Strides in Development of Medical Education

Document Type : Original Article

Authors

1 General Practitioner ,M.Sc. in Medical Education, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Endocrinologist, Professor, Institute of Endocrinology and Metabolism, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Ph.D. in Epidemiology, Professor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

4 Social medicine specialist ,Professor, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

5 Ph.D. in Pharmaceutics, Professor, Pharmacy School, Pharmaceutics Research Center, Kerman University of Medical Sciences, Kerman, Iran

6 MSc in Educational management,, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background & Objective: Social accountability medical education in all fields considers health problems priorities in specified countries Health provision (social accountability) encounters many challenges in its delivery due to more reasons and faculty innovations seem essential in promotion of education This study was designed in order to investigate social accountability medical education and innovations of clinical faculty members Methods: In a crosssectional and triangulation study point of view of 72 clinical faculty members in Kerman University of Medical Sciences Iran about social accountability medical education and their innovations was investigated by two separated questionnaires Results: Situation analysis of social accountability medical education in Kerman University of Medical Sciences showed that this form of education is in weaknessthreatened status The score of strengths was significantly difference among men and women and score of weakness was significantly difference among different educational groups and academic degrees (P < 005) There was no significant difference between situation analysis of social accountability medical education innovation and other demographic and educational variables Conclusion: Status of social accountability medical education (weaknessthreatened) is not appropriate in Kerman University of Medical Sciences in order to its promotion there must be an appropriate mechanism In addition potentials of faculty members must be considered about innovation for social accountability medical education

