Learning Environment in Dental Education – A Narrative Review
Chandrasekharan Nair K1*, Pradeep C Dathan2, Viswanath
Gurumuthy3 and T Mohan Kumar4
1Professor Emeritus, Department of Prosthodontics, Sri Sankara Dental College,
Akathumuri, Thiruvananthapuram, Kerala, India
2Professor and Head of the Department of Prosthodontics, Sri Sankara Dental
College, Akathumuri, Thiruvananthapuram, Kerala, India
3Associate Professor, Department of Dental Technology, College of Applied Medical
Sciences, King Khalid University, KSA
4Director, Centre for Temporomandibular Disorders, Kunnukuzhi, Trivandrum,
Kerala, India
*Corresponding Author: Chandrasekharan Nair K, Professor Emeritus, Department
of Prosthodontics, Sri Sankara Dental College, Akathumuri, Thiruvananthapuram,
Kerala, India.
Received:
September 16, 2026; Published: November 02, 2026
Learning environment (LE) is acknowledged as a vital and critical element to provide quality health profession education.
Institutions, educators, and health professionals all over the world have recognised how important it is to foster a positive learning
environment. A favourable LE is a predictor of not only students’ satisfaction but also their learning outcomes and academic
achievement. Studies have reported a positive correlation between LE and the quality of patient care. On the contrary, less favourable
LE has been observed to generate high levels of stress, depression and burnout amongst dental and medical students.
To evaluate LE, different quantitative and qualitative approaches such as focus groups, semi-structured interviews and closed-
ended questionnaires are used. One of the most popular validated questionnaires is the Dundee Ready Educational Environment
Measure (DREEM). The DREEM inventory is a generic instrument that has been used to assess students’ perception of the LE across
different health care–related fields that include dentistry, medicine, pharmacy, and nursing. The wide adoption of DREEM enables
comparison of the educational environment across fields and nations.
Another important facet of LE is the technology enhancement. Technology-enhanced learning (TEL) transforms health professions
education by integrating digital tools, virtual environments, and artificial intelligence into clinical and laboratory training. Virtual
simulations and telemedicine recreate realistic clinical scenarios and communication training to build diagnostic reasoning before
bedside interaction. TEL is particularly impactful as it ensures that future healthcare professionals are well-prepared to meet the
demands of modern medical practice. Given the continuous advancements in educational technology, there is a pressing need to
examine the integration of these technologies in this field.
This review emphasises that Dental Colleges should consider the learning environment as an essential component of educational
quality rather than an incidental feature of the curriculum.
Keywords: Learning Environment; Dental Education; Mentoring; DREEM; Student Perception; Psychological Safety; Stress; Burnout;
Feedback; Technology-Enhanced Learning
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