Strides in Development of Medical Education

Document Type : Original Article


1 Associate Professor, Department of Educational Sciences, School of Educational Science and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

2 Ph.D. Student in Nursing, Lecturer, Department of Medical Surgical, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran

3 M.Sc. in Nursing, Lecturer, Department of Medical Surgical, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran


  Background & Objective: Since fewer educational problems lead to improvement in educational quality and eventually student performance in the delivery of emergency medical services at the clients bedside this study was conducted to evaluate the educational problems of emergency medical students   Methods: This study used qualitative conventional content analysis Data were collected by semistructured interviews Sixteen participants including 12 new graduate paramedic in associate degree and 4 instructors by purposeful sampling in Khorasan province Iran were selected Data analysis was conducted by content analysis   Results: After data analysis three themes have emerged including the lack of appropriate teaching methods theory and practice gaps and curriculum reform   Conclusion: According to the results educational problems in paramedic education were inappropriate teaching approaches not applying classroom content in practice scene and incomplete curriculum Therefore paramedic educational leadership must try to solve these problems until paramedics can provide high quality services to community


  1. Bahrami M, Maleki A, Ezzatabadi MR, Askari R, Tehrani GA. Pre-Hospital Emergency Medical Services in Developing Countries: A Case Study about EMS Response Time in Yazd, Iran. Iran Red Crescent Med J 2011;13(10):735-8.
  2. Ellis R, Collins N. Scenario-based electronic learning: a viable educational method. J Paramedic Practice 2012;4(2):96-104.
  3. Ardalan A, Masoomi G, Goya M, Ghaffari M, Miadfar J, Sarvar M, et al. Disaster health management: Iran's progress and challenges. Iran J Public Health 2009; 38(Suppl.1) : 93-7. [In Persian]
  4. Omidvar SH, Bakouei F, Salmalian H. Clinical education Problems: the Viewpoints of Midwifery Students in Babol Medical University. Iran J Med Educ 2005;5(14) 15-21. [In Persian]
  5. Williams B, Waxman A. Paramedic preemployment education and the concerns of our future: What are our expectations? Australasian J Paramedicine 2006;4(4):4.
  6. Dehghani H, Dehghani Kh Fallahzadeh H. The educational problems of clinical field training based on nursing teachers and last year nursing students view points. Iran J Med Educ 2005;5(1): 24-33. [In Persian]
  7. Foroud A, Foroud A. The views of students and faculty members of nursing and midwifery about clinical education problems. Iran J Med Educ 2002;2: 24-5. [In Persian]
  8. Conradi E, Kavia S, Burden D, Rice A, Woodham L, Beaumont C, et al. Virtual patients in a virtual world: Training paramedic students for practice. Med Teach 2009;31(8):713-20.
  9. Margolis GS, Romero GA, Fernandez AR, Studnek JR. Strategies of high-performing paramedic educational programs. Prehosp Emerg Care 2009;13(4):505-11.
  10. Boudreaux E, Mandry C, Brantley PJ. Stress, job satisfaction, coping, and psychological distress among emergency medical technicians. Prehosp Disaster Med1997;12(4):242-9.
  11. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277-88.
  12. Jonsson A, Segesten K, Mattsson B. Posttraumatic stress among Swedish ambulance personnel. Emerg Med J 2003;20(1):79-84.
  13. Siabani S, Moradi MR, Siabani H, Rezaei M, Siabani S, Amolaei K, et al. Students’ view points on the educational problems in medical school of Kermanshah University of Medical Sciences (2007). J Kermanshah Univ Med Sci. 2009; 13(2): 55-59. [In Perasian]
  14. Michau R, Roberts S, Williams B, Boyle M. An investigation of theory-practice gap in undergraduate paramedic education. BMC Med Educ 2009; 9:23.
  15. Abedi HA, Heidari A, Salsali M. New Graduate Nurses’ Experiences of their Professional Readiness During Transition to Professional Roles. Iran J Med Educ 2004;4(2):69-78.
  16. Cheraghi MA, Salasli M, Ahmadi F. Factors influencing the clinical preparation of BS nursing student interns in Iran. Int J Nurs Pract 2008; 14(1):26-33.
  17. Dickison P, Hostler D, Platt TE, Wang HE. Program accreditation effect on paramedic credentialing examination success rate. Prehosp Emerg Care 2006;10(2):224-8.
  18. Abedini S, Aghamollii T, Jomeezadeh A, Kamjo A. Clinical educational Problems from Nursing and Midwifery students viewpoint in Hormozghan University medical sciences. J Hormozgan Univ Med Sci 2008; 12(4):249-53. [In Persian]
  19. Yamani N, Nasr AR, Sabri MR. Trend of revised curriculum in the medical field. J Curriculum Studies 2010;4(16):1-28. [In Persian]
  20. Wray N, McCall L. 'They don't know much about us': educational reform impacts on students' learning in the clinical environment. Adv Health Sci EducTheory Pract 2009;14(5):665-76.
  21. McCall L, Wray N, McKenna L. Influence of clinical placement on undergraduate midwifery students’ career intentions. Midwifery 2009; 25(4):403-10.
  22. Callaham M. Quantifying the scanty science of prehospital emergency care. Ann Emerg Med 1997;30(6):785-90.