Analysis of the educational environment of a brazilian medical school in light of the demands of remote learning

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.24434

Keywords:

COVID-19; Medical Education Undergraduate; Education, Online; Evaluation of Medical School Curriculum; Students.

Abstract

The need for social distance caused impacts on medical education, which was already undergoing a process of changes. The use of remote teaching, caused by the Covid-19 pandemic, required medical schools to review educational practices and the teacher-student relationship in new scenarios. Our aim is to analyze the educational environment of an undergraduate medical course contextualizing it to the new reality, identifying aspects of the course that should be reviewed to foster the necessary transformations. Sociodemographic questionnaires and Dundee Ready Education Environment Measure (DREEM) were applied to students from the first, third and sixth years of the medical undergraduate course of a Brazilian public university from August to November 2019. The educational environment was negatively evaluated by the students, with aspects concerning motivation, inadequate use of time, encouragement of continuing education perceived as little stimulated and in need of improvement, unclear pedagogical goals and authoritarian teachers. Students' perceptions of motivation and encouragement to learn; teacher-student relationship; autonomy and encouragement to continuing education; evaluation, and feedback practice were highlighted in the data analysis. The adoption of teaching methodologies centered on the teacher does not favor the active participation of the student and does not encourage them to build knowledge. The remote modality of teaching requires a redefinition of educational practices and the places occupied by teachers and students in the teaching-learning process. Teacher improvement activities, review of teaching and assessment methods, and greater participation of students and teachers in change processes are necessary.

Author Biography

Sandra Torres Serra, Universidade do Estado do Rio de Janeiro

Coordination of Psychopedagogical Student Support Program - Faculty of Medical Sciences - UERJ

Master's Degree in Psychoanalysis - Postgraduate Program in Psychoanalysis - PPSA - Institute of Psychology - UERJ

Specialization in Institutional Clinical Psychology - Residency in Institutional Clinical Psychology - Institute of Psychology - UERJ

Specialization in Psychoanalytic Clinic - Faculty of Psychology - PUC RJ

Doctoral Student of the Postgraduate Program in Medical Sciences - PGCM - Faculty of Medical Sciences - UERJ

Doutoranda do Programa de Pós-graduação em ciências Médicas - PGCM - Faculdade de Ciências Médicas - UERJ

Degree in Psychology - UFRJ

References

Al-Hazimi, A., Zaini, R., Al-Hyiani, A., Hassan, N., Gunaid, A., Ponnamperuma, G., Karunathilake, I., Roff, S., McAleer, S., & Davis. (2004). Educational environment in traditional and innovative medical schools: a study in four undergraduate medical schools. Educ Health (Abingdon); 17 (2), 192-203. https://doi.org/10.1080/13576280410001711003

Alsoufi, A., Alsuyihili, A., Msherghi, A., Elhadi, A., Atiyah, H., Ashini, A., Ashwieb, A., Ghula, M., Ben Hasan, H., Abudabuos, S., Alameen, H., Abokhdhir, T., Anaiba, M., Nagib, T., Shuwayyah, A., Benothman, R., Arrefae, G., Alkhwayildi, A., Alhadi, A., Zaid, A., & Elhadi, M. (2020). Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PloS one, 15(11), e0242905. https://doi.org/10.1371/journal.pone.0242905

Alves, L. (2020). Educação remota: entre a ilusão e a realidade. EDU, 8 (3), 348-65. https://periodicos.set.edu.br/educacao/article/view/9251

Behrens, M. A.(1999). A prática pedagógica e o desafio do paradigma emergente. R. bras. Est. pedag., 80 (196), 383-403.

Coll, C., & Monereo, C. Educação e Aprendizagem no século XXI: novas ferramentas, novos cenários, novas finalidades. (2010). In: Coll C, Monereo C (org.). Psicologia da educação virtual: aprender e ensinar com as tecnologias da informação e da comunicação. (15-46). Artmed.

