Accreditation Council on Graduate Medical Education (no date) Clinical Learning Environment Review overview. Available at: http://www.acgme.org/What-We-Do/Initiatives/Clinical-Learning-Environment-Review-CLER (Accessed: 3 July 2017).
Arksey, H. and O’Malley, L. (2005) ‘Scoping studies: towards a methodological framework’, International Journal of Social Research Methodology, 8(1), pp. 19–32. https://doi.org/10.1080/1364557032000119616
Association of American Medical Colleges (no date) New buildings. Available at: https://www.aamc.org/members/gip/private/149582/newbuildings.html (Accessed: 20 January 2018).
Auret, K. A. et al.(2013) ‘Formal assessment of the educational environment experienced by interns placed in rural hospitals in Western Australia’, Rural and Remote Health, 13(4).
Avolio, B. J., Walumbwa, F. O. and Weber, T. J. (2009) ‘Leadership: current theories, research, and future directions.’, Annual review of psychology, 60, pp. 421–449. https://doi.org/10.1146/annurev.psych.60.110707.163621
Baramee, J. and Blegen, M. A. (2003) ‘New graduate perception of clinical competence: testing a causal model’, Int J Nurs Stud. 2003/04/02, 40(4), pp. 389–399. https://doi.org/10.1016/S0020-7489(02)00104-9
Bennett, D., Kelly, M. and O’Flynn, S. (2010) ‘Are the bigger hospitals better: DREEM on?’, Irish Journal of Medical Science, 179(4), pp. 515–519. https://doi.org/10.1007/s11845-010-0551-x
Billett, S. (2001) ‘Learning through work: workplace affordances and individual engagement’, J Workplace Learning, 13(5), pp. 209–214. https://doi.org/10.1108/EUM0000000005548
Bisholt, B. et al.(2014) ‘Nursing students’ assessment of the learning environment in different clinical settings’, Nurse Educ Pract. 2013/12/21, 14(3), pp. 304–310. https://doi.org/10.1016/j.nepr.2013.11.005
Bolman, L. G. and Deal, T. E. (2013) Reframing Organizations: Artistry, Choice, and Leadership. John Wiley & Sons.
Boor, K. et al.(2008) ‘How undergraduate clinical learning climates differ: A multi-method case study’, Medical Education. Blackwell Publishing Ltd, 42(10), pp. 1029–1036. https://doi.org/10.1111/j.1365-2923.2008.03149.x
Brown, J. S. et al.(1989) ‘Situated cognition and the culture of learning’, Educational Researcher, 18(1), pp. 32–42. https://doi.org/10.3102/0013189X018001032
Buxton, E. C. and De Muth, J. E. (2013) ‘Pharmacists’ perceptions of a live continuing education program comparing distance learning versus local learning’, Res Social Adm Pharm. 2012/07/28, 9(2), pp. 230–235. https://doi.org/10.1016/j.sapharm.2012.05.003
Cannon, G. W. et al.(2008) ‘Factors determining medical students’ and residents’ satisfaction during VA-based training: Findings from the VA learners’ perceptions survey’, Academic Medicine, 83(6), pp. 611–620. https://doi.org/10.1097/ACM.0b013e3181722e97
Carlson, E. and Idvall, E. (2014) ‘Nursing students’ experiences of the clinical learning environment in nursing homes: a questionnaire study using the CLES+T evaluation scale’, Nurse education today, 34(7), pp. 1130–1134. https://doi.org/10.1016/j.nedt.2014.01.009
Castillo-Angeles, M. et al.(2017) ‘Mistreatment and the learning environment for medical students on general surgery clerkship rotations: What do key stakeholders think?’, American Journal of Surgery, 213(2), pp. 307–312. https://doi.org/10.1016/j.amjsurg.2016.10.013
Chinthammitr, Y. and Chierakul, N. (2014) ‘Learning environment and resident achievement’, J Med Assoc Thai. 2015/03/15, 97(12), pp. 1269–1273.