Keywords

  1. McAdam R, McClelland J. Sources of new product ideas and creativity practices in the UK textile industry. Technovation 2002; 22(2): 113-21.
  2. Azizi F. Medical Education in the Islamic Republic of Iran: Three Decades of Success. Iran J Public Health 2009; 38(Suppl 1): 19-26.
  3. Entezari A, Momtazmanesh N, Khojasteh A, Einollahi B. Toward Social Accountability of Medical Education in Iran. Iran J Public Health 2009; 38(Suppl 1): 27-8.
  4. Rajabi F, Majdzadeh R, Ziaee SA. Trends in medical education, an example from a developing country. Arch Iran Med 2011; 14(2): 132-8.
  5. Marandi SA. The Integration of Medical Education and Health Care Services in the I.R. of Iran and its Health Impacts. Iran J Public Health 2009; 38(Suppl 1): 4-12.
  6. Mullan F, Epstein L. Community-oriented primary care: new relevance in a changing world. Am J Public Health 2002; 92(11): 1748-55.
  7. Kristina TN, Majoor GD, van der Vleuten CP. Defining generic objectives for community-based education in undergraduate medical programmes. Med Educ 2004; 38(5): 510-21.
  8. Tamblyn R, Abrahamowicz M, Dauphinee D, Girard N, Bartlett G, Grand'Maison P, et al. Effect of a community oriented problem based learning curriculum on quality of primary care delivered by graduates: historical cohort comparison study. BMJ 2005; 331(7523): 1002.
  9. Moattari M, Fallahzadeh M. Senior Medical Students' Self Evaluation of their Capability in General Competencies in Shiraz University of Medical Sciences. Iran J Med Educ 2008; 7(2): 371-7.
  10. Longlett SK, Kruse JE, Wesley RM. Communityoriented primary care: critical assessment and implications for resident education. J Am Board Fam Pract 2001; 14(2): 141-7.
  11. Strelnick AH. Community-oriented primary care. The state of an art. Arch Fam Med 1999; 8(6): 550-2.
  12. Bayer WH, Fiscella K. Patients and community together. A family medicine community-oriented primary care project in an urban private practice. Arch Fam Med 1999; 8(6): 546-9.
  13. Davison H, Capewell S, Macnaughton J, Murray S, Hanlon P, McEwen J. Community-oriented medical education in Glasgow: developing a community diagnosis exercise. Med Educ 1999; 33(1): 55-62.
  14. Woollard RF. Caring for a common future: medical schools' social accountability. Med Educ 2006; 40(4): 301-13.
  15. Habbick BF, Leeder SR. Orienting medical education to community need: a review. Med Educ 1996; 30(3): 163-71.
  16. Palsdottir B, Neusy AJ, Reed G. Building the evidence base: networking innovative socially accountable medical education programs. Educ Health (Abingdon) 2008; 21(2): 177.
  17. Borroto Cruz ER, Salas Perea RS. National Training Program for Comprehensive Community Physicians, Venezuela. Social Medicine 2008; 3(4): 221-2.
  18. Worley P, Silagy C, Prideaux D, Newble D, Jones A. The parallel rural community curriculum: an integrated clinical curriculum based in rural general practice. Med Educ 2000; 34(7): 558-65.
  19. Worley P, Prideaux D, Strasser R, Magarey A, March R. Empirical evidence for symbiotic medical education: a comparative analysis of community and tertiary-based programmes. Med Educ 2006; 40(2): 109-16.
  20. Talbot J, Ward A. Alternative Curricular Options in Rural Networks (ACORNS): impact of early rural clinical exposure in the University of West Australia medical course. Aust J Rural Health 2000; 8(1): 17-21.
  21. Murray E, Jolly B, Modell M. Can students learn clinical method in general practice? A randomised crossover trial based on objective structured clinical examinations. BMJ 1997; 315(7113): 920-3.
  22. Oswald N, Jones S, Date J, Hinds D. Long-term community-based attachments: the Cambridge course. Med Educ 1995; 29(1): 72-6.
  23. Entezari A, Jalili Z, Mohagheghi MA, Momtazmanesh N. Challenges of Community Oriented Medical Education in Iran. Teb va Tazkiyeh 2010; 19(2): 52-64. [In Persian].
  24. Furst-Bowe JA, Bauer RA. Application of the Baldrige model for innovation in higher education. New Directions for Higher EducationSpecial Issue: Managing for Innovation 2007; (137): 5-14.
  25. Assadi SN. Knowledge, Attitude and Performance of Clinical Faculty Members on Community Oriented Medical Education: A Survey in Mashhad School of Medicine. Iran J Med Educ 2011; 11(5): 444-54. [In Persian].
  26. Rezaeian M. A Review on the Different Dimensions of Socially Accountable Medical Schools. J Rafsanjan Univ Med Sci 2011; 11(2): 159-72. [In Persian].
  27. Zandi Ghashgaei K. The study of the knowledge and attitude of the students of YUMS about AIDS in 2001. Iran J Med Educ 2002; 2(3): 56. [In Persian].
  28. Rezaei M, Almasi A. Knowledge and attitudes of medical students toward community oriented medical education. behbood J 2000; 4(6): 71-8. [In Persian].
  29. Nili MR, Nasr AR, Sharif M, Merhrmohammadi M. Social Prerequisites and Outcomes of Accountable Curriculum in Higher Education Case Study: Public Universities of Isfahan. Journal of Applied Sociology the University of Isfahan 2010; 21(2): 57-76. [In Persian].
  30. Halaas GW. The Rural Physician Associate Program: successful outcomes in primary care and rural practice. Rural Remote Health 2005; 5(2): 453.
  31. Hansen LA, Talley RC. South Dakota's third-year program of integrated clerkships in ambulatory-care settings. Acad Med 1992; 67(12): 817-9.
  32. Verby JE, Newell JP, Andresen SA, Swentko WM. Changing the medical school curriculum to improve patient access to primary care. JAMA 1991; 266(1): 110-3.
  33. Whitcomb ME. Redesigning clinical education: a major challenge for academic health centers. Acad Med 2005; 80(7): 615-6.
  34. Ludmerer KM. Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care: American Medical Education from the Turn of the Century to the Era of Managed Care. Oxford, UK: Oxford University Press; 1999.
  35. Norris TE, Schaad DC, DeWitt D, Ogur B, Hunt DD. Longitudinal integrated clerkships for medical students: an innovation adopted by medical schools in Australia, Canada, South Africa, and the United States. Acad Med 2009; 84(7): 902-7.
  36. Martin AA, Laurence CO, Black LE, Mugford BV. General practice placements for pre-registration junior doctors: adding value to intern education and training. Med J Aust 2007; 186(7): 346-9.