Sahar Karami; Leila Sadati; Zahra Nouri Khanegha; Mitra Rahimzadeh
Abstract
Background: In modern medical education, the emphasis on student-centered learning and task-based learning has made the role of a learning environment more highlighted. In curriculum development, aligning educational objectives, teaching methods, and assessment methods with the educational environment ...
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Background: In modern medical education, the emphasis on student-centered learning and task-based learning has made the role of a learning environment more highlighted. In curriculum development, aligning educational objectives, teaching methods, and assessment methods with the educational environment is emphasized. In the process of evaluating curriculum components, along with the assessment of the other parts, assessing the educational environment through a valid and reliable tool is essential.Objectives: The purpose of this study was to develop a psychometric and localized version of the Surgical Theatre Educational Environment Measure (STEEM) tool for surgical technologists in Iran.Methods: The present study was a descriptive and analytical study that was conducted cross-sectionally in 2021. After obtaining permission from the developer of the standard questionnaire, following the principles of localization, the stages of translation and re-translation of the STEEM tool were done. The validity of its face and content was then assessed. In order to determine construct validity, the questionnaire was distributed among 201 surgical technology students. The construct validity of the instrument and its reliability was investigated using exploratory factor analysis, and Cronbach's alpha and intra-cluster correlation coefficient, respectively. Data were analyzed using SPSS 19.Results: The study of face, content, and construct validity resulted in providing a STEEM questionnaire with 5 subscales and 30 questions covering 55.6% of the total variance. The reliability of the whole questionnaire (Cronbach's alpha) was 0.845.Conclusion: Based on the findings of this study, the Iranian version of STEEM, entitled Iranian Measure of Operating Theatre Educational Climate (IMOTEC) has appropriate validity and reliability, and can effectively measure operating theatre educational climate from the perspective of undergraduate surgical technology students.
Zahra Zahedi; Hamid Salehiniya; Afagh Zarei; Hamid Abbaszadeh
Abstract
Background: Due to the widespread utilization of electronic exams, neglecting their quality is a major threat. Assessing the quality of electronic exams plays a decisive role in determining the efficacy of electronic learning.Objectives: This study aimed to assess the quality of electronic exams held ...
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Background: Due to the widespread utilization of electronic exams, neglecting their quality is a major threat. Assessing the quality of electronic exams plays a decisive role in determining the efficacy of electronic learning.Objectives: This study aimed to assess the quality of electronic exams held at the beginning of the coronavirus disease 2019 outbreak.Methods: Following a cross-sectional design, this study included all electronic exams of the electronic test center of Birjand University of Medical Sciences during the academic year of 2020. Reliability, discrimination index (DI), and difficulty index (DIF) of exams were used to assess the quality. Descriptive statistics and frequency distributions were used to describe the data.Results: Out of 101 E-exams, 59.4% had appropriate DIF, 61.4% had low DI, and 66.3% had unfavorable reliability. Also, 38.6% of exams had high DIF (easy questions). For all exams, the mean of DIF, DI, and reliability was 0.66±0.14, 0.28±0.08, and 0.56±0.31, respectively. The mean of DI (P= 0.30) and reliability (P= 0.09) was not significantly different based on faculty. The mean of DIF was significantly different according to the faculty (P=0.03).Conclusion: Concerning the quality of e-exams, most problems are related to the DI and reliability. It is recommended to hold empowerment workshops on how to design exam questions for faculty members to get them acquainted with strategies to increase the reliability and discrimination index of the exam.
Raika Jamali; Neda Moslemi; Mahboobeh Khabaz Mafinejad; Maryam Alizadeh; Reza Shariat Moharari
Abstract
Background: There is a paucity of literature regarding the medical students’ perspectives on web-based training of clinical reasoning.Objectives: This study aimed to describe the implementation of a web-based training course of clinical reasoning for medical students and to evaluate their satisfaction ...
