Medical Students’ Perception on the Medical Education Learning Environment at the University of Nairobi: A Qualitative Study.

Daniel Ojuka, Faith Bonareri, Beth Githambo, Michael Wambua

Department of Surgery, University of Nairobi, Kenya

Correspondences to: Daniel Ojuka, Email:



The educational environment (EE) plays a significant influence in effective student learning. The Dundee Ready Education Environment Measure (DREEM) is a validated tool to assess the EE.  DREEM survey done early 2019 among medical students indicated lots of problems. It was therefore important to explore why there was such perception among the medical students.  


To explore medical students’ perception on the medical education learning environment at the University of Nairobi.

Materials and methods

Qualitative focus group discussions were held among medical students from year III-VI in groups of between 8-12 students. The discussions were recorded using phone Samsung J6 voice recorder, transcribed, coded, and analyzed for themes until saturation was reached.


We held 6 focus discussion groups with students from year 3-6.  There were four thematic areas that were identified during these focus group discussions. 1. Poor educational infrastructure 2. Poor educational structure 3. Teaching is teacher-centered 4. Lack of social support for student in difficulties.


The exploration of the perception of the educational environment confirms students have poor view of the educational environment and the issues are a good feedback on teaching and governance issues including the social culture of the institution.

Key words: learning environment, DREEM, medical students, qualitative methods

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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