The Medical Education Environment at the University of Nairobi, Kenya: An assessment with the DREEM tool.

Daniel Ojuka, Faith Bonareri, Beth Githambo, Michael Wambua

Department of Surgery, University of Nairobi, Kenya 

Correspondences to: Daniel Ojuka, Email:



The supportive learning environment can enhance impartation of knowledge and skills.


To assess the learning environment at the School of Medicine of the University of Nairobi using the Dundee Ready Educational Environment Measure (DREEM) tool.

Materials and methods

A cross-sectional survey was carried out among the medical students during their clinical years to get their perceptions about the learning environment in the School of Medicine of the University of Nairobi. The DREEM tool was used during the survey. Data were entered and analyzed in SPSS version-19. Comparisons were performed using ANOVA. A p-value ≤ 0.05 was considered statistically significant.


We got 619 response from 800 tools distributed (77.4%). The total mean score of DREEM was 93.3 /200. This is 46.7% score in the overall indicating poor perception of the learning environment. Year 4 was the class with most poor perception with a p-value less than 0.05. 


The DREEM score indicates numerous problems with perception of learning and social support being the areas requiring the most improvement. Though teachers are knowledgeable, students are wary of their ability to transfer knowledge and skills.


Key words: learning environment, DREEM, medical students.

Ann Afr Surg. ****; **(*):***


Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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