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Background: There is a paucity of literature regarding the medical students’ perspectives on web-based training of clinical reasoning.Objectives: This study aimed to describe the implementation of a web-based training course of clinical reasoning for medical students and to evaluate their satisfaction with the program.Methods: This cross-sectional study was conducted at the Tehran University of Medical Sciences in 2018. Fifty internal medicine interns were consecutively enrolled. The study consisted of two phases. The first phase focused on the development of a web-based training module of clinical reasoning. The second focused on evaluating the trainee’s satisfaction with the virtual course. The educational content of the program was prepared by an expert panel and incorporated in a web-based educational tool designed for virtual training purposes. The students’ satisfaction with the virtual course was assessed using a questionnaire. Each item of the questionnaire was scored from 0 (0) to 1.5 (100). The content validity of the questionnaire determined by an expert panel, and its reliability was measured.Results: The mean score of each item of the questionnaire ranged from 77.3 to 85.3 which showed that the participants agreed with the items of the questionnaire. Also, Cronbach’s alpha coefficient was excellent in nine items of the questionnaire, good in four items, and acceptable in three items. The intraclass correlation coefficient was also estimated as 0.98.Conclusions: The participants were satisfied with the web-based training tool for clinical reasoning, used in the present study. The developed questionnaire also showed good validity and reliability for the assessment of trainees’ satisfaction with the web-based training module of clinical reasoning.
Nastaran Ghotbi; Saeed Nasrollahi
Abstract
Background and Objectives Teaching clinical skills to students who provide health services is of great importance. Many universities use questionnaires to make qualitative assessments about the teaching of these skills based on the students’ point of view. In many cases, the learning environment ...
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Background and Objectives Teaching clinical skills to students who provide health services is of great importance. Many universities use questionnaires to make qualitative assessments about the teaching of these skills based on the students’ point of view. In many cases, the learning environment affects teaching; however, this issue is not often taken into account while designing questionnaires. In addition, it is necessary to specialize the questionnaires because the clinical trainings of different medical groups differ from each other. The aims of this study were 1, to develop a questionnaire that could be used for quality assessment of clinical education provided by faculty members of rehabilitation school and 2, to evaluate the validity and reliability of such a questionnaire. Methods Based on the clinical education curriculums of the departments of rehabilitation school, a questionnaire consisting of two sections assessing teaching quality (24 items) and learning environment (7 items) was designed. Face and content validity of the questionnaire was approved during several feedback stages based on the opinions of the faculty members. In addition, the reliability of the questionnaire was evaluated by administering it to 25 undergraduate students during a given time interval. Results Using Cronbach’s alpha, the internal consistency values of the questionnaire for teaching quality and learning environment components were found to be 0.94 and 0.73, respectively. The results of the test-retest reliability were as follows: intraclass correlation coefficient (ICC) of 0.95 and 0.96; Pearson correlation coefficient of r = 0.92 and r = 0.93, and paired t-test of P > 0.05. Conclusions Both the teaching quality and learning environment sections in the designed questionnaire were found to be valid and reliable. The results showed that the questionnaire could be used to assess the quality of clinical education provided by faculty members in rehabilitation schools.
Elham Mazareie; Shahla Momeni Danaei; Sahar Hosseininezhad; Mahsa Nili
Volume 13, Issue 4 , November 2016, , Pages 395-402
Abstract
Background & Objective: Evaluation is a process that identifies and describes the effectiveness of all aspects of education The use of logbooks as an aid in education and assessment might provide the possibility for a more uniform training The aim of this study was to evaluate the effect of logbook ...
