, Baig L. Students' perceptions of educational environment of a private medical school in Pakistan. JPMA. 2014; 64(11): 1244-9.



DOI: https://doi.org/10.22146/jpki.35555

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