Prevalence and associated factors of burnout among Debre Berhan University medical students: a cross-sectional study
Burnout, a measure of professional distress, is more common among medical professionals. About half of medical students have this problem. However, little is known about the burnout status of medical students ... (Source: BMC Medical Education)
Source: BMC Medical Education - November 8, 2019 Category: Universities & Medical Training Authors: Yohannes Gebreegziabhere Haile, Amanuel Lemma Senkute, Berhanu Tadesse Alemu, Dawit Mamo Bedane and Kaleab Berhanu Kebede Tags: Research article Source Type: research

OncoSim and OncoWiki: an authentic learning approach to teaching cancer genomics
Personalised medicine is rapidly changing the clinical environment, especially in regard to the management of cancer. However, for the large part, methods used to educate undergraduate students as future biome... (Source: BMC Medical Education)
Source: BMC Medical Education - November 7, 2019 Category: Universities & Medical Training Authors: Priska Schoenborn, Richard Osborne, Nick Toms, Karen Johnstone, Chl öe Milsom, Reema Muneer, Michael A. Jarvis and Robert Belshaw Tags: Technical advance Source Type: research

Can e-learning improve the performance of undergraduate medical students in Clinical Microbiology examinations?
Clinical Microbiology is a core subject in medical undergraduate curricula. However, students struggle to cover the content and clinically contextualise basic microbiology. Our aim was to evaluate student enga... (Source: BMC Medical Education)
Source: BMC Medical Education - November 7, 2019 Category: Universities & Medical Training Authors: Niall T. Stevens, Killian Holmes, Rachel J. Grainger, Rois ín Connolly, Anna-Rose Prior, Fidelma Fitzpatrick, Eoghan O’Neill, Fiona Boland, Teresa Pawlikowska and Hilary Humphreys Tags: Research article Source Type: research

The power of language-concordant care: a call to action for medical schools
We live in a world of incredible linguistic diversity; nearly 7000 languages are spoken globally and at least 350 are spoken in the United States. Language-concordant care enhances trust between patients and p... (Source: BMC Medical Education)
Source: BMC Medical Education - November 6, 2019 Category: Universities & Medical Training Authors: Rose L. Molina and Jennifer Kasper Tags: Debate Source Type: research

Structure and evaluation of a residency research program in a university hospital
The objectives of this paper are to describe a comprehensive residency research program ... (Source: BMC Medical Education)
Source: BMC Medical Education - November 6, 2019 Category: Universities & Medical Training Authors: Hani Tamim, Salah Zeineldine, Faysal Tabbara, Samia Khoury, Zeina Akiki, Sara Khansa and Ali Taher Tags: Research article Source Type: research

Exploring the relationship between medical student basic psychological need satisfaction, resilience, and well-being: a quantitative study
There is increasing acknowledgment that medical training is stressful for students and can impact their well-being. An important aspect of this is self-determination and basic psychological need satisfaction. ... (Source: BMC Medical Education)
Source: BMC Medical Education - November 5, 2019 Category: Universities & Medical Training Authors: Adam Neufeld and Greg Malin Tags: Research article Source Type: research

Perceptions about trust: a phenomenographic study of clinical supervisors in occupational therapy
Finding the best way to facilitate student learning in clinical practice can be challenging for clinical supervisors. While high levels of trust might jeopardize patient safety, low trust might hinder student ... (Source: BMC Medical Education)
Source: BMC Medical Education - November 4, 2019 Category: Universities & Medical Training Authors: Pernilla Lundh, Per J. Palmgren and Terese Stenfors Tags: Research article Source Type: research

Increased average number of medical publications per interviewee from 2009 to 2018: a study of 100 interviewees to an academic gastroenterology fellowship program
Gastroenterology fellowship candidates may strive to improve their qualifications for this extremely competitive fellowship. (Source: BMC Medical Education)
Source: BMC Medical Education - November 4, 2019 Category: Universities & Medical Training Authors: Zaid Imam and Mitchell S. Cappell Tags: Research article Source Type: research

A longitudinal faculty development program: supporting a culture of teaching
Recent trends in faculty development demonstrate a shift from short term to long-term programs; formal to informal learning in the workplace; individual to group settings; and from individual support to instit... (Source: BMC Medical Education)
Source: BMC Medical Education - November 1, 2019 Category: Universities & Medical Training Authors: Annette Burgess, Elie Matar, Brendon Neuen and Greg J. Fox Tags: Research article Source Type: research