Damiano, R. F., de Oliveira, I. N., Ezequiel, O. S., Lucchetti, A. L., & Lucchetti, G. (2021). The root of the problem: identifying major sources of stress in Brazilian medical students and developing the Medical Student Stress Factor Scale. Braz. J. Psychiatr. 43 (1), 35-42. https://doi.org/10.1590/1516-4446-2019-0824

Dost, S., Hossain, A., Shehab, M., Abdelwahed, A., & Al-Nusair, L. (2020). Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ open, 10(11), e042378. https://doi.org/10.1136/bmjopen-2020-042378

Dyrbye, L. N., Satele, D., & West, C. P. (2021). Association of Characteristics of the Learning Environment and US Medical Student Burnout, Empathy, and Career Regret. JAMA network open, 4(8), e2119110. https://doi.org/10.1001/jamanetworkopen.2021.19110

Emanuel E. J. (2020). The Inevitable Reimagining of Medical Education. JAMA, 323(12), 1127–1128. https://doi.org/10.1001/jama.2020.1227

Enns, S. C., Perotta, B., Paro, H. B., Gannam, S., Peleias, M., Mayer, F. B., Santos, I. S., Menezes, M., Senger, M. H., Barelli, C., Silveira, P. S., Martins, M. A., & Zen Tempski, P. (2016). Medical Students' Perception of Their Educational Environment and Quality of Life: Is There a Positive Association? Academic medicine: journal of the Association of American Medical Colleges, 91(3), 409–417. https://doi.org/10.1097/ACM.0000000000000952

Fernandes, D. A. S., Taquette, S. R., Rodrigues, N. C. P. (2019). The educational environment of a traditional public school of medicine in Brazil with the DREEM questionnaire. MedEdPublish, 8, 31-56. https://doi.org/10.15694/mep.2019.000101.1

Freire, P. (2005). Pedagogia do oprimido. (42a ed.), Paz e Terra.

Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet (London, England), 376(9756), 1923–1958. https://doi.org/10.1016/S0140-6736(10)61854-5

Genn J. M. (2001). AMEE Medical Education Guide No. 23 (Part 1): Curriculum, environment, climate, quality and change in medical education-a unifying perspective. Medical teacher, 23(4), 337–344. https://doi.org/10.1080/01421590120063330.

Genn, J. M., & Harden, R. M. (1986). What is medical education here really like? Suggestions for action research studies of climates of medical education environments. Medical teacher, 8(2), 111–124. https://doi.org/10.3109/01421598609010737

Gil, A. C. (2016). Métodos e Técnicas de Pesquisa Social, (6a ed.), Atlas.

Gordon, M., Patricio, M., Horne, L., Muston, A., Alston, S. R., Pammi, M., Thammasitboon, S., Park, S., Pawlikowska, T., Rees, E. L., Doyle, A. J., & Daniel, M. (2020). Developments in medical education in response to the COVID-19 pandemic: A rapid BEME systematic review: BEME Guide No. 63. Medical teacher, 42(11), 1202–1215. https://doi.org/10.1080/0142159X.2020.1807484

Goudouris, E., & Struchiner, M. (2015). Aprendizagem Híbrida na Educação Médica: uma Revisão Sistemática. Rev. bras. educ. med., 39 (4), 620-629. https://doi.org/10.1590/1981-52712015v39n4e01642014.

Hutchinson L. (2003). Educational environment. BMJ (Clinical research ed.), 326(7393), 810–812. https://doi.org/10.1136/bmj.326.7393.810

Magalhães, A. J. A, Rocha, M. H. A, Santos, S. C., Dantas, C. B., Manso, G. J. M. C., & Ferreira, M. D. A. (2020). O Ensino da Anamnese Assistido por Tecnologias Digitais durante a Pandemia da Covid-19 no Brasil. Rev. bras. educ. med, 44 (Suppl 01), https://doi.org/10.1590/1981-5271v44.supl.1-20200437.

Maia, B. R, & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: o impacto da COVID-19. Estud. psicol., 37, e200067. https://doi.org/10.1590/1982-0275202037e200067.

McAleer, S., & Roff, S. (2001). A practical guide to using the Dundee Ready Education Environment Measure (DREEM). In J. M. Genn (Ed.), Curriculum, environment, climate, quality and change in medical education: A unifying perspective (pp. 29-33). AMEE Education Guide no. 23. Scotland: AMEE.

Miles, S., Swift, L., & Leinster, S. J. (2012). The Dundee Ready Education Environment Measure (DREEM): a review of its adoption and use. Medical teacher, 34(9), e620–e634. https://doi.org/10.3109/0142159X.2012.668625

Ministério da Educação do Brasil. (2007). Referenciais de qualidade para Educação Superior à Distância. http://portal.mec.gov.br/auditorias/193-secretarias-112877938/seed-educacao-a-distancia-96734370/12777-referenciais-de-qualidade-para-ead.

