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Abstract

Background: Medical education has changed in response to scientific advances and social needs.
Aim: The aim of the study was to examine curricula of medical schools around the world and to observe the trends that currently dominate in medical education.
Method: We have collected information on the current curricula of various medical schools using their official websites. When necessary, we supplemented the information using published articles describing the curriculum of a given medical school. Results: Our findings reveal that medical schools demonstrate the need for constant reforms and adaptation to changing conditions worldwide. Generally, there is a tendency to integrate basic and clinical fields, to sooner establish bedside teaching, to provide less theoretical and more practical approaches to teaching, to implement more communication skills, and provide students with research training.
Conclusions: Medical education has evolved and will continue to change with time. Medical schools introduce modifications to their curricula and share their experiences.
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Authors and Affiliations

Dorota Zawiślak
1
Robert Kupis
1
Ian Perera
1
Grzegorz Cebula
1

  1. Centre of Innovative Medical Education, Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Introduction: The Dundee Ready Education Environment Measure (DREEM) is an instru-ment that assesses the educational environment.
Aim: The aim of this study was to psychometrically evaluate a Polish version of the DREEM instrument.
Material and Methods: 203 medical students who fully completed the DREEM questionnaire were included in the study. Validity was evaluated through the analysis of construct validity and reliability.
Results: After language validation the internal consistency was assessed. Cronbach’s alpha for the overall score was 0.93 and the five subscales were: perceptions of learning 0.86, perceptions of teachers 0.82, perceptions of atmosphere 0.75, academic self-perceptions 0.61, and social-self perceptions 0.61. The exploratory factor analyses, however, yielded dimensions that did not fully correspond to the original DREEM subscales.
Conclusions: Internal consistency of the Polish version of the DREEM scale as a whole was excellent, however for each of five originally developed subscales it was lower and vary a lot; construct validity of Polish version was not compatible with the original structure of the DREEM scale but was reasonable. A new five-factor solution obtained in this study could be a reliable tool for assessing the medical education environment in the Polish circumstances, but it will require confirmation in future study.
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Authors and Affiliations

Dorota Zawiślak
1
Kamila Żur-Wyrozumska
1
Mariusz Habera
1
Karolina Skrzypiec
1
Agnieszka Pac
2
Grzegorz Cebula
1

  1. Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Background: The skills and attitudes of medical staff affect the quality of the healthcare system, hence the study of academic motivation and quality of life of medical students.
Materials and Methods: The study involved 203 students of the Jagiellonian University Medical College. Academic motivation was assessed using the Academic Motivation Scale and quality of life using the World Health Organization Quality of Life-BREF questionnaire. Academic Motivation Scale is based on the Self-Determination Theory, which distinguishes several dimensions of motivation arranged along self-determination continuum from amotivation, through extrinsic, controllable motivation, to intrinsic, autonomous motivation.
Results: For our students, the main reason for taking up studies was identified regulation, it means that they perceive studying as something important for them, giving more opportunities in the future. Next was intrinsic motivations to know, where gaining knowledge is a value in itself. The third was external regulation, which indicate that the choice of studies was regulated by the dictates of the environment or the desire to obtain a reward. Female students showed a more intrinsically motivational profile than male students. Motivation became less autonomous as the years of study progressed. Most students rated their quality of life as good or very good. There was weak correlation between students’ good quality of life and more self-determined academic motivation.
Conclusions: Our students are mainly intrinsically motivated, most of them positively assess the quality of life. A more autonomous approach to learning coexisted with a positive assessment of quality of life.
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Authors and Affiliations

Dorota Zawiślak
1
Karolina Skrzypiec
1
Kamila Żur-Wyrozumska
1
Mariusz Habera
1
Grzegorz Cebula
1

  1. Centre for Innovative Medical Education, Jagiellonian University Medical College, Kraków, Poland

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