Table 1 The scores for the UCEEM (total, the scales, and the items) and the extra questions for all students
UCEEM overarching dimensions, subsets, and items | Public health sector mean (SD) | Private health sector mean (SD) | Public & private health sectors mean (SD) | P value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All n = 21 | Year 6 n = 10 | Year 5 n = 11 | All n = 17 | Year 6 n = 7 | Year 5 n = 10 | All n = 38 | Year 6 n = 17 | Year 5 n = 21 | Public health sector = year 6 vs. year 5 | Private health sector = year 6 vs. year 5 | Public vs. private health sectors = all students | |||||
Subset A1: Opportunities to learn in and through work and quality of supervision | ||||||||||||||||
3. My (work) tasks are relevant to the learning objectives | 3.9(0.8) | 3.7(0.9) | 4.1(0.7) | 3.8(0.9) | 3.7(0.8) | 3.9(1.0) | 3.9(0.8) | 3.7(0.8) | 4.0(0.8) | 0.267 | 0.618 | 0.719 | ||||
4. I am sufficiently occupied with meaningful (work) tasks | 3.6(0.9) | 3.7(0.9) | 3.5(0.8) | 3.4(1.1) | 3.0(0.8) | 3.6(1.2) | 3.5(1.0) | 3.4(0.9) | 3.5(1.0) | 0.596 | 0.268 | 0.541 | ||||
5. My tasks are suitably challenging for my level of knowledge and skills | 3.6(0.9) | 3.7(0.8) | 3.5(0.9) | 3.3(1.2) | 2.9(1.2) | 3.6(1.1) | 3.5(1.0) | 3.4(1.1) | 3.5(1.0) | 0.598 | 0.233 | 0.384 | ||||
6. I am encouraged to participate actively in the work here | 3.6(1.1) | 3.7(1.1) | 3.5(1.1) | 3.5(1.1) | 3.0(1.2) | 3.9(1.0) | 3.3(1.1) | 3.4(1.2) | 3.7(1.1) | 0.682 | 0.112 | 0.782 | ||||
13. I receive useful feedback from my supervisors | 3.1(1.1) | 2.7(1.2) | 3.5(0.9) | 3.7(1.0) | 3.4(1.3) | 3.9(1.0) | 3.4(1.1) | 3.0(1.2) | 3.7(1.0) | 0.098 | 0.383 | 0.090 | ||||
14. I feel able to ask my supervisors any question I wish. | 3.8(1.1) | 3.2(1.0) | 4.3(0.9) | 4.2(0.5) | 3.9(0.3) | 4.4(0.5) | 4.0(0.9) | 3.5(0.9) | 4.3(0.7) | 0.015* | 0.032* | 0.174 | ||||
15. I get the opportunity to provide a rationale for my actions during supervision sessions | 3.2(1.0) | 2.9(1.0) | 3.5(0.9) | 3.8(0.7) | 3.6(0.5) | 4.0(0.8) | 3.5(1.0) | 3.2(0.9) | 3.8(0.9) | 0.164 | 0.261 | 0.043* | ||||
16. My problem-solving skills are developing well in this placement | 4.0(0.6) | 3.9(0.3) | 4.2(0.8) | 3.8(0.7) | 3.7(0.5) | 3.9(0.9) | 4.0(0.7) | 3.8(0.4) | 4.0(0.8) | 0.278 | 0.603 | 0.349 | ||||
17. I have the opportunity to put my theoretical knowledge into practice in this placement | 4.1(0.7) | 4.0(0.8) | 4.3(0.6) | 3.9(0.7) | 3.9(0.4) | 4.0(0.9) | 4.0(0.7) | 3.9(0.7) | 4.1(0.8) | 0.340 | 0.788 | 0.387 | ||||