Colbert-Getz, J. M. et al.(2014) ‘Assessing Medical Students’ and Residents’ Perceptions of the Learning Environment: Exploring Validity Evidence for the Interpretation of Scores From Existing Tools’, Academic Medicine, 89, pp. 1687–1693. https://doi.org/10.1097/ACM.0000000000000433
Condon, B. P. et al.(2017) ‘Student academic performance in rural clinical schools: The impact of cohort size and competition’, Med Teach. 2016/12/31, 39(3), pp. 262–268. https://doi.org/10.1080/0142159X.2017.1270430
Conner, B. J., Behar-Horenstein, L. S. and Su, Y. (2016) ‘Comparison of Two Clinical Teaching Models for Veterinary Emergency and Critical Care Instruction’, J Vet Med Educ. 2016/01/12, 43(1), pp. 58–63. https://doi.org/10.3138/jvme.0415-069R1
Cottingham, A. H. et al.(2008) ‘Enhancing the informal curriculum of a medical school: a case study in organizational culture change’, J Gen Intern Med. 2008/04/05, 23(6), pp. 715–722. https://doi.org/10.1007/s11606-008-0543-y
Cross, V. et al.(2006) ‘Perceptions of the learning environment in higher specialist training of doctors: implications for recruitment and retention’, Medical Education. 2006/02/03. England: School of Health, University of Wolverhampton,
Wolverhampton, UK. vinette.cross@wlv.ac.uk, 40(2), pp. 121–128. https://doi.org/10.1111/j.1365-2929.2005.02382.x
Dahlin, M., Fjell, J. and Runeson, B. (2010) ‘Factors at medical school and work related to exhaustion among physicians in their first postgraduate year’, Nordic Journal of Psychiatry, 64(6), pp. 402–408. https://doi.org/10.3109/08039481003759219
Deci, E., Koestner, R. and Ryan, R. (1999) ‘A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation’, Psychological Bulletin, 125(6), pp. 627–668. https://doi.org/10.1037/0033-2909.125.6.627
Denz-Penhey, H. and Murdoch, J. C. (2010) ‘Is small beautiful? Student performance and perceptions of their experience at larger and smaller sites in rural and remote longitudinal integrated clerkships in the Rural Clinical School of Western Australia’, Rural Remote Health, 10(3), p. 1470.
Diwadkar, G. B. and Jelovsek, J. E. (2010) ‘Measuring surgical trainee perceptions to assess the operating room educational environment’, Journal of Surgical Education, 67(4), pp. 210–216. https://doi.org/10.1016/j.jsurg.2010.04.006
Dolmans, D. H. J. M. et al.(2008) ‘Factors adversely affecting student learning in the clinical learning environment: A student perspective’, Education for Health: Change in Learning and Practice, 21(3).
Edafe, O., Mistry, N. and Chan, P. (2013) ‘First impressions count: does FAIRness affect adaptation of clinical clerks in their first clinical placement?’, Med Teach. 2013/07/03, 35(9), pp. 740–746. https://doi.org/10.3109/0142159X.2013.801944
Edgren, G. et al.(2010) ‘Comparing the educational environment (as measured by DREEM) at two different stages of curriculum reform’, Medical teacher, 32(6), pp. e233-238. https://doi.org/10.3109/01421591003706282
Elison-Bowers, P. et al.(2008) ‘Health science students and their learning environment: a comparison of perceptions of on-site, remote-site, and traditional classroom students’, Perspect Health Inf Manag. 2008/03/04, 5, p. 2.
Engstrom, M. et al.(2017) ‘Nursing students’ perceptions of using the Clinical Education Assessment tool AssCE and their overall perceptions of the clinical learning environment - A cross-sectional correlational study’, Nurse Educ Today. 2017/01/29, 51, pp. 63–67. https://doi.org/10.1016/j.nedt.2017.01.009
Finn, Y., Avalos, G. and Dunne, F. (2014) ‘Positive changes in the medical educational environment following introduction of a new systems-based curriculum: DREEM or reality? Curricular change and the Environment’, Irish Journal of Medical Science, 183(2), pp. 253–258. https://doi.org/10.1007/s11845-013-1000-4
Genn, J. M. (2001a) ‘AMEE Medical Education Guide No. 23 (Part 1): Curriculum, environment, climate, quality and change in medical education - a unifying perspective’, Medical Teacher, 23(4), pp. 337–344. https://doi.org/10.1080/01421590120063330
Genn, J. M. (2001b) ‘AMEE medical education guide no. 23 (Part 2): Curriculum, environment, climate, quality and change in medical education—a unifying perspective’, Medical Teacher, 23(4), pp. 445–454.
Gruppen, L. D. et al.(2015) ‘Institution and Specialty Contribute to Resident Satisfaction With Their Learning Environment and Workload’, Academic Medicine. 2015/10/28, 90(11 Suppl), pp. S77-82. https://doi.org/10.1097/ACM.0000000000001361
Gruppen, L. D., Rytting, M. E. and Marti, K. C. (2017) ‘The educational environment’, in Dent, J. A., Harden, R. M., and Hunt, D. (eds) A practical guide for medical teachers. 5th edn. Edinburgh: Elsevier, pp. 376–383.
