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This study set out to identify the institutional difficulties encountered by the undergraduate medical students of Bangladesh. This was a descriptive type of cross sectional study, conducted from July 2017 to June 2018. The population of the study consisted of undergraduate medical students and medical teachers of 8 medical colleges of Bangladesh including both government and non-government which were located in Dhaka and outside of the Dhaka. Medical colleges and medical teachers were selected purposively and students were selected by the convenience sampling technique. The questionnaire using five points Likert scale were administered on 1059 medical students and in-depth interviews were conducted with 13 medical teachers. The study revealed that most of the students faced institutional related difficulties, particularly cleanliness of campus 480 (45.6%), unclean toilet 762 (72%), poor quality canteen 663 (63%), poor games facilities 792 (75%), insufficient hostel accommodation 669 (65.2%), unclean hostel 652 (63.5%), insufficient recreation facilities in hostel 702 (68.5%) and irregular hostel supervision by the authority 590 (57.6%). Based on the study, it was suggested that concerned authority should consider the findings and should take some significant steps for sustainable solutions to the difficulties of the students. Difficulties Faced by the Undergraduate Medical Students in Relation to Institution and Hostel Campus: Views of Selected Medical Colleges of Bangladesh 1 2 3 4 Dr. Farhana Haque , Prof. Dr. Md. Humayun Kabir Talukder , Dr. Kazi Khairul Alam , Dr. Sadia Jabeen Khan , 5 Dr. Md. Rezaul Karim Bangladesh Journal of Medical Education ISSN: 2306-0654 23 Bangladesh Journal of Medical Education 2019;10(2):23-25. © 2019 Noman et al., publisher and licensee Association for Medical Education. This is an Open Access article which permits unrestricted non-commercial use, provided the original work is properly cited. Introduction Medical students are expected to learn and master a huge amount of knowledge and skills. The personal and social sacrifice they have to make in order to maintain good academic results in a highly competitive environment, puts them under a 1 lot of stress . Several educationists and sociologists pointed out that various student problems severely affect their learning process. In addition, some local and overseas studies have shown that there are many common factors causing students in institutions of higher education to be distressed and performing poorly or dropping out without completion of 2 courses . The majority of students faced institutional related problems, particularly accommodation, food and nutrition, the medium of instructions, library facilities, financial assistance, 2 and teacher-student relationship . A hostel is referred to a place where people can stay when their residence is located far from the educational institution and which is considered essential to students' needs, which also called student housing. The hostel is built with some institutional or formal characteristics and where students 3 have access to the university recreational facilities . Institutional stress on the other hand occurs as a result of problems encountered in the institution's environment which could lead to condition such as, crowded time table, insufficient seats in the lecture rooms, lack of accommodation in and around the institution, problems from 4 lecturers and incessant disruption of academic calendar . Many universities do not have adequate accommodation facilities for their student intakes. Therefore, such students have to find private accommodation closer to their university. Hygienic facilities are essential to have a better life for human beings. However, university as a place where many people are gathered together it is difficult to maintain hygienic facilities. The majority of students in all faculties revealed that they are not satisfied with the hygienic facilities such as 2 toilets, bathrooms and cleaning of the surrounding area . Methodology This was a descriptive type of cross sectional study. The study period was from July 2017 to June 2018. The study was carried out among the students of all phases of MBBS course of 4 government and 4 non-government medical colleges of Bangladesh. Out of 8 medical colleges, 5 were within Dhaka and 3 outside of Dhaka. The sample size was 1059 students. Medical colleges were selected purposively and convenience sampling technique was adopted for student selection. The self-administered semi-structured questionnaire consisted of 87 items and all the items were measured on five points Likert scale with responses ranging 1. Assistant Professor (Obst. & Gynae, CC) NICRH, Mohakhali, Dhaka. 2. Professor, Curriculum Development & Evaluation Centre for Medical Education (CME), Mohakhali, Dhaka. 3. Assistant Professor, Teaching Methodology Centre for Medical Education (CME), Mohakhali, Dhaka. 4. Assistant Professor (Obst. & Gynae) NICRH, Mohakhali, Dhaka. 5. Junior consultant (Cardiology) DGHS, Mohakhali, Dhaka. Address of correspondence: Dr. Farhana Haque Assistant Professor (Obst. & Gynae), NICRH, Mohakhali, Dhaka. Email: farhananila77@gmail.com Original Article

bangladesh journal of medical education

Difficulties Faced by the Undergraduate Medical Students in Relation to Institution and Hostel Campus: Views of Selected Medical Colleges of Bangladesh