Medical Students’ Perception on the Medical Education Learning Environment at the University of Nairobi: A Qualitative Study.

Abstract

Background

The educational environment (EE) plays a significant influence in effective student learning. The Dundee Ready Education Environment Measure (DREEM) is a validated tool to assess the EE. DREEM survey done early 2019 among medical students indicated lots of problems. It was therefore important to explore why there was such perception among the medical students.

Objectives

To explore medical students’ perception on the medical education learning environment at the University of Nairobi.

Materials and methods

Qualitative focus group discussions were held among medical students from year III-VI in groups of between 8-12 students. The discussions were recorded using phone Samsung J6 voice recorder, transcribed, coded, and analyzed for themes until saturation was reached.

Results

We held 6 focus discussion groups with students from year 3-6. There were four thematic areas that were identified during these focus group discussions. 1. Poor educational infrastructure 2. Poor educational structure 3. Teaching is teacher-centered 4. Lack of social support for student in difficulties.

Conclusion

The exploration of the perception of the educational environment confirms students have poor view of the educational environment and the issues are a good feedback on teaching and governance issues including the social culture of the institution.

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