Development of domain-specific epistemological beliefs of physiotherapists: a longitudinal study
Epistemological beliefs (EBs) and therapeutic health concepts are two important factors of influence that affect how healthcare professionals process treatment-relevant information. A previous investigation co... (Source: BMC Medical Education)
Source: BMC Medical Education - November 1, 2019 Category: Universities & Medical Training Authors: Martina Bientzle, Ulrike Cress and Joachim Kimmerle Tags: Research article Source Type: research

Improving students ’ learning environment by DREEM: an educational experiment in an Iranian medical sciences university (2011–2016)
In this study, we reassessed undergraduate students’ perception of the ... (Source: BMC Medical Education)
Source: BMC Medical Education - October 29, 2019 Category: Universities & Medical Training Authors: Hamid Bakhshialiabad, Golnaz Bakhshi, Zahra Hashemi, Amirhosein Bakhshi and Faroukh Abazari Tags: Research article Source Type: research

Medical electives: exploring the determinants of placement and access variables between 2010 and 2016 at the University of Auckland
Medical electives undertaken during sixth year at medical school provide an opportunity for students to work in an overseas or New Zealand health facility to gain exposure to a health system outside their trai... (Source: BMC Medical Education)
Source: BMC Medical Education - October 29, 2019 Category: Universities & Medical Training Authors: Judith McCool, Elana Curtis, Andrew D. MacCormick, Alana Cavadino, Michelle Smith and Warwick Bagg Tags: Research article Source Type: research

How do Lebanese patients perceive the ideal doctor based on the CanMEDS competency framework?
During their training, Lebanese medical students develop a high medical expertise but are not focusing on other competencies such as communication, collaboration, erudition, professionalism, leadership and hea... (Source: BMC Medical Education)
Source: BMC Medical Education - October 29, 2019 Category: Universities & Medical Training Authors: Mabel Aoun, Ghassan Sleilaty, Simon Abou Jaoude, Dania Chelala and Ronald Moussa Tags: Research article Source Type: research

Implicit gender bias among US resident physicians
The purpose of this study was to characterize implicit gender bias among residents in US Emergency Medicine and OB/GYN residencies. (Source: BMC Medical Education)
Source: BMC Medical Education - October 29, 2019 Category: Universities & Medical Training Authors: Matt Hansen, Amanda Schoonover, Barbara Skarica, Tabria Harrod, Nathan Bahr and Jeanne-Marie Guise Tags: Research article Source Type: research

Association between medical student debt and choice of specialty: a 6-year retrospective study
The effect of rapidly increasing student debt on medical students ’ ultimate career plans is of particular interest to residency programs desiring to enhance recruitment, including primary care specialties. Pre... (Source: BMC Medical Education)
Source: BMC Medical Education - October 28, 2019 Category: Universities & Medical Training Authors: Erik M. Fritz, Suzanne van den Hoogenhof and Jonathan P. Braman Tags: Research article Source Type: research

Factors associated with successful dementia education for practitioners in primary care: an in-depth case study
With increasing numbers of people in the UK living with dementia, the provision of good quality person-centred care that meets the often complex needs of this population is required. Given the majority of peop... (Source: BMC Medical Education)
Source: BMC Medical Education - October 28, 2019 Category: Universities & Medical Training Authors: Cara Sass, Natasha Burnley, Michelle Drury, Jan Oyebode and Claire Surr Tags: Research article Source Type: research

Distribution and retention trends of physician-scientists in Japan: a longitudinal study
Physician Scientists (PSs) play a significant role in medical science because of their clinical practice and research expertise. Although it is important to analyze the distribution and retention trends in the... (Source: BMC Medical Education)
Source: BMC Medical Education - October 28, 2019 Category: Universities & Medical Training Authors: Masatoshi Ishikawa Tags: Research article Source Type: research

A night on call or an overnight shift does not reduce residents ’ empathy: a randomized crossover multicenter survey
Studies have shown that sleep deprivation may reduce empathy among medical students. Yet, little is known about the empathy after a night on call or an overnight shift among resident physicians. Hence, we aime... (Source: BMC Medical Education)
Source: BMC Medical Education - October 26, 2019 Category: Universities & Medical Training Authors: Michiko Mizobe, Hitomi Kataoka, Hiroshi Yamagami, Chikao Ito, Yasuaki Koyama, Erika Yawata and Takashi Shiga Tags: Research article Source Type: research

