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http://www.ncbi.nlm.nih.

gov/pmc/articles/PMC2779601/

Mean Scores (max.score 4) Domains/Item No/Items of DREEM Questionnaire (n = 255) (n = 192) (n = 106) p<0.05 Year 1 Year 3 Year 5

Students Perception of Learning (SPL) 1 7 13 16 I am encouraged to participate in class 2.58 The teaching is often stimulating The teaching is student-centered 2.17 2.83 3.03 2.48 2.80 2.42 1.93 2.66 1,2 1,2,3 NS 2.66 2.38 2.15

The teaching is sufficiently concerned to develop my competence 1,3 The teaching is well focused 2.56 2.57 2.20 2,3

20 22 24 25 38 44 47 48

The teaching is sufficiently concerned to develop my confidence 2.22 The teaching time is put to good use 1.34 1.89 1.34 1.91 2.29 2.43 2.46 2.72 1,2 2.25 2.27 2.49 2.35 3

2.34

1.82

2,3

The teaching over-emphasizes factual learning 1.72 I am clear about the learning objectives of the course The teaching encourages me to be an active learner Long-term learning is emphasized over short-term The teaching is too teacher-centered 2.42 2.54

1,2,3 1.95 2.27 2.09 2,3 3 2,3

Students Perception of Teachers (SPT) 2 6 8 9 18 The teachers are knowledgeable 3.08 3.50 2.79 2.71 1.41 3.26 2.59 1.85 3 2.60 2.77 2.31 1,2,3 1,2,3 1,2,3 2,3

The teachers are patient with patients 2.42 The teachers ridicule the students The teachers are authoritarian 1.76 2.70 1.63

The teachers have good communications skills with patients.

29 32 37 39 40 50

The teachers are good at providing feedback to students The teachers provide constructive criticism here 2.20 The teachers give clear examples The teachers get angry in class 2.71 2.60 2.64 2.83 2.39 2.43 2.88 2.20 2.52 2,3 2.64 2.86

2.23 1.74 1,2

2.16 2,3

1.56

2,3

The teachers are well prepared for their class The students irritate the teachers 2.92

2.47 NS

Students Academic Self-Perception (SAP) 5 Learning strategies which worked for me before continue to work for me now 2.31 2 I am confident about my passing this year 2.82 3.14 2.50 2.94 2.28 1,2 1.91 1.62 1,2,3 2.43 1.99 2.40 2.58

10 21 26

I feel I am being well prepared for my profession

Last year's work has been a good preparation for this year's work 1,2,3 I am able to memorize all I need 1.47 1.50 1.33 NS 2.30 2.74 2.60

27 31 41 45

I have learned a lot about empathy in my profession

3.06 2.31 2.50

1,2,3 1,2 2.73 2.65

My problem-solving skills are being well developed here 2.38

Much of what I have to learn seems relevant to a career in medicine 1

Students Perception of Atmosphere (SPA) 11 12 17 23 30 33 34 35 The atmosphere is relaxed during the ward teaching This school is well time-tabled 1.97 Cheating is a problem in this school 2.22 1.59 1.68 1.91 2.33 1,2,3 1.91 2.45 1,3 2.13 1,2 2.43 2.27 NS 2.38 2.10 2,3

The atmosphere is relaxed during the lectures 1.99

There are opportunities for me to develop inter-personal skills 2.43 I feel comfortable in class socially 2.53 2.70 2.48 2.86 2.14 2 2.65 NS

The atmosphere is relaxed during seminars/tutorials I find the experience disappointing 2.30 2.35

2.27

1,2,3

36 42 43 49

I am able to concentrate well

2.19

2.34

2.09

2 2.18 2.00 1,3 2.13 2,3 1.76 2,3

The enjoyment outweighs the stress of studying medicine The atmosphere motivates me as a learner I feel able to ask the questions I want 1.98 2.32 2.54 2.42 2.40

Students Social Self-Perception (SSP) 3 4 14 15 19 28 46 There is a good support system for students who get stressed I am too tired to enjoy this course I am rarely bored on this course 1.97 I have good friends in this school My social life is good I seldom feel lonely 2.55 2.23 2.73 2.27 2.00 1.83 3.04 2.15 2.26 3.10 2.22 1.28 3.29 2,3 NS 3.14 NS 1.57 2,3 3.32 1,3 1.74 1,2,3 1.94 1.19 1,2,3

My accommodation is pleasant 2.97

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