Gruppen, L. D. and Stansfield, R. B. (2016) ‘Individual and Institutional Components of the Medical School Educational Environment’, Academic Medicine, 91(11), pp. S53–S57. https://doi.org/10.1097/ACM.0000000000001361
Van Hell, E. A., Kuks, J. B. M. and Cohen-Schotanus, J. (2009) ‘Time spent on clerkship activities by students in relation to their perceptions of learning environment quality’, Medical Education, 43(7), pp. 674–679. https://doi.org/10.1111/j.1365-2923.2009.03393.x
Henderson, A. et al.(2006) ‘An evaluation of the first year of a collaborative tertiary-industry curriculum as measured by students’ perception of their clinical learning environment’, Nurse Educ Pract. 2008/12/02, 6(4), pp. 207–213. https://doi.org/10.1016/j.nepr.2006.01.002
Henderson, A. et al.(2010) ‘Creating supportive clinical learning environments: an intervention study’, J Clin Nurs. 2009/08/19, 19(1–2), pp. 177–182. https://doi.org/10.1111/j.1365-2702.2009.02841.x
Holt, M. C. and Roff, S. (2004) ‘Development and validation of the anesthetic theatre educational environment measure (ATEEM)’, Medical Teacher, 26(6), pp. 553–558. https://doi.org/10.1080/01421590410001711599
Hunter, A. J. et al.(2004) ‘Medical student evaluation of the quality of hospitalist and nonhospitalist teaching faculty on inpatient medicine rotations’, Acad Med. 2003/12/24, 79(1), pp. 78–82. https://doi.org/10.1097/00001888-200401000-00017
Issenberg, B. S. et al.(2005) ‘Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review’, Medical Teacher, 27(1), pp. 10–28. https://doi.org/10.1080/01421590500046924
Janz, T. A. and Pyke, S. A. (2000) ‘A scale to assess student perceptions of academic climates’, Canadian Journal of Higher Education, 30(1), pp. 89–122.
Kaufman, D. M. and Mann, K. V (1996) ‘Comparing students’ attitudes in problem-based and conventional curricula’, Academic Medicine, 71(10), pp. 1096–1099. https://doi.org/10.1097/00001888-199610000-00018
Kelly, M., Bennett, D. and O’Flynn, S. (2012) ‘General practice: the DREEM attachment? Comparing the educational environment of hospital and general practice placements’, Education for primary care: an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors, 23(1), pp. 34–40. https://doi.org/10.1080/14739879.2012.11494068
Kotter, J. P. (1995) ‘Leading change: Why transformation efforts fail’, Harvard Business Review, (March-April), pp. 59–67.
Lachance, S. et al.(2014) ‘Perceived effects of the 16-hour workday restriction on surgical specialties: Quebec’s experience’, Journal of Surgical Education, 71(5), pp. 707–715. https://doi.org/10.1016/j.jsurg.2014.01.008
Lau, J. N. et al.(2017) ‘A mixed-methods analysis of a novel mistreatment program for the surgery core clerkship’, Academic Medicine, 92(7), pp. 1028–1034. https://doi.org/10.1097/ACM.0000000000001575
Lave, J. and Wenger, E. (1991) Situated Learning: Legitimate Peripheral Participation. New York: Cambridge University Press. https://doi.org/10.1017/CBO9780511815355
Lee, N. et al.(2017) ‘Improving resident well-being and clinical learning environment through academic initiatives’, Journal of Surgical Research, 215, pp. 6–11. https://doi.org/10.1016/j.jss.2017.02.054
Levac, D., Colquhoun, H. and O’Brien, K. K. (2010) ‘Scoping studies: advancing the methodology’, Implementation Science, 5(1), p. 69. https://doi.org/10.1186/1748-5908-5-69
Mahendran, R. et al.(2015) ‘The impact of the educational environment on career choice and attitudes toward psychiatry’, Medical Teacher, 37(5), pp. 494–497. https://doi.org/10.3109/0142159X.2015.1009021
Makhdoom, N. et al.(2013) ‘“Blended learning” as an effective teaching and learning strategy in clinical medicine: A comparative cross-sectional university-based study’, Journal of Taibah University Medical Sciences, 8(1), pp. 12–17. https://doi.org/10.1016/j.jtumed.2013.01.002
Malling, B. et al.(2010) ‘Educational climate seems unrelated to leadership skills of clinical consultants responsible of postgraduate medical education in clinical departments’, BMC Med Educ. 2010/09/23, 10, p. 62. https://doi.org/10.1186/1472-6920-10-62
Mehta, N. B. et al.(2013) ‘Just imagine: new paradigms for medical education’, Academic Medicine, 88(10), pp. 1418–1423. https://doi.org/10.1097/ACM.0b013e3182a36a07
Miller, J. G. (1978) Living Systems. New York: McGraw-Hill.