18. I have the opportunity to learn together with other medical students in this placement | 4.1(0.8) | 4.3(0.7) | 4(0.9) | 3.4(0.9) | 3.9(0.7) | 3.1(1.0) | 3.8(0.9) | 4.1(0.7) | 3.6(1.2) | 0.408 | 0.088 | 0.015* | ||||
25. I feel I have influence over my learning in this placement | 3.7(0.9) | 3.4(1.1) | 3.9(0.7) | 4.0(0.7) | 3.7(0.8) | 4.2(0.6) | 3.8(0.8) | 3.5(0.9) | 4.0(0.7) | 0.224 | 0.160 | 0.267 | ||||
Total; Subset A1 (Total = 55) | 40.7 | 39.2 | 42.3 | 40.8 | 38.7 | 42.5 | 40.8 | 38.9 | 42.2 | 0.121 | 0.038* | 0.797 | ||||
Subset A2: Preparedness for student entry | ||||||||||||||||
1. I received useful induction in this placement | 3.0(1.2) | 2.4(1.3) | 3.6(0.9) | 3.8(1.1) | 3.3(1.1) | 4.1(1.0) | 3.4(1.2) | 2.8(1.3) | 3.9(1.0) | 0.022* | 0.139 | 0.041* | ||||
2. My supervisors were expecting me when I arrived. | 3.1(1.2) | 2.7(1.3) | 3.5(1.0) | 4.2(0.7) | 4.3(0.5) | 4.1(0.9) | 3.6(1.6) | 3.3(1.3) | 3.8(1.0) | 0.128 | 0.603 | 0.001* | ||||
9. I have a supervisor to whom I know I can turn | 3.6(0.9) | 3.4(1.0) | 3.7(0.9) | 4.1(0.9) | 3.9(0.9) | 4.2(0.9) | 3.8(0.9) | 3.6(0.9) | 4.0(0.9) | 0.478 | 0.509 | 0.097 | ||||
10. I have sufficient access to supervision | 3.5(0.7) | 3.4(0.7) | 3.5(0.8) | 4.4(0.6) | 4.1(0.7) | 4.5(0.5) | 3.9(0.8) | 3.7(0.8) | 4.0(0.8) | 0.764 | 0.187 | 0.000* | ||||
11. The supervisors are well prepared for supervising | 3.2(1.0) | 2.7(0.9) | 3.7(0.9) | 3.9(1.0) | 3.4(0.5) | 4.3(1.1) | 3.6(1.1) | 3.0(0.9) | 4.0(1.0) | 0.019* | 0.062* | 0.038* | ||||
12. It is clear that my supervisors are familiar with the learning objectives | 2.7(1.1) | 2.4(1.1) | 2.9(1.0) | 3.6(1.1) | 3.4(0.8) | 3.7(1.3) | 3.1(1.2) | 2.8(1.1) | 3.3(1.2) | 0.288 | 0.597 | 0.016* | ||||
Total; Subset A2 (Total = 30) | 19.1 | 17 | 20.9 | 24 | 22.4 | 24.9 | 21.4 | 19.2 | 23 | 0.015* | 0.060 | 0.003* | ||||
Total; Overarching dimension experiential learning (A1 + A2 Total = 85) | 59.8 | 56.2 | 63.2 | 64.8 | 61.1 | 67.4 | 62.2 | 58.1 | 65.2 | 0.018* | 0.005* | 0.119 | ||||
Subset B1: Workplace interaction patterns and student inclusion | ||||||||||||||||
7. I have adequate access to computers in this placement | 2.3(1.3) | 2.5(1.3) | 2.1(1.4) | 4.1(1.0) | 4.0(1.2) | 4.2(0.9) | 3.1(1.5) | 3.1(1.4) | 3.1(1.6) | 0.507 | 0.691 | 0.000* | ||||
8. There is sufficient physical space for the number of medical students on placement here | 2.5(1.4) | 2.4(1.4) | 2.5(1.4) | 4.5(0.5) | 4.4(0.5) | 4.5(0.5) | 3.4(1.5) | 3.2(1.5) | 3.5(1.4) | 0.871 | 0.684 | 0.000* | ||||
