Questions	Type of university*	Mean score	Difference p-value
Amount of assigned work	1	4.77	0.001
	2	4.24
Competition with peers for grades	1	4.71	0.001
	2	4.11
Lack of time to do assigned work	1	5.01	0.017
	2	4.55
Inapproachability of the teaching staff	1	4.05	0.001
	2	3.24
Fear of failing a course or the year	1	5.64	0.029
	2	5.13
Lack of time for reflective learning	1	4.78	0.001
	2	4.06
Stress levels with educational environment
Lack of cooperation by lecturers and patients	1	4.18	0.001
	2	3.24
Criticism on work by the faculty members	1	4.02	0.001
	2	3.43
Inconsistency of feedback on your work by faculty members	1	4.00	0.046
	2	3.72
Rules and regulation of the faculty	1	3.92	0.001
	2	3.30
Stress levels with learning clinical skills
Lecturers or patients being late or not showing for their appointments	1	4.63	0.001
	2	3.50
Difficulty in learning clinical skills	1	4.47	0.014
	2	4.08
Atmosphere created by clinical supervisors	1	4.36	0.001
	2	3.47
Receiving criticism from staff for clinical work	1	4.44	0.001
	2	3.47
Difficulty in learning and interpreting laboratory findings	1	4.32	0.002
	2	3.85
Completion of clinical requirements	1	5.37	0.001
	2	4.08
Shortage of allocated clinical time	1	5.22	0.001
	2	4.17

*1=public, 2=private, only statistically significant items are included

Int J Med Educ. 2015; 6:56-61; doi: 10.5116/ijme.5521.3b2d