Moore-West, M. et al.(1988) ‘Distress and attitudes towards learning environment: Effects of a curriculum innovation’, Teaching & Learning in Medicine, 1(3). https://doi.org/10.1080/10401338909539400
Moos, R. H. (1974) The social climate scales: An overview. Palo Alto, CA: Consulting Psychologists Press.
Moos, R. H. (1980) ‘Evaluating Classroom environments’, Studies in Educational Evaluation, 6(1979), pp. 239–252.
Moutier, C. et al.(2016) ‘The Culture of Academic Medicine: Faculty Behaviors Impacting the Learning Environment’, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 40(6), pp. 912–918.
Moystad, A. et al.(2015) ‘Faculty development for clinical teachers in dental education’, Eur J Dent Educ. 2014/08/20, 19(3), pp. 149–155.
Nishioka, V. M. et al.(2014) ‘Dedicated education unit: student perspectives’, Nurs Educ Perspect. 2014/10/09, 35(5), pp. 301–307. https://doi.org/10.5480/14-1380
Oblinger, D. and Lippincott, J. K. J. K. (2006) Learning Spaces, Brockport Bookshelf. 78.Available at: https://digitalcommons.brockport.edu/bookshelf/78 (Accessed: 20 August 2005).
De Oliveira Filho, G. R., Sturm, E. J. H. and Sartorato, A. E. (2005) ‘Compliance with common program requirements in Brazil: Its effects on resident’s perceptions about quality of life and the educational environment’, Academic Medicine, 80(1), pp. 98–102. https://doi.org/10.1097/00001888-200501000-00023
Palmgren, P. and Bolander, L. K. (2015) ‘Exploring chiropractic students’ experiences of the educational environment in healthcare professional training: a qualitative study’, BMC Medical Education, (15), p. 128. https://doi.org/10.1186/s12909-015-0417-z
Palmgren, P. J. (2016) It takes two to tango: An inquiry into healthcare professional education environments. (Doctoral Thesis) Karolinsk Institute, Stockholm.Karolinska Institutet, Stockholm.
Payne, L. K. (2013) ‘Comparison of students’ perceptions of educational environment in traditional vs. accelerated second degree BSN programs’, Nurse Educ Today. 2012/11/22, 33(11), pp. 1388–1392.
Pintrich, P. (2003) ‘A motivational science perspective on the role of student motivation in learning and teaching contexts’, Journal of Educational Psychology, 95(4), pp. 667–686. https://doi.org/10.1037/0022-0663.95.4.667
Prober, C. G. and Khan, S. (2013) ‘Medical education reimagined: a call to action’, Academic Medicine, 88(10), pp. 1407–1410. https://doi.org/10.1097/ACM.0b013e3182a368bd
Prunuske, J. P. and Deci, D. M. (2013) ‘Learning environment: the impact of clerkship location on instructional quality.’, Family Medicine. United States: Department of Family Medicine and Community Health, University of Minnesota Medical School Duluth, Duluth, MN 55812-3031, USA. jprunusk@d.umn.edu, 45(3), pp. 193–196.
Reed, D. A. et al.(2011) ‘Relationship of pass/fail grading and curriculum structure with well-being among preclinical medical students: a multi-institutional study’, Acad Med. 2011/09/29, 86(11), pp. 1367–1373. https://doi.org/10.1097/ACM.0b013e3182305d81
Roff, S. and McAleer, Sean Sue Roff, S. (2001) ‘What is educational climate?’, Medical Teacher, 23(4), pp. 333–334. https://doi.org/10.1080/01421590120063312
Rubak, S. et al.(2008) ‘A controlled study of the short- and long-term effects of a Train the Trainers course’, Med Educ. 2008/05/30, 42(7), pp. 693–702. https://doi.org/10.1111/j.1365-2923.2008.03044.x
Schauber, S. K. et al.(2015) ‘The role of environmental and individual characteristics in the development of student achievement: a comparison between a traditional and a problem-based-learning curriculum’, Adv Health Sci Educ Theory Pract. 2015/01/27, 20(4), pp. 1033–1052. https://doi.org/10.1007/s10459-015-9584-2
Schönrock-Adema, J. et al.(2012) ‘Key elements in assessing the educational environment: Where is the theory?’, Advances in Health Sciences Education, 17, pp. 727–742. https://doi.org/10.1007/s10459-011-9346-8
Schumacher, D. J. et al.(2014) ‘The 2011 ACGME standards: impact reported by graduating residents on the working and learning environment’, Acad Pediatr. 2014/03/08, 14(2), pp. 149–154. https://doi.org/10.1016/j.acap.2013.09.002
Seltz, L. B. et al.(2016) ‘Ward Rounds With or Without an Attending Physician: How Interns Learn Most Successfully’, Academic Pediatrics, 16(7), pp. 638–644. https://doi.org/10.1016/j.acap.2016.05.149
Silkens, M. E. W. M. et al.(2016) ‘Focus on quality: Investigating residents’ learning climate perceptions’, PLoS ONE, 11(1). https://doi.org/10.1371/journal.pone.0147108
Skochelak, S. E. et al.(2016) ‘Medical Student Perceptions of the Learning Environment at the End of the First Year: A 28-Medical School Collaborative’, Academic medicine : journal of the Association of American Medical Colleges, 91(9), pp. 1257–1262.