Linguistic analysis of pediatric residency personal statements: gender differences
All US residency programs require applicants to submit personal statements. Prior studies showed gender differences in personal statement writing, which has implications for gender bias in the application proc... (Source: BMC Medical Education)
Source: BMC Medical Education - October 26, 2019 Category: Universities & Medical Training Authors: Jessica C. Babal, Aubrey D. Gower, John G. Frohna and Megan A. Moreno Tags: Research article Source Type: research

Teaching a difficult topic using a problem-based concept resembling a computer game: development and evaluation of an e-learning application for medical molecular genetics
Genetic testing rapidly penetrates into all medical specialties and medical students must acquire skills in this area. However, many of them consider it difficult. Furthermore, many find these topics less appe... (Source: BMC Medical Education)
Source: BMC Medical Education - October 24, 2019 Category: Universities & Medical Training Authors: Kamila Prochazkova, Petr Novotny, Miroslava Hancarova, Darina Prchalova and Zdenek Sedlacek Tags: Technical advance Source Type: research

Investigation of answer changes on the USMLE ® Step 2 Clinical Knowledge examination
Examinees often believe that changing answers will lower their scores; however, empirical studies suggest that allowing examinees to change responses may improve their performance in classroom assessments. To ... (Source: BMC Medical Education)
Source: BMC Medical Education - October 23, 2019 Category: Universities & Medical Training Authors: Wenli Ouyang, Polina Harik, Brian E. Clauser and Miguel A. Paniagua Tags: Research article Source Type: research

Image quality to estimate ventricular ejection fraction by last year medical students improves after short courses of training
Transthoracic echocardiography is the primary imaging modality for diagnosing cardiac conditions but medical education in this field is limited. We tested the hypothesis that a structured theoretical and super... (Source: BMC Medical Education)
Source: BMC Medical Education - October 22, 2019 Category: Universities & Medical Training Authors: Tobias H üppe, Heinrich Volker Groesdonk, Thomas Volk, Stefan Wagenpfeil and Benedict Wallrich Tags: Research article Source Type: research

Do poor patients suffer from inaccurate diagnoses more than well-to-do patients? A randomized control trial
Poor patients have greater morbidity and die up to 10 years earlier than patients who have higher socio-economic status. These findings are often attributed to differences in life-style between groups. The pre... (Source: BMC Medical Education)
Source: BMC Medical Education - October 22, 2019 Category: Universities & Medical Training Authors: Ibrahim Al Alwan, Mohi Eldin Magzoub, Ali Al Haqwi, Motasin Badri, Sarah M. Al Yousif, Amir Babiker, S ílvia Mamede and Henk G. Schmidt Tags: Research article Source Type: research

Teaching medicine through film: Wiseman's medical trilogy revisited
Between the late 1960s and early 1980s, Frederick Wiseman filmed hundreds of hours in an emergency department, intensive care unit and asylum. These films recorded events as they happened without rehearsal and... (Source: BMC Medical Education)
Source: BMC Medical Education - October 22, 2019 Category: Universities & Medical Training Authors: Eelco F. M. Wijdicks Tags: Debate Source Type: research

Burn out among Iranian dental students: psychometric properties of burnout clinical subtype questionnaire (BCSQ-12-SS) and its correlates
Burnout Clinical Subtype Questionnaire (BCSQ-12-SS) is a short valid questionnaire for assessment of burnout in students. The aim of the present study was to evaluate the psychometric properties of Persian-tra... (Source: BMC Medical Education)
Source: BMC Medical Education - October 22, 2019 Category: Universities & Medical Training Authors: Simin Z. Mohebbi, Reza Yazdani, Musa Talebi, Afsaneh Pakdaman, Marc W. Heft and Hoda Bahramian Tags: Research article Source Type: research

Investigating factors affecting on medical sciences students ’ intention to adopt mobile learning
Mobile learning (m-learning) provides a good opportunity for students ’ lifelong learning. The design and implementation of effective and successful mobile learning requires identification of factors that affec... (Source: BMC Medical Education)
Source: BMC Medical Education - October 21, 2019 Category: Universities & Medical Training Authors: Seyyed Mohsen Azizi and Alireza Khatony Tags: Research article Source Type: research

