Original Article
Mahmoud Reza Dehghani; Abbas Kamyabi; Ali Akbar Haghdoost; Azadeh Rooholamini; Zahra Hoseini Nejad; Nematollah Mousapour
Volume 4, Issue 2 , January 2008, Pages 67-76
Abstract
Background & Objective : Expensive medical educational cost long term education and difficult lessons all support this evidence that with unemployment of medical graduates in professional activities much national stock will be used vainly Due to lack of enough knowledge and documents about medical ...
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Background & Objective : Expensive medical educational cost long term education and difficult lessons all support this evidence that with unemployment of medical graduates in professional activities much national stock will be used vainly Due to lack of enough knowledge and documents about medical graduates career activities this study was conducted in order to evaluate their career status Methods : In a retrospective cohort study all 528 medical graduates who were graduated between 2001and 2007 from Kerman University of Medical Sciences were studied Necessary data latest career and educational status of medical graduates were collected by direct and indirect phone interviews In order to determine the impact of effective factors on career status and residency exam acceptance Logistic Regression and Survival analyses were applied Results : The access rate to graduates was 86% At least three years after graduation 62% of medical graduates were engaged in medical careers which were mostly in clinics military or social services personal offices and clinical specialties Among all subjects 40 persons (76%) were jobless and almost the same rate was doing non medical jobs Eighteen percent were engaged in working or studying in clinical specialties and others had left Iran Survival analysis showed that female physicians were employed faster and more in medical professions (median for female and male were 38 & 45 years respectively P=0009) Women were more successful than men in professional careers (12%) and residency exam acceptance (17%) which were not statically significant Mean score during education was effective factor on residency exam acceptance Conclusion : It seems that almost 20% of medical graduates in Kerman City were not employed in careers related to their education in long term prospect (more than three years after graduation) or left the country It is important to consider causes of male physicians failure in comparison with female physicians while there is a great need to male physicians services low income can somehow explain it
Original Article
Ghanbar Rouhi; Seyyed Abedin Hoseini; Mohammad Taghi Badeleh; Hosein Rahmani
Volume 4, Issue 2 , January 2008, Pages 77-83
Abstract
Background & Objective : Human resources and their education is the core of development in different fields and motivation is the driving engine of learning Since changing in learners behavior needs to assess motivation related factors and their efficacy This research was aimed to study some factors ...
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Background & Objective : Human resources and their education is the core of development in different fields and motivation is the driving engine of learning Since changing in learners behavior needs to assess motivation related factors and their efficacy This research was aimed to study some factors affecting on students motivation in Golestan University of Medical Sciences Methods : In 2006 this descriptiveanalytic study was carried out on the students (n=535) who have at least passed one semester of clinical training course Data were collected by the Situational Motivation Scale (SIMS) and a researcher made questionnaire dealing with the related factors (the students welfare office college education educational and therapeutic center and career prospects) which its validity and reliability was approved Results : Among 474 participated subjects (response rate 886%) 732% are females no one was totally unmotivated and most of them (525%) are motivated There were direct weak and significant relationships between educational motivation and four related factors (P=0001) but it is not true for gender and field of study The least correlation factor (r=014) is related to educational and therapeutic center and the most to college education (r=024) Conclusion : In spite of the significant correlation between motivation and four related factors and below moderate motivation in 469% of the students we suggest universities educational authorities to pay enough attention to these points Although the career prospect is out of universities areas of responsibility and it seeks a great national attempt
Original Article
Marzieh Javadi; Ahmad Reza Raeisi; Marzieh Golkar
Volume 4, Issue 2 , January 2008, Pages 84-91
Abstract
Background & Objective: Internship is an important and basic element in each field especially health care management A great deal of students knowledge is put into practice during this period Evaluation of internship status is necessary for