Strides in Development of Medical Education

Document Type : Original Article

Authors

1 General Practitioner, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 Subspecialist in Pediatric Infectious Diseases, Associate Professor, Department of Pediatric, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

3 Executive MBA, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background & Objective: In the past the written exam for the promotion and certification of medical residents was provided nationwide and conducted by the Council of Graduate Medical Education Changes in the method of performing medical residents promotion exams have been continuously discussed by scholars According to the educational approach in the prestigious universities of the world in the field of specialized clinical residency training the promotion exam has been transferred to residents training universities In this study the viewpoints of faculty members and residents of Kerman University of Medical Sciences Iran were evaluated regarding the decentralized promotion and certification residency exam Methods: This was a crosssectional study The study population consisted of all residents and faculty members of Kerman University of Medical Sciences The data were collected using a selfadministered questionnaire including questions about the strengths and weaknesses of the decentralized residency upgrade and certification exam Data were analyzed using SPSS software All Pvalues of ≤ 005 were considered significant Results: The items of “participation of all members of the department in questions preparation” and “more attention to the endemic diseases” (score of 406 and 355 respectively) obtained the highest scores The lowest dispersion rate was also related to these two components The item “decreased quality of questions” with a score of 245 had the lowest impact From the viewpoint of faculty members “participation of all members of the department in questions preparation and different education due to different assessment methods in universities (376 and 375 respectively) obtained the highest scores Moreover “bias in the ministries regarding enrichment of question banks” and “closure of departments during questions preparation” obtained the lowest scores (285) There was no significant difference between the two groups in scoring of the components based on demographic characteristics Conclusion: Although in the view of residents and faculty members the decentralization of this exam has some benefits there are many deficiencies which must be addressed in order to attain greater effectiveness

Keywords

  1. MohamadeeZeidee A, Heidarnia A, Khalaj M. Comparison of questions designed to Testhealth School before and after accreditationworkshop in 2008. Proceedings of the 9th National Conference on Medical Education; 2008 Mar 4-6; Yazd, Iran. 2008. [In Persian]
  2. Mirzaee V, Haghdoost AA, Azizi F. Formative evaluation of residents from the residents and their attending points of views. Strides Dev Med Educ. 2014; 10(4): 413-20. [In Persian]
  3. Iranaian Students' Newa Agency. Residency certificate and promotion exams by local college: threatening or forthune. [Cited 2012 Jul 22]. Available from: http://tums.isna.ir/Default.aspx?NSID=5&SSLID=46&NID=9499. [In Persian]
  4. Mohagheghi M A, Vahidshahi K, Shakeri S. Residency certificate and promotion exams circus of coining and prosperity. Graduate Medical education letter. [Cited 2008 Sep 12]. Available from: http://cgme.behdasht.gov.ir/uploads/264_781_N2_AzmoonErtegha.html. [In Persian]
  5. Karami M, Bahmanabadi S, Esmaeili A. Utility decision-making structure in Higher Education Curriculum designing From the perspective of faculty and curriculum specialist. Res Curriculum Planning. 2012; 2(7):92-104. [In Persian]
  6. Meyari A, Beiglarkhani M. Improvement of design of multiple choice questions in annual residency exams by giving feedback. Strides Dev Med Educ. 2013; 10 (1):109-18. [In Persian]
  7. Anbari Z, Jadidi R. Assessment of the resident’s promotion exam: One step to validity of competency measurement in Arak University of Medical Sciences. J Med Educ Dev. 2013; 7(4): 52-62. [In Persian]
  8. Pourmirza Kalhori R, Rezaei M, Karami Matin B, Roshanpour F. A survey of quality and quantity indexes of multiple choice question (MCQ) exams of medical residents at Kermanshah University of Medical Sciences: 2008-2012. J Med Educ Dev. 2014; 8(4): 64-75. [In Persian]
  9. Tamblyn R, Abrahamowicz M, Dauphinee WD, Hanley JA, Norcini J, Girard N, et al. A Association between licensure examination scores and practice in primary care. JAMA. 2002; 288(23):3019-26.
  10. Lurie SJ, Mooney CJ, Lyness JM. Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review. Acad Med. 2009;84(3):301-9.
  11. Abrayshmkar S, Sabouri M, Shayan SH, Eshraghi N, Maleki L. Analyzing and comparing the results of Objective Structured Clinical Examination (OSCE), in-group evaluation and final improvement examination of neurosurgical assistants of Isfahan University of Medical Sciences in 2009-2010. Iran J Med Educ. 2011; 10(5): 634-42. [In Persian]
  12. Cogbill KK, O'Sullivan PS, Clardy J. Residents' perception of effectiveness of twelve evaluation methods for measuring competency. Acad Psychiatry. 2005; 29(1):76-81.