Evidence map›Paper›PMID 42021798›Full record

ReviewMedical journal of the Islamic Republic of Iran2025

The Quality of Clinical Education Environment Based on the DREEM Model in Medical Universities of Iran from Students and Professors' Perspective; Systematic Review and Meta-analysis.

Azadeh Soltanifar, Roya Vatankhah, Seyed Mahdi Majidi Talab, Majid Khadem-Rezaiyan

Abstract readReview
In one paragraph

Review in Medical journal of the Islamic Republic of Iran, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Azadeh SoltanifarMedical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Roya VatankhahMedical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Mahdi Majidi TalabStudent Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Majid Khadem-RezaiyanMedical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0003-2698-176X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Appropriate and desirable learning outcomes and achievements are positively associated with desirable aspects of psycho-social learning environments; that is, the best environment gives the best results. The learning environment in medical education is one of the most essential elements that determine the success of an efficient curriculum. Education in hospital departments provides unique opportunities for students to learn through the use of various strategies and different teaching styles. The purpose of this study is a systematic review and meta-analysis regarding the quality of the clinical education environment based on the DREEM model. Methods: This study employed a systematic review and meta-analysis approach. All articles related to the quality of the clinical education environment (educational climate) based on the DREEM model in Iran were searched in 8 databases, collected, and evaluated for quality. Finally, 19 articles were analyzed using Comprehensive Meta-Analysis software. Results: Overall, 190 studies were identified, of which 115 records were screened and 39 were selected and included in the review. Finally, 30 studies comprising 2 psychometric studies of varying quality, provided data on the total score of the DREEM questionnaire and were included in the meta-analysis. The effect measure was the mean of reported scores. The pooled total score was 119.18 out of 200 (95% CI, 112.09-126.26). The highest score was observed in "perception of learning" (28.33, 95% CI, 25.96-30.70), and the lowest score was observed in "social self-perception" (17.52, 95% CI, 16.45-18.74). Conclusion: This is the first systematic review and meta-analysis study in the Islamic Republic of Iran, which has determined the overall situation regarding the quality of the educational climate based on the DREEM model. The results show that the total score is slightly higher than 50%, indicating that social self-perception requires further national planning for improvement.

Indexed as

DREEM ModelEducational ClimateMedical UniversityMeta-analysisQuality of Education EnvironmentSystematic Review

Identifiers

PMID42021798
PMCPMC13097232

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.