IMJH: February 2021

Medical Journal: February 2021

Assessment of Undergraduate Medical Learners’ Perception of the Learning Environment using Modified DREEM Questionnaire: A Cross Sectional Study


Background: The students’ perception of the learning environment is important for proper learning to take place. Students’ reflection in this regard is also crucial in the accreditation process. Sudan has witnessed huge expansion in higher education which resulted in many challenges facing the educational environment. This study aimed to assess the medical students’ perception of the learning environment at a Sudanese University, October 2019.

Methods and material: The study was descriptive cross-sectional. Medical students from 2nd to 5th class were chosen proportionately, using systematic random technique. Calculated sample size was 330. Data was collected using self-administered modified Dundee Ready Educational Environment Measure. 17 questions with total mean score of 68 involved assessment of five domains of the educational environment namely, Students’ perception of learning (SPL), Students̛ perception of teachers (SPT), Students’ academic self perception (SAS), Students’ perception of the atmosphere (SPA) and social self-perception (SSS). Data was analyzed using SPSS version 23.

Results: 315 students participated in the study with 95% response rate. Males were almost as twice as females. The total mean score was 37.8 out of 68 that means more positive than negative. 2 out of 3 SPL, 2 out of 5 SPA items, and one out of 3 SSS items were identified as problem areas. In total, 5 out of 17 items were identified as problematic. There was no statistically significant difference between males and females regarding the sub-groups (P >0.05). As regarding the association between students’ perception of the learning environment and academic achievement and class level; has shown significance only for the later with P values < 0.05 mainly between 5th and 3rd year.

Conclusion: Medical students’ perception of the learning environment at a Sudanese university was positive more than negative. Some items of the learning environment were in need of improvement. There was significant ascending difference between some of the classes in relation to perception of the learning environment.

Recommendations: Adjustment of the learning environment and continuous evaluation of students’ perception.

Keywords: Medical, students, perception, learning, environment.

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Epidemiological Trends of Lower Limb Amputation in Artificial Limb Centre

Abstract Main aim of our study was to compose an inclusive report on the “Epidemiological Trends of the lower limb amputation in two different population groups”. This is a retrospective study carried out at Artificial Limb Centre (ALC), Pune from 1st February 2012 to 31st January 2016. A total of 3402 patients who had undergone the prosthetic rehabilitation at the ALC, Pune were included in our study. All the patients after initial assessment were divided into two groups, 1. Defence Personnel’s & Dependents 2. Civilian patients.

The patients were evaluated with respect to age, sex, aetiology, site, level and prevalence of amputation among the sexes at different ages and surgical interventions performed and It was found that the physical trauma was still one off the leading cause of major Lower Limb Amputation in developing countries, but new emerging causes like “Metabolic and Vascular” were showing the continuously increasing trends. The reason for this change was rise in the diabetes & its associated complications. This study is therefore intended to provide an insight into epidemiological trends of major lower limb amputation in army personal, dependents and general population.

Keywords— Lower Limb Amputation, Trauma, Prosthesis, Defense Personnel, Artificial Limb Centre.

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