Smith, S. D. et al.(2016) ‘Medical Student Perceptions of the Learning Environment: Learning Communities Are Associated With a More Positive Learning Environment in a Multi-Institutional Medical School Study’, Academic medicine : journal of the Association of American Medical Colleges, 91(9), pp. 1263–1269.
Spickard, I. A., Corbett Jr, E. C. and Schorling, J. B. (1996) ‘Improving residents’ teaching skills and attitudes toward teaching’, Journal of General Internal Medicine, 11(8), pp. 475–480. https://doi.org/10.1007/BF02599042
Suksudaj, N. et al.(2015) ‘Features of an effective operative dentistry learning environment: students’ perceptions and relationship with performance’, Eur J Dent Educ. 2014/05/02, 19(1), pp. 53–62.
Sundler, A. J. et al.(2014) ‘Student nurses’ experiences of the clinical learning environment in relation to the organization of supervision: a questionnaire survey’, Nurse Educ Today. 2013/07/16, 34(4), pp. 661–666.
Tackett, S. et al.(2015) ‘Learning environment assessments of a single curriculum being taught at two medical schools 10,000 miles apart’, BMC Medical Education. BMC Medical Education, 15(1), p. 105. https://doi.org/10.1186/s12909-015-0388-0
Tackett, S. et al.(2017) ‘International study of medical school learning environments and their relationship with student well-being and empathy’, Medical Education, 51(3), pp. 280–289. https://doi.org/10.1111/medu.13120
Taguchi, N., Ogawa, T. and Sasahara, H. (2008) ‘Japanese dental trainees’ perceptions of educational environment in postgraduate training’, Medical Teacher, 30(7), pp. e189–e193. https://doi.org/10.1080/01421590802158385
Tempski, P. et al.(2015) ‘Relationship among medical student resilience, educational environment and quality of life’, PLoS ONE, 10(6). https://doi.org/10.1371/journal.pone.0131535
Thomson, J. S. et al.(2014) ‘The learner’s perspective in GP teaching practices with multi-level learners: a qualitative study’, BMC medical education, 14, p. 55. https://doi.org/10.1186/1472-6920-14-55
Wallin, C. J. et al.(2015) ‘Creating an environment for patient safety and teamwork training in the operating theatre: A quasi-experimental study’, Medical Teacher, 37(3), pp. 267–276. https://doi.org/10.3109/0142159X.2014.947927
Wear, D. and Skillicorn, J. (2009) ‘Hidden in plain sight: the formal, informal, and hidden curricula of a psychiatry clerkship’, Acad Med. 2009/03/26, 84(4), pp. 451–458. https://doi.org/10.1097/ACM.0b013e31819a80b7
Weiss, K. B., Wagner, R. and Nasca, T. J. (2012) ‘Development, Testing, and Implementation of the ACGME Clinical Learning Environment Review (CLER) Program.’, Journal of graduate medical education, 4(3), pp. 396–8. https://doi.org/10.4300/JGME-04-03-31
Widyandana, D., Majoor, G. D. and Scherpbier, A. J. (2011) ‘Comparison of three clinical environments for pre-clinical clinical skills training’, Medical teacher, 33(11), pp. 928–932. https://doi.org/10.3109/0142159X.2011.558141
Yung, H. H. (1997) ‘Ethical decision-making and the perception of the ward as a learning environment: a comparison between hospital-based and degree nursing students in Hong Kong’, Int J Nurs Stud. 1997/04/01, 34(2), pp. 128–136. https://doi.org/10.1016/S0020-7489(96)00046-6
Zawawi, A. H. and Elzubeir, M. (2012) ‘Using DREEM to compare graduating students′ perceptions of learning environments at medical schools adopting contrasting educational strategies’, Medical Teacher, 34(s1), pp. S25–S31. https://doi.org/10.3109/0142159X.2012.656747