Ls. Robins et al., EFFECT OF CURRICULAR CHANGE ON STUDENT PERCEPTIONS OF THE LEARNING-ENVIRONMENT, Teaching and learning in medicine, 8(4), 1996, pp. 217-222
Background: The University of Michigan Medical School implemented a ne
w 1st-year curriculum designed in part to redress environmental stress
ors identified in the previous curriculum. A centralized action-orient
ed evaluation program also was implemented to ensure the achievement o
f curricular goals. Description: We describe the initial effects of pl
anned curricular reform on students' perceptions of the learning envir
onment. Evaluation: Survey data on students' satisfaction with the lea
rning environment were collected at year's end before and after implem
entation of the new 1st-year program, The attitudes of women and Afric
an American students were examined because of their known disproportio
nate dissatisfaction. Conclusions: Effect size analysis indicated a re
al and practical improvement in all students' ratings of the new learn
ing environment overall. Research on the long-term environmental effec
ts of curricular reform is ongoing. We anticipate that interactions am
ong faculty, students, and administrators concerning environmental imp
rovements will provide a positive model for students' future interacti
ons with professional colleagues and patients.