Mehrnoosh Khoshnoodifar; Moein Zangiabadian; Mehran Ilaghi
Abstract
Background: Teaching research skills to medical students is an essential component of modern medical education curricula. Despite the students' need and enthusiasm for practical research courses, there is a lack of basic training, particularly on secondary research types.Objectives: In this study, we ...
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Background: Teaching research skills to medical students is an essential component of modern medical education curricula. Despite the students' need and enthusiasm for practical research courses, there is a lack of basic training, particularly on secondary research types.Objectives: In this study, we aimed to design, implement and evaluate a systematic review training course for medical students.Methods: This was a pretest-posttest study conducted among medical students of Shahid Beheshti University of Medical Sciences (SBMU) in Iran. A total of 78 medical students were screened for eligibility based on their lack of previous systematic review publication experience and 30 individuals were ultimately enrolled to participate in the training course. A pre-test consisting of 20 multiple-choice questions was administered to the students. Following the ADDIE instructional design model, the training course was conducted in 12 sessions using a blended approach (in-person, synchronous online, and asynchronous sessions). At the end of the course, the evaluation of student satisfaction, knowledge, and skills was performed based on the Kirkpatrick model.Results: Out of the 30 participating students, 27 successfully completed the course and took part in the post-test. Among them, 23 individuals expressed 100% satisfaction with the course implementation. Comparison of pre-test and post-test scores indicated a significant improvement in participants' theoretical knowledge (p-value<0.001). The most pronounced increase in the knowledge level was observed in clerkship students and interns. Asynchronous online teaching was significantly more effective than in-person and synchronous online methods. At the end of the course, eight participants tested their practical skills by successfully registering a systematic review study protocol on the International Prospective Register of Systematic Reviews (PROSPERO) website.Conclusion: Overall, this study underscores the value of organizing research workshops focused on systematic review methodology as an effective means to enhance the knowledge of medical students in the realm of high-quality evidence-based research methods.
Amin Beigzadeh; Nikoo Yamani; Peyman Adibi; Kambiz Bahaadinbeigy
Abstract
Background: In order to improve clinical education, after evaluating the current situation and identifying the shortcomings and problems, it is essential to find strategies to change and improve the situation. This results in planning an efficient clinical education program and achieving the educational ...
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Background: In order to improve clinical education, after evaluating the current situation and identifying the shortcomings and problems, it is essential to find strategies to change and improve the situation. This results in planning an efficient clinical education program and achieving the educational goals.Objectives: This study aimed at identifying strategies for clinical medical education in Iran.Methods: This systematic review was conducted in 2017 to find strategies for clinical medical education in Iran. Bedside teaching, ward round teaching, ward round, teaching round, training round, grand round, clinical teaching, ambulatory education, and bedside round were the keywords searched in both Persian- and English-language databases. Related articles were carefully reviewed and the key information was extracted. Finally, the data were analyzed in MAXQDA software version 10.Results: After retrieving the related articles, the title and abstract of 593 papers were reviewed, and after excluding the irrelevant and duplicate ones, full-texts of 101 articles were reviewed based on the study inclusion and exclusion criteria. The strategies for clinical medical education in Iran were classified into five categories including infrastructures, areas of clinical education, educational planning, and clinical teachers and students.Conclusion: Improving the quality of clinical education and the effectiveness of the educational system depends on the identification of appropriate strategies. The identified strategies pave the way for achieving targeted educational goals.
Fatemeh Zeynab Kiani; Ali Ahmadi
Abstract
Context Communication, as an essential human skill, is one of the most influential factors in the performance of healthcare workers. In fact, the establishment of effective communication with the recipients of healthcare services and patients can increase their satisfaction and quality of life. Due to ...
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Context Communication, as an essential human skill, is one of the most influential factors in the performance of healthcare workers. In fact, the establishment of effective communication with the recipients of healthcare services and patients can increase their satisfaction and quality of life. Due to the paucity of comprehensive research in this area, the present study aimed to investigate the barriers and facilitating factors concerning communication among healthcare workers. Evidence Acquisition This systematic review was conducted by searching PubMed, Scopus, Web of Science, MagIran, Iranmedex, Google Scholar, and SID databases, using the following keywords: “communication”, “communication barrier”, “communication facilitator”, “health system”, “nurse”, “physician”, “faculty member”, “teacher”, “student”, “health manager”, and “patient”. All searches were conducted within a 10-year period from 2008 to 2018. Results According to our literature review, 44 articles (38 quantitative and 6 qualitative) met the inclusion criteria. In these studies, “pleasant greetings” and “tidy appearance” were the most important factors facilitating the patient-physician relationship, “teacher’s modesty”, “patience”, and “respect for students” were the main factors facilitating the teacher-student relationship, and finally, “responsibility”, “empathy”, and “companionship” were identified as the most significant factors in the patient-health care worker relationship. On the other hand, the most important barriers to communication in the clinical setting were “poor introduction of the healthcare provider to patients”, “high workload and fatigue”, and “lack of training on the principles of communication skills and environmental factors”. Conclusions Based on the findings, identifying the facilitating factors and barriers to communication is the most important step in the management of health services. Communication skills training can have a beneficial effect on the health education programs for the healthcare staff. In addition, it can improve the efficacy of health services.
