[Table/Fig-3]:

Mean ± SD DREEM inventory items where significant differences were observed between the years of study

Items	First semester	Third semester	Fifth semester	Seventh semester	P value
2. The teachers are knowledgeable.	3.17 ± 0.56	3.25 ± 0.53	3.11 ± 0.69	3.01 ± 0.80	0.014
3. There is a good support system for students who get stressed.	2.39 ± 0.74	2.31 ± 0.69	2.16 ± 0.96	2.14 ± 0.96	0.009
8. The teachers ridicule the students.	2.31 ± 0.92	2.19 ± 0.94	2.08 ± 0.98	1.79 ± 0.89	0.000
14. I am rarely bored on this course.	2.2 ± 1.12	1.9 ± 1.16	1.85 ± 1.17	2.11 ± 1.16	0.007
15. I have good friends in this school.	3.2 ± 0.89	3.11 ± 0.9	3.09 ± 0.95	2.78 ± 1.13	0.001
20. The teaching is well focused.	2.9 ± 0.69	2.85 ± 0.76	2.77 ± 0.82	2.61 ± 0.94	0.008
21. I feel I am being well prepared for my profession.	2.84 ± 0.86	2.72 ± 0.88	2.57 ± 0.99	2.52 ± 0.89	0.004
24. The teaching time is put to good use.	2.8 ± 0.82	2.75 ± 0.96	2.65 ± 1.01	2.48 ± 0.90	0.012
27. I am able to memorize all I need.	2.08 ± 0.99	1.9 ± 1.05	1.77 ± 1.08	2.02 ± 1.14	0.001
35. I find the experience disappointing.	2.38 ± 1.06	2.4 ± 1.06	2.32 ± 0.99	1.82 ± 1.14	0.000
39. The teachers get angry in class.	2.24 ± 1.04	2.01 ± 1.10	1.92 ± 1.18	1.68 ± 1.03	0.000
42. The enjoyment outweighs the stress of the course.	2.44 ± 1.07	1.98 ± 1.15	2.17 ± 1.12	2.36 ± 1.14	0.000
44. The teaching encourages me to be an active learner.	2.77 ± 0.9	2.51 ± 1.01	2.45 ± 0.96	2.52 ± 1.08	0.005
46. My accommodation is pleasant.	2.99 ± 0.83	2.49 ± 1.16	2.61 ± 1.18	2.57 ± 1.19	0.000
47. Long term learning emphasizes over short term.	2.5 ± 0.97	2.7 ± 0.91	2.43 ± 0.97	2.4 ± 1.03	0.008
48. The teaching is too teacher-centered.	1.98 ± 1.01	1.86 ± 0.87	1.7 ± 0.96	1.54 ± 0.99	0.000
50. The students irritate the teachers.	2.06 ± 1.02	2.06 ± 1.02	1.93 ± 0.94	1.62 ± 1.01	0.000