Strides in Development of Medical Education

Document Type : Original Article


Ph.D. in Nursing, Assistant Professor, Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran


Background & Objective: Portfolio is useful as a learning method and an evaluating scale The goal of this survey was to study the effect of portfolio based evaluation on the accuracy of clinical evaluation of nursing students during their internship in Arak University of Medical Sciences Arak Iran Methods: This educational trial was conducted on all senior nursing students (n = 30) of Arak University of Medical Sciences Their clinical learning was evaluated by routine (first two weeks) and portfolio evaluation (last two weeks) All data were analyzed with SPSS version 17 Results: Mean age of students (14 boys and 16 girls) was 227 ± 12 years Mean of scores given by the instructor based on routine (194) and portfolio methods (165) in nursing management internship course had a significant difference (3 scores) (P = 00001) Moreover mean of scores given by the instructor based on routine (1911) and portfolio methods (163) in the internal internship course had a significant difference (3 scores) (P = 00001) Mean scores of students opinions about effective learning in internal wards with routine and portfolio methods had a significant difference (P ≤ 0001) Conclusion: Scores based on routine evaluation forms cannot be real since they are subjective not objective However scores based on portfolios are more real In spite of some limitations portfolio is applicable and userfriendly in clinical fields Therefore it is recommended for promoting learning levels and evaluating students clinical learning


  1. Hadizadeh F, FirooziI M, Shamaeyan Razavi N. Nursing and midwifery students' perspective on clinical education in Gonabad University of medical sciences. Iranian Journal of Medical Education 2005; 5(1):70-8. [In Persian]
  2. Raahnavard Z, Ahmadnezhad Abkenar S, Mehran A. Effect of clinical teaching partner model (CTP) on nursing students' clinical training outcomes. Hayat 2009; 15(1):61-70. [In Persian]
  3. Abedini S, Abedini S, Aghamolai T, et al. Clinical education problems based on nursing and midwifery students of Hormozgan University of Medical Sciences. Hormozgan Medical Journal 2008; 12(4):249-53. [In Persian]
  4. Delaram M. Clinical education from the viewpoints of nursing and midwifery students in Shahrekord University of medical sciences. Iranian Journal of Medical Education 2006; 6(2):129-135. [In Persian]
  5. Baraz Pardanjani Sh, Fereidoni Moghaddam M, Lorizadeh MR. Clinical Education Status According to the Nursing and Midwifery Students’ Point of View, Tehran University of Medical Sciences. Strides in Development of Medical Education 2008; 5(2):102-11. [In Persian]
  6. Dehghani KH, Dehghani H, Falahzadeh H. The educational problems of clinical field training based on nursing teachers and last year nursing students' view points. Iranian Journal of Medical Education 2005; 5(1):24-33. [In Persian]
  7. Hassan Zahrahi R, Atash Sokhan G. Comparing the Factors Related to the Effective Clinical Teaching from Faculty Members' and Students' Points of View. Iranian Journal of Medical Education 2007; 7 (2):249-55. [In Persian]
  8. Driessen E, Tartwijk JV. Portfolios in medical education: why do they meet with mixed success? A systematic review. Medical Education 2007; 41(12): 1224–33.
  9. Friedman Ben David M, Davis M.H. AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment. Medical Teacher 2001; 23(6): 535-51.
  10. Rassin M, Silner D, Ehrenfeld M. Departmental portfolio in nursing – An advanced instrument. Nurse Education in Practice 2006; 6(1): 55–60.
  11. Kear ME, Bear M. Using portfolio evaluation for program outcome assessment. J Nurs Edu 2007; 46(3): 109- 14.
  12. Latifi M, Shaban M. Comparison of the effect of clinical evaluation by two methods: portfolio and popular, on satisfaction of nurse students. Iranian Journal of Nursing Research 2011; 6(21):15-28 [In Persian].
  13. McColgan K, Blackwood B. A systematic review protocol on the use of teaching portfolios for educators in further and higher education. Journal of Advanced Nursing 2009; 65(12): 2500–7.
  14. Timmins F, Dunne PJ. An exploration of the current use and benefit of nursing student portfolios. Nurse Education Today 2009; 29(3): 330–41.
  15. Latifi1M, Shaban M. Effect of clinical evaluation with portfolio on critical thinking skills of nursing students. IJME: 2011; 11(4):368-81. [In Persian]
  16. Hoseini1 BL, Jafarnejad F. Midwifery students' satisfaction with logbook as a clinical Assessment means in Mashhad University of medical sciences, 2010. Iranian Journal of Medical Education 2011; 11(8): 933-941. [In Persian]
  17. Khosravi Sh, Pazargadi M, Ashktorab T. Nursing students` viewpoints on challenges of student assessment in clinical settings: a qualitative study. Iranian Journal of Medical Education 2011; 11(7):735-49. [In Persian]
  18. Moatari M, Moghadasi M. The effect of clinical education workshop on nursing and midwifery instructors’ effective behaviors in clinical education. Iranian Journal Of Medical Education 2006; 6(2):97-105. [In Persian]
  19. McMullan M. Using portfolios for clinical practice learning and assessment: The preregistration nursing student’s perspective. Nurse Education Today 2008; 28(7): 873–9.
  20. Cangelosi PR. Learning portfolios: Giving meaning to practice. Nurse Educator 2008; 33 (3):125-7.
  21. Lettus MK, Moessner PH, Dooley L. The clinical portfolio as an assessment tool. Nursing Administration Quarterly 2001; 25(2):74-9.
  22. Taylor C, Stewart L, Bidewell J. Nursing students' appraisal of their professional portfolios in demonstrating clinical competence. Nurse Educator 2009; 34(5):21722.
  23. Buckley B, Coleman J. The educational effects of portfolios on undergraduate student learning: A Best Evidence Medical Education (BEME) systematic review. Med Teach 2009; 31(4):282-98.
  24. Corry M, Timmins F. The use of teaching portfolios to promote excellence and scholarship in nurse education. Nurse Education in Practice 2009; 9(6):388-92.
  25. McCready T. Portfolios and the assessment of competence in nursing: A literature review. International Journal of Nursing Studies 2007; 44(1): 143–51.