Clinical Learning Environment at Shiraz Medical School

  • Rita Rezaee Educational Development Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Sedigheh Ebrahimi Mail Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran.
Clinical learning, Hospital setting, Learning environment


Clinical learning occurs in the context of a dynamic environment. Learning environment found to be one of the most important factors in determining the success of an effective teaching program. To investigate, from the attending and resident's perspective, factors that may affect student leaning in the educational hospital setting at Shiraz University of Medical Sciences (SUMS). This study combined qualitative and quantitative methods to determine factors affecting effective learning in clinical setting. Residents evaluated the perceived effectiveness of the university hospital learning environment. Fifty two faculty members and 132 residents participated in this study. Key determinants that contribute to an effective clinical teaching were autonomy, supervision, social support, workload, role clarity, learning opportunity, work diversity and physical facilities. In a good clinical setting, residents should be appreciated and given appropriate opportunities to study in order to meet their objectives. They require a supportive environment to consolidate their knowledge, skills and judgment.


Jaye C, Egan T, Smith-Han K, Thompson-Fawcett M. Teaching and learning in the hospital ward. N Z Med J 2009 122(1304):13-22.

Bloom BS .Stability and change in human characteristics.John Wiley and Sons Inc., New York. London. Sydney. 1964 p.187.

Dunn SV, Burnett P. The development of a clinical learning environment scale. J Adv Nurs. 1995;22:1166-73. environment as a learning environment: student nurses’ perceptions concerning clinical learning experiences. Nurse Educ Today 2003;23(4):262-8.

Dolmans DH, Wolfhagen IH, Heineman E, Scherpbier AJ. Factors Adversely Affecting Student Learning in the Clinical Learning Environment: A Student Perspective. Educ Health 2008;21(3):32.

Kilminster S, Cottrell D, Grant J, Jolly B. Effective educational and clinical supervision. AMEE Guide No. 27: Med Teach 2007;29(1):2-19.

Kilminster SM, Jolly BC. Effective supervision in clinical practice settings: a literature review. Medical Education 2000;34t(10):827-40.

How to Cite
Rezaee R, Ebrahimi S. Clinical Learning Environment at Shiraz Medical School. Acta Med Iran. 51(1):62-65.