Amin Beigzadeh; Nikoo Yamani; Kambiz Bahaadinbeigy; Peyman Adibi
Abstract
Context In order to improve the quality of clinical education, it is necessary to investigate the current situation in clinical settings and identify its problems. This step is the most important part of modifying a clinical education program and meeting learning goals. The purpose of this study was ...
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Context In order to improve the quality of clinical education, it is necessary to investigate the current situation in clinical settings and identify its problems. This step is the most important part of modifying a clinical education program and meeting learning goals. The purpose of this study was to identify the challenges and problems of clinical medical education in Iran. Evidence Acquisition This systematic review was performed to determine the challenges and problems of clinical medical education in Iran in 2017. In order to retrieve articles, the following keywords: Clinical education, bedside teaching, clinical teaching, teaching round, ward round, ward round teaching, bedside round, teaching round, medical education, clinical round, ambulatory education, clinic education, grand round, and education in emergency were searched in reliable Persian and English databases. Then, the articles related to the research objective were carefully reviewed and key information was extracted. Data were analyzed using MAXQDA software version 10. Conclusions The problems of clinical education are in different areas. Identifying these areas and planning for them can improve clinical education status, achieve educational goals, and provide medical students with a more effective education.
Aziz Shamsi; Safoura Dorri
Abstract
Context Effective clinical skills training of medical students can guarantee a higher quality of care, diagnosis, and treatment for patients. Therefore, selection of appropriate methods of clinical education is of great significance. Mastery learning is one of the learning models in which educational ...
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Context Effective clinical skills training of medical students can guarantee a higher quality of care, diagnosis, and treatment for patients. Therefore, selection of appropriate methods of clinical education is of great significance. Mastery learning is one of the learning models in which educational progress is not dependent on time, but rather performance. In this model, the learner is constantly assessed until achieving mastery. All students can achieve the same level of learning, although the amount of time required for mastery is variable. Objectives The purpose of the present study was to review the literature on the effects of mastery learning on the clinical education of medical students. Data Sources This systematic review was conducted in English and Persian databases to evaluate articles on mastery learning in clinical education, published from 1990 to 2016. In the primary search, 503 articles were retrieved using Persian and English keywords, including “clinical teaching” and “mastery learning”. After reviewing the abstracts, 50 relevant articles were selected, and, finally, 26 articles were reviewed. Results Based on the findings, mastery learning can improve skill mastery among students, reduce the complications of medical interventions, increase the students’ self-confidence, reduce the required time for skill acquisition, increase the students’ knowledge, and improve their communication skills. Also, this method of learning has been effectively applied in medicine, nursing, and occupational therapy for students and hospital staff. Conclusions Mastery learning is a suitable method for teaching clinical skills to students. Considering the advantages of this method, it can be used effectively to train students from different medical disciplines.
Hakimeh Hazrati; Vahedeh Zaregavgani; Mortaza Ghojazadeh; Leila Vahedi
Volume 13, Issue 3 , September 2016, , Pages 246-254
Abstract
Background & Objective: The main prospect of medical education is improving the quality of health care provided by clinicians The quality and timing of services is related to medical education that can train researchers to solve the problems of the changing requirements of society Problembased learning ...
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Background & Objective: The main prospect of medical education is improving the quality of health care provided by clinicians The quality and timing of services is related to medical education that can train researchers to solve the problems of the changing requirements of society Problembased learning (PBL) as a studentcentered learning approach can provide the context for such medical education The aim of present study was to obtain appropriate information about the effective use of PBL in Iranian medical education from available studies through a systematic review Methods: In the present study 16 studies on the effect of PBL on learning satisfaction and efficacy of medical education were reviewed This systematic review was performed by searching the Google Scholar PubMed Magiran Iran Medex and SID databases using the keywords problembased learning medical education and Iran We included studies that were published from 2003 to 2015 in Iran The results of all studies were reviewed by two researchers using the Critical Appraisal Skills Programme (CASP) and the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklists Results: From among the 130 selected articles 16 studies were included in the study The level of satisfaction with this type of training was reported as high The students performance was satisfactory with this educational method This method of training had a significant effect on the increasing of student learning particularly in the clinical and practical fields and strengthening of active learning selfdirection motivation and critical thinking Conclusion: According to the results of this study PBL can be used as an effective educational method for medical education in Iran
Ali Akbar Haghdoost; Rezvan Ansari; Tahereh Changiz
Volume 12, Issue 4 , January 2016, , Pages 570-585
Abstract
Background & Objective: Recognition of the causes and correlates of academic failure which is one of the failures of the education system is an important practical issue in education researches Despite the large number of studies in this field in Iran no comprehensive reviews of all published documents ...