Perception of the learning environment among the students in a nursing college in Eastern Nepal
Learning environment is an important base for learning processes of students and for preferences of future workplaces. It is considered as an essential factor in determining the success of an effective curricu... (Source: BMC Medical Education)
Source: BMC Medical Education - October 21, 2019 Category: Universities & Medical Training Authors: Erina Shrestha, Ram Sharan Mehta, Gayanand Mandal, Kriti Chaudhary and Nirmala Pradhan Tags: Research article Source Type: research

Constructing an experiential education model in undergraduate radiology education by the utilization of the picture archiving and communication system (PACS)
Medical education in China is in a transitional period, from passive learning models to experiential education. We modified an experiential education method for radiology education. The aim of this study is to... (Source: BMC Medical Education)
Source: BMC Medical Education - October 21, 2019 Category: Universities & Medical Training Authors: Yingqian Chen, Keguo Zheng, Shanshan Ye, Jifei Wang, Ling Xu, Ziping Li, Quanfei Meng, Jianyong Yang and Shi-Ting Feng Tags: Research article Source Type: research

Medical student selection criteria and junior doctor workplace performance
Medical school selection decisions have consequences beyond graduation. With generally low attrition rates, most medical students become junior doctors. Universities are therefore not just selecting students i... (Source: BMC Medical Education)
Source: BMC Medical Education - October 21, 2019 Category: Universities & Medical Training Authors: Ruth M. Sladek, Christine Burdeniuk, Alison Jones, Kevin Forsyth and Malcolm J. Bond Tags: Research article Source Type: research

Insights into student assessment outcomes in rural clinical campuses
There is an ongoing debate about the impact of studying medicine in rural vs. metropolitan campuses on student assessment outcomes. The UNSW Medicine Rural Clinical School has five main campuses; Albury-Wodong... (Source: BMC Medical Education)
Source: BMC Medical Education - October 18, 2019 Category: Universities & Medical Training Authors: Boaz Shulruf, Gary Velan, Lesley Forster, Anthony O ’Sullivan, Peter Harris and Silas Taylor Tags: Research article Source Type: research

The ‘connectaholic’ behind the curtain: medical student use of computer devices in the clinical setting and the influence of patients
The use of mobile devices such as tablets and laptops by students to support their learning is now ubiquitous. The clinical setting is an environment, which lends itself to the use of mobile devices as student... (Source: BMC Medical Education)
Source: BMC Medical Education - October 17, 2019 Category: Universities & Medical Training Authors: Eric Clarke, Jane Burns, Catherine Bruen, Martina Crehan, Erica Smyth and Teresa Pawlikowska Tags: Research article Source Type: research

How clinical teaching teams deal with educational change: ‘we just do it’
In postgraduate medical education, program directors are in the lead of educational change within clinical teaching teams. As change is part of a social process, it is important to not only focus on the progra... (Source: BMC Medical Education)
Source: BMC Medical Education - October 17, 2019 Category: Universities & Medical Training Authors: L. Bank, M. Jippes, T. R. van Rossum, C. den Rooyen, A. J. J. A. Scherpbier and F. Scheele Tags: Research article Source Type: research

Physiotherapy students ’ DiSC behaviour styles can be used to predict the likelihood of success in clinical placements
Behaviour can be defined as the internally coordinated responses (actions or inactions) of whole living organisms (individuals or groups) to internal and/or external stimuli, excluding responses more easily un... (Source: BMC Medical Education)
Source: BMC Medical Education - October 17, 2019 Category: Universities & Medical Training Authors: Nikki Milne, Chanelle Louwen, Dianne Reidlinger, Jo Bishop, Megan Dalton and Linda Crane Tags: Research article Source Type: research

Working hard to belong: a qualitative study exploring students from black, Asian and minority ethnic backgrounds experiences of pre-registration physiotherapy education
Previous research has demonstrated that attainment inequalities exist for students from Black Asian and Minority Ethnic (BAME) groups in pre-registration physiotherapy education. While previous research has ex... (Source: BMC Medical Education)
Source: BMC Medical Education - October 16, 2019 Category: Universities & Medical Training Authors: John A. Hammond, Annabel Williams, Saskia Walker and Meriel Norris Tags: Research article Source Type: research