19. As a student I am received in a positive way by the staff here | 3.2(1.7) | 2.7(1.6) | 3.6(1.2) | 4.1(0.8) | 4.0(0.6) | 4.1(1.0) | 3.6(1.1) | 3.2(1.1) | 3.9(1.0) | 0.158 | 0.486 | 0.052 | ||||
20. I feel included in the team of people who work here | 3.4(1.2) | 3.4(1.3) | 3.4(1.1) | 3.7(0.9) | 3.7(0.8) | 3.7(1.1) | 3.5(1.1) | 3.5(1.1) | 3.5(1.1) | 1.000 | 1.000 | 0.398 | ||||
21. Communication between those working here is good | 3.0(1.8) | 2.9(0.9) | 3.2(1.3) | 3.8(0.9) | 3.6(1.0) | 3.9(0.9) | 3.4(1.1) | 3.2(1.0) | 3.5(1.1) | 0.550 | 0.518 | 0.133 | ||||
24. I feel welcome in the staff room/lunchroom here | 3.2(1.1) | 2.7(1.1) | 3.6(1.0) | 3.6(1.1) | 3.4(1.4) | 3.8(0.9) | 3.4(1.1) | 3.0(1.2) | 3.7(1.0) | 0.064 | 0.468 | 0.272 | ||||
Total; subset B1 (Total = 30) | 17.6 | 16.6 | 18.4 | 23.8 | 23.1 | 24.2 | 20.4 | 19.2 | 21.2 | 0.335 | 0.362 | 0.000* | ||||
Subset B2: Equal treatment | ||||||||||||||||
22. Everyone is treated equally here regardless of cultural background | 3.2(1.4) | 2.5(1.4) | 3.9(1.3) | 4.1(1.0) | 3.7(1.3) | 4.4(0.7) | 3.6(1.3) | 3.0(1.5) | 4.1(1.0) | 0.028* | 0.710 | 0.032* | ||||
23. Everyone is treated equally here regardless of gender | 3.2(1.3) | 2.5(1.3) | 3.8(1.0) | 4.1(1.0) | 3.6(1.2) | 4.5(0.5) | 3.6(1.2) | 2.9(1.3) | 4.1(0.9) | 0.018* | 0.058 | 0.024* | ||||
Total; subset B2 (Total = 10) | 6.4 | 5 | 7.7 | 8.2 | 7.3 | 8.9 | 7.2 | 5.9 | 8.2 | 0.001* | 0.007* | 0.011* | ||||
Total; overarching dimension social participation (B1 + B2 Total = 40) | 24 | 21.6 | 26.1 | 32 | 30.4 | 33.1 | 27.6 | 25.1 | 29.4 | 0.068 | 0.051 | 0.000* | ||||
Total score/125 (UCEEM) | 83.8 | 77.8 | 89.3 | 96.8 | 91.5 | 100.5 | 89.8 | 83.2 | 94.6 | 0.004* | 0.009* | 0.008* | ||||
Extra questions related to case load exposure | ||||||||||||||||
A. I have been exposed to variety of patients during my placement | 4.4(0.7) | 4.5(0.5) | 4.4(0.9) | 3.3(1.0) | 3.3(1.0) | 3.3(1.2) | 3.9(1.0) | 4.0(0.9) | 3.9(1.2) | 0.759 | 1.000 | 0.000* | ||||
B. I have been exposed to sufficient number of patients during my placement | 4.5(0.5) | 4.5(0.5) | 4.5(0.5) | 3.5(1.1) | 3.3(1.1) | 3.6(1.1) | 4.0(0.9) | 4.0(1.0) | 4.0(0.9) | 1.000 | 0.588 | 0.000* | ||||
C. I was practically involved (taking history and/or performing physical examination) in sufficient number of patients during my placement | 4.2(0.8) | 4.4(0.8) | 4.1(0.7) | 3.9(0.7) | 3.9(0.7) | 4.0(0.7) | 4.1(0.7) | 4.2(0.8) | 4.0(0.7) | 0.370 | 0.775 | 0.232 | ||||
Total score/15 | 13.1 | 13.4 | 13 | 10.7 | 10.5 | 10.9 | 12 | 12.2 | 11.9 | 0.766 | 0.672 | 0.001* | ||||