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Background & Objective: Recognition of the causes and correlates of academic failure which is one of the failures of the education system is an important practical issue in education researches Despite the large number of studies in this field in Iran no comprehensive reviews of all published documents in this respect have been carried out Thus the aim of the present study was the systematic review of all texts published during the previous 15 years and determination of the role of individual personality and social factors related to academic failure of students Methods: In the present study documents were systematically reviewed and information gathered Articles which were related to the causes of academic failure of students of medical universities in Iran and published from March 1999 until February 2010 were studied Using census method 1008 articles were screened The full text of 26 articles with minimum quality of research was available Results: Based on the findings of the study male gender higher age of entry to college marriage mental and physical problems lack of interest in the field of education lower average score of school diploma or previous degree longer duration of time from diploma to university admission lack of studying during the term greater use of the internet and lack of scientific and research activities are individual factors that can lead to academic failure in students Based on the systematic review of literature the causes of academic failure of students were having a second job living in the dormitory and a nonempirical diploma Among familial and social factors low education level of father and mother financial problems family problems large number of family members poor social activity and being an extrovert were associated with academic failure Conclusion: Despite the many studies on the causes of academic failure it seems that the standards and definitions used in different studies vary Therefore to promote the quality of work standardization must be performed The views of faculty members were largely consistent with the facts found in the literature This showed that university teachers experiences in this regard are reliable Moreover considering the major listed causes it seems that groups who are at higher risk of academic failure can be identified and preventive measures applied to them
Ladan Fata; Sheida Azari; Hamid Baradaran
Volume 10, Issue 2 , August 2013, , Pages 150-157
Abstract
Background & Objective: Students academic decline is one of the major problems of higher education institute in the country For this reason many studies have been performed on this subject but they have achieved different results This study aims to collect and compare researches carried out nationwide ...
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Background & Objective: Students academic decline is one of the major problems of higher education institute in the country For this reason many studies have been performed on this subject but they have achieved different results This study aims to collect and compare researches carried out nationwide on this subject Methods: Using the information on online systems and databases such as Iranmedex Sid Magiran PubMed Web of Science Google Scholar and Science Direct Eric the keywords Medical students educational failure academic growth and academic achievement were searched The papers were divided into two categories of related and unrelated Results: From the total of 152 papers the irrelevant articles were eliminated and from the 32 remaining papers only 9 articles had the required criteria for the study In terms of content analysis sex accommodating in dormitory employment marital status age pass rate noticeable gap between acquiring diploma and university entrance were considered as affecting factors on academic decline Conclusion: These factors can be considered as effective factors in academic decline since they are common in previous published articles However in these articles academic decline determinants are different and no specific cut point has been defined Due to the importance of the subject and its effects on academic decline it is recommended that it be specified
Masoud Rahimi; Robabe Zarooj Hosseini; Mohsen Darabian; Abbas Ali Taherian; Ahmad Khosravi
Volume 9, Issue 1 , July 2012, , Pages 34-45
Abstract
Background & Objectives: One of the common approaches for teacher evaluation is evaluation by students and in this relation considering the opinions of teachers as main targets of this process is important The aim of this study was a systematic review of the researches performed about the opinions ...
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Background & Objectives: One of the common approaches for teacher evaluation is evaluation by students and in this relation considering the opinions of teachers as main targets of this process is important The aim of this study was a systematic review of the researches performed about the opinions of faculty members of the country towards evaluation of teacher by students Methods: The abstracts of 1750 papers presented in Iran Medical Education Congresses since 1979 as well as related articles indexed in Iranian databases and International databases (PubMed & Scopus) were reviewed by using keywords such as teacher evaluation evaluation by student self evaluation quality of teaching professors viewpoints education process satisfaction teaching method evaluation studies and feedback After a primary review 47 papers from different universities were selected and reviewed by different research groups Finally the obtained data were emerged based on criteria defined in groups common meetings Results : Satisfaction rate of faculty members from evaluation was 478% and the effect of feed backing the evaluation results was 712% The highest satisfaction rate was related to the time of evaluation (mean 655%) and the majority of teachers believed that Education Development Center (EDC) is the best center for evaluation Mean score of selfevaluations by professors was higher than that Was done by students and there was poor correlation between these scores Conclusion: regarding to low satisfaction rate and weaknesses in this type of evaluation basic revisions and using multi source Fedback(MSF) for teachers are recommended
