Factors adversely affecting student learning in the clinical learning environment: a student perspective.

Purpose: To investigate, from the students' perspective, factors that may adversely affect student learning in the clinical environment.

Method: Medical students evaluated the perceived effectiveness of the clinical learning environment at the end of various clerkship rotations, such as surgery, gynaecology, paediatrics, ophthalmology. After each clerkship students answered a standard questionnaire containing closed-ended questions about supervision, patient contacts, organisation, learning effectiveness and the learning climate, as well as one open-ended question about the clerkship-site's perceived weaknesses.

The relationship between professional behaviour grades and tutor performance ratings in problem-based learning.

Purpose: We investigated the influence of harsh grading by tutors on tutor performance rating by students.

Methods: A total of 187 tutors assessed students' professional behaviour in tutorial groups. Students rated tutor performance after receiving their grades for professional behaviour.