Ministério da Educação do Brasil. (2014). Resolução nº 3, de 20 de Junho de 2014. Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina. http://portal.mec.gov.br/index.php?option=com_docman&view=download&alias=15874-rces003-14&category_slug=junho-2014-pdf&Itemid=30192

O'Doherty, D., Dromey, M., Lougheed, J., Hannigan, A., Last, J., & McGrath, D. (2018). Barriers and solutions to online learning in medical education - an integrative review. BMC medical education, 18(1), 130. https://doi.org/10.1186/s12909-018-1240-0

Organização das Nações Unidas para Educação, Ciência e Cultura [UNESCO]. (1998). Declaração Mundial sobre Educação Superior no Século XXI: Visão e Ação. Comunicado. Paris, UNESCO.

Organização das Nações Unidas para Educação, Ciência e Cultura [UNESCO]. (2008). Padrões de competência em TIC para professores: módulos de padrão de competências. Paris: UNESCO.

Organização das Nações Unidas para Educação, Ciência e Cultura [UNESCO]. (2013). Enfoques estratégicos sobre las TICs en educación en América Latina y el Caribe: Medición de aprendizaje y nuevas prácticas educativas. Santiago: Oficina Regional de Educación para América Latina y el Caribe.

http://www.unesco.org/new/fileadmin/MULTIMEDIA/FIELD/Santiago/images/ticsesp.pdf

Rodrigues, B. B, Cardoso, R. R. J., Peres, C. H. R., & Marques, F. F. (2020). Aprendendo com o imprevisível: saúde mental dos universitários e educação médica na pandemia de covid-19. Rev Bras Educ Med, 44(1), 1-5. https://doi.org/10.1590/1981-5271v44.supl.1-20200404

Rodríguez, C. A., Poli, P, & Behrens, M. A. (2004). Paradigmas Educacionais e a Formação Médica. Revista Brasileira de Educação Médica, 28 (03), 234-241. https://doi.org/10.1590/1981-5271v28.3-030>.

Roff, S., & McAleer, S. (2001). What is educational climate? Medical teacher, 23(4), pp. 333–334. https://doi.org/10.1080/01421590120063312

Roff S. (2005). The Dundee Ready Educational Environment Measure (DREEM)--a generic instrument for measuring students' perceptions of undergraduate health professions curricula. Medical teacher, 27(4), pp. 322–325. https://doi.org/10.1080/01421590500151054

Roff, S.,McAleer, S., Harden, R. M., Al-Qahtani,M., Ahmed, R. U., Deza, H., Groenen, G. & Primparyon, P. (1997) Development and validation of the Dundee Ready Education Environment Measure (DREEM), Medical Teacher, 19:4, 295-299. https://doi.org/10.3109/01421599709034208

Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA, 316(21), 2214–2236. https://doi.org/10.1001/jama.2016.17324

Ruiz, J. G., Mintzer, M. J., & Leipzig, R. M. (2006). The impact of E-learning in medical education. Academic medicine : journal of the Association of American Medical Colleges, 81(3), 207–212. https://doi.org/10.1097/00001888-200603000-00002

Serra, S. T., Bteshe, M., Bedirian, R., Belz, D. S., Franco, C. F., & de Oliveira, L. S. S. (2021). Implantação de mentoria on-line em uma faculdade de medicina durante a pandemia da Covid-19. Rev. bras. educ. med. 45 (suppl 1), e127. https://doi.org/10.1590/1981-5271v45.supl.1-20210193.

Taquette, S. R., Borges, L. (2020). Pesquisa qualitativa para todos. Vozes.

Troncon, L. E. de A. (2014). Ambiente educacional. Medicina (Ribeirão Preto), 47(3), 264-271. https://doi.org/10.11606/issn.2176-7262.v47i3p264-271

Venturelli, J. (1997). Educación médica: nuevos enfoques, metas y métodos [Internet]. Washington: OPAS. https://www.imperial.ac.uk/media/imperial-college/administration-and-support-services/library/public/vancouver.pdf

Zawawi, A. H., & Elzubeir, M. (2012). Using DREEM to compare graduating students' perceptions of learning environments at medical schools adopting contrasting educational strategies. Medical teacher, 34 Suppl 1, S25–S31. https://doi.org/10.3109/0142159X.2012.656747

Published

24/12/2021

How to Cite

SERRA, S. T.; TAQUETTE, S. R. .; RODRIGUES, N. C. P.; CORRÊA, L. M.; BTESHE, M. Analysis of the educational environment of a brazilian medical school in light of the demands of remote learning. Research, Society and Development, [S. l.], v. 10, n. 17, p. e194101724434, 2021. DOI: 10.33448/rsd-v10i17.24434. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24434. Acesso em: 24 jan. 2022.

Issue

Section

Education Sciences