Burnout among postgraduate doctors in Colombo: prevalence, associated factors and association with self-reported patient care
This study determines burnout among postgraduate doctors in Colombo: Prevalence, associ... (Source: BMC Medical Education)
Source: BMC Medical Education - October 16, 2019 Category: Universities & Medical Training Authors: Beminihennedige Minuri S. Fernando and Dulani Lakmali Samaranayake Tags: Research article Source Type: research

Patients ’ and parents’ percetion of care on a paediatric interprofessional training ward
Interprofessional training wards (ITWs) have been established in different fields of adult medicine to promote interprofessional learning and interprofessional collaboration of health care profession students.... (Source: BMC Medical Education)
Source: BMC Medical Education - October 16, 2019 Category: Universities & Medical Training Authors: Christine Straub and Sebastian F. N. Bode Tags: Research article Source Type: research

Evaluation of pain knowledge and attitudes and beliefs from a pre-licensure physical therapy curriculum and a stand-alone pain elective
Adequate pain education of health professionals is fundamental in the management of pain. Although an interprofessional consensus of core competencies for health professional pre-licensure education in pain ha... (Source: BMC Medical Education)
Source: BMC Medical Education - October 16, 2019 Category: Universities & Medical Training Authors: Sonja K. Bareiss, Lucas Nare and Katie McBee Tags: Research article Source Type: research

Team-based learning (TBL): a community of practice
Rapid changes in medical practice have a large impact on the demands faced by educators in preparing students for future participation in a multifaceted healthcare workforce. Competencies required by today ’s m... (Source: BMC Medical Education)
Source: BMC Medical Education - October 15, 2019 Category: Universities & Medical Training Authors: Annette Burgess, Inam Haq, Jane Bleasel, Chris Roberts, Roger Garsia, Nicholas Randal and Craig Mellis Tags: Research article Source Type: research

The relationship between perfectionism and symptoms of depression in medical school applicants
The association between perfectionism and depression in the medical profession can ultimately influence physicians ’ performance negatively. In medical students, especially maladaptive perfectionism is connecte... (Source: BMC Medical Education)
Source: BMC Medical Education - October 15, 2019 Category: Universities & Medical Training Authors: Lisa Bu ßenius and Sigrid Harendza Tags: Research article Source Type: research

Peer assessment to improve medical student ’s contributions to team-based projects: randomised controlled trial and qualitative follow-up
Medical schools increasingly incorporate teamwork in their curricula but medical students often have a negative perception of team projects, in particular when there is unequal participation. The purpose of th... (Source: BMC Medical Education)
Source: BMC Medical Education - October 15, 2019 Category: Universities & Medical Training Authors: Regien Biesma, Mary-Claire Kennedy, Teresa Pawlikowska, Ruairi Brugha, Ronan Conroy and Frank Doyle Tags: Research article Source Type: research

Medical students ’ perception on fecal microbiota transplantation
Fecal microbiota transplantation (FMT) has become an emergent method in the therapy of several intestinal diseases, mainly in Clostridium difficile recurrence. The training of FMT in medical schools is at its beg... (Source: BMC Medical Education)
Source: BMC Medical Education - October 11, 2019 Category: Universities & Medical Training Authors: Petru C. Madar, Oana Petre, Adriana Baban and Dan L. Dumitrascu Tags: Research article Source Type: research

Attitudes of Chinese health sciences postgraduate students ’ to the use of information and communication technology in global health research
Information and communications technology (ICT) has been suggested as an important tool for improving global health education and building research capacity in developing countries. However, the existing curri... (Source: BMC Medical Education)
Source: BMC Medical Education - October 9, 2019 Category: Universities & Medical Training Authors: Kaiyong Huang, Abu S. Abdullah, Zhenyu Ma, Dilshat S. Urmi, Huimin He, Lisa Quintiliani, Robert H. Friedman, Jun Yang and Li Yang Tags: Research article Source Type: research

Integrated virtual and cadaveric dissection laboratories enhance first year medical students ’ anatomy experience: a pilot study
Radiology integration into medical anatomy courses is well established, but there is a paucity of literature on integrating virtual dissection into cadaveric dissection laboratories. Virtual dissection is the ... (Source: BMC Medical Education)
Source: BMC Medical Education - October 7, 2019 Category: Universities & Medical Training Authors: Kathryn E. Darras, Rebecca Spouge, Rose Hatala, Savvas Nicolaou, Jeff Hu, Anne Worthington, Claudia Krebs and Bruce B. Forster Tags: Technical advance Source Type: research

Pimping: a tradition of gendered disempowerment
The use of pimping as a method of teaching is widespread in the clinical phase of medical education. In this paper we consider pimping ’s colloquial meanings and discuss how it was introduced into the language of ... (Source: BMC Medical Education)
Source: BMC Medical Education - October 3, 2019 Category: Universities & Medical Training Authors: David R. Chen and Kelsey C. Priest Tags: Debate Source Type: research

Musculoskeletal ultrasound workshops in postgraduate physician training: a pre- and post-workshop survey of 156 participants
Use of ultrasonography has revolutionized diagnosis of musculoskeletal disorders. Until now, few studies have investigated usefulness of a short-period workshop for musculoskeletal ultrasound (MSKUS) education... (Source: BMC Medical Education)
Source: BMC Medical Education - September 23, 2019 Category: Universities & Medical Training Authors: Wei-Ting Wu, Ke-Vin Chang, Der-Sheng Han and Levent Özçakar Tags: Research article Source Type: research

Examining the association of career stage and medical specialty with personality preferences – a cross-sectional survey of junior doctors and attending physicians from various specialties
Personality preference research on medical students and physicians demonstrates that personality preferences may affect one ’s choice of specialty and transform over the course of one’s academic career as well ... (Source: BMC Medical Education)
Source: BMC Medical Education - September 23, 2019 Category: Universities & Medical Training Authors: Yu-Che Chang, Hsu-Min Tseng, Xaviera Xiao, Roy Y. L. Ngerng, Chiao-Lin Wu and Chung-Hsien Chaou Tags: Research article Source Type: research

High enthusiasm about long lasting mentoring relationships and older mentors
Mentoring plays a pivotal role in workplace-based learning, especially in the medical realm. Organising a formal mentoring programme can be labor and time intensive and generally impractical in resource constr... (Source: BMC Medical Education)
Source: BMC Medical Education - September 23, 2019 Category: Universities & Medical Training Authors: Heba A. Mohtady, Karen D. K önings, Mohamed M. Al-Eraky, Arno M. M. Muijtjens and Jeroen J. G. van Merriënboer Tags: Research article Source Type: research

Comparison of the effectiveness of lectures based on problems and traditional lectures in physiology teaching in Sudan
Lectures are one of the most common teaching methods in medical education. Didactic lectures were perceived by the students as the least effective method. Teaching methods that encourage self-directed learning... (Source: BMC Medical Education)
Source: BMC Medical Education - September 23, 2019 Category: Universities & Medical Training Authors: Nouralsalhin Abdalhamid Alaagib, Omer Abdelaziz Musa and Amal Mahmoud Saeed Tags: Research article Source Type: research

Brain computerized tomography reading in suspected acute ischemic stroke patients: what are essentials for medical students?
Few systematic methods prioritize the image education in medical students (MS). We hope to develop a checklist of brain computerized tomography (CT) reading in patients with suspected acute ischemic stroke (AI... (Source: BMC Medical Education)
Source: BMC Medical Education - September 18, 2019 Category: Universities & Medical Training Authors: Chi-Hung Liu, Cheng-Ting Hsiao, Ting-Yu Chang, Yeu-Jhy Chang, Sheng-Han Kuo, Chun-Wei Chang, Chi-Jen Chen, Chien-Fu Chen, Po-Liang Cheng, Shy-Chyi Chin, Te-Fa Chiu, Jung-Lung Hsu, Peng-Wei Hsu, Tsong-Hai Lee, Chih-Hsiang Liao, Chun-Jen Lin & hellip; Tags: Research article Source Type: research

Does PBL deliver constructive collaboration for students in interprofessional tutorial groups?
Training health professional students in teamwork is recognized as an important step to create interprofessional collaboration in the clinical workplace. Interprofessional problem-based learning (PBL) is one l... (Source: BMC Medical Education)
Source: BMC Medical Education - September 18, 2019 Category: Universities & Medical Training Authors: Endang Lestari, Ren ée E. Stalmeijer, Doni Widyandana and Albert Scherpbier Tags: Research article Source Type: research