The Dundee Ready Education Environment Measure (DREEM): A review of its adoption and use

Background: The Dundee Ready Education Environment Measure (DREEM) was published in 1997 as a tool to evaluate educational environments of medical schools and other health training settings and a recent review concluded that it was the most suitable such instrument. Aims: This study aimed to review...

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Bibliographic Details
Published in:Medical teacher 2012-09, Vol.34 (9), p.e620-e634
Main Authors: Miles, Susan, Swift, Louise, Leinster, Sam J.
Format: Article
Language:English
Subjects:
Attitudes
Databases, Factual
Education, Medical - methods
Educational Environment
Educational evaluation
Educational Measurement - methods
Educational Status
Environment
Health Personnel - education
Humans
Literature Reviews
Medical schools
Methodology
Schools, Medical
Self Report
Self-Assessment
Statistical Analysis
Statistical methods
Students, Medical
Surveys and Questionnaires
Systematic review
United Kingdom
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Summary:Background: The Dundee Ready Education Environment Measure (DREEM) was published in 1997 as a tool to evaluate educational environments of medical schools and other health training settings and a recent review concluded that it was the most suitable such instrument. Aims: This study aimed to review the settings and purposes to which the DREEM has been applied and the approaches used to analyse and report it, with a view to guiding future users towards appropriate methodology. Method: A systematic literature review was conducted using the Web of Knowledge databases of all articles reporting DREEM data between 1997 and 4 January 2011. Results: The review found 40 publications, using data from 20 countries. DREEM is used in evaluation for diagnostic purposes, comparison between different groups and comparison with ideal/expected scores. A variety of non-parametric and parametric statistical methods have been applied, but their use is inconsistent. Conclusions: DREEM has been used internationally for different purposes and is regarded as a useful tool by users. However, reporting and analysis differs between publications. This lack of uniformity makes comparison between institutions difficult. Most users of DREEM are not statisticians and there is a need for informed guidelines on its reporting and statistical analysis.
ISSN:0142-159X
1466-187X
DOI:10.3109/0142159X.2012.668625