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Background & Objective: Evaluation is a process that identifies and describes the effectiveness of all aspects of education The use of logbooks as an aid in education and assessment might provide the possibility for a more uniform training The aim of this study was to evaluate the effect of logbook on students perspective in each of the 10 departments of dental school Methods: In this crosssectional survey a questionnaire consisting of 16 standardized items each scored on a 5point Likert scale (0 to 4) was used From among the collected forms 50 completely filled questionnaires were entered into the study The validity of the questionnaire was approved by a group of 10 experts and its reliability was confirmed using Cronbachs α (094) Tukeys test and oneway ANOVA were used for data analysis Results: In all departments there was agreement between the students logbook scores and final grades In addition the ability to find learning weaknesses via logbooks had the lowest score whereas clear statement of learning objectives for each subject and requirement obtained the highest score Usefulness of written clinical procedures in logbooks had the highest score in the Departments of Endodontics Removable Prosthodontics Fixed Prosthodontics and Pediatrics Conclusion: The logbook is a practical and useful assessment tool for evaluating students and achieving learning objectives It clearly states the educational objectives and clarifies the minimum requirements for each department However there is a need for the mutual cooperation and commitment of both the students and educators which requires time and the better establishment of this method
Roya Vatankhah; Sakineh Sabzevari; Mohammadreza Baneshi
Volume 12, Supplement , July 2015, , Pages 281-287
Abstract
Background & Objective: Clinical environments have a crucial role on medical students' training. Thus, the aim of this study was to assess clinical environments based on the (Dundee Ready Education Environment Measure) ...
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Background & Objective: Clinical environments have a crucial role on medical students' training. Thus, the aim of this study was to assess clinical environments based on the (Dundee Ready Education Environment Measure) DREEM model from the viewpoint of interns and residents in hospitals affiliated with Kerman University of Medical Sciences, Iran, in 2012.
Methods: This was a descriptive-analytic study. The data collection tool was the DREEM Questionnaire with 50 questions (5-point Likert scale) in the 5 domains of learning, teachers, educational environment, student's academic self-perceptions, and student's social self-perceptions. The study environment consisted of 4 main wards (internal, surgical, pediatrics, and gynecology) of hospitals affiliated with Kerman University of Medical Sciences. The study subjects consisted of 63 interns and 73 residents. Data was analyzed in SPSS software using Students' t-test and ANOVA.
Results: Mean score of perception of educational environment in interns was 161.17 ± 22.30 and in residents was 157.45 ± 21.14. The comparison of different areas of clinical environment evaluation only showed a significant difference between the two groups in the area of student's social self-perceptions (P < 0.05). The interns' score was higher than that of the residents. No significant differences were observed between hospitals and the studied wards.
Conclusion: The students' perceptions of their educational environment in clinical wards were desirable. Despite different literature's recommendation of using DREEM in order to evaluate weaknesses and strengths of clinical environments, the concurrent use of other methods and instruments for the assessment of the efficacy of this questionnaire is recommended.
Hosein Karimi-Moonagi; Roza Montazeri; Mahnaz Amini; Mohammad-Taghi Shakeri; Mehri Yavari; Mohammad Khajehdaluee; Mojgan Afkhamizadeh
Volume 11, Issue 1 , May 2014, , Pages 65-74
Abstract
Background & Objective: Communication skills assessment requires the use of valid instruments The present study has done to investigate concurrent validity of the simulated patient meaning relationship between test results by the simulated or real patient and possibility to generalize the ...
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Background & Objective: Communication skills assessment requires the use of valid instruments The present study has done to investigate concurrent validity of the simulated patient meaning relationship between test results by the simulated or real patient and possibility to generalize the results by simulated patient and in simulated environment for real patient and in bedside Methods: In this correlation study 32 medical externships were enrolled by purposive sampling method The students were divided randomly into two equal and homogeneous groups Using crossover design first group were assessed by real patient initially and then simulated patient and second group were measured conversely Communication skills assessment was done using a checklist retrieved from CalgaryCambridge interview skills checklist The data were analyzed using descriptive and analytical statistics Results: In first assessment comparing scores by simulated and real patient in first group second group and total students showed significant differences In second assessment between two groups the statistics results was not significant with very minor differences (P = 0064) There were positive correlation between scores of total students by simulated and real patient (r = 063) Conclusion: According to the results communication skills of each student in simulated position cannot be generalized to real situation and cannot be claimed that simulated patient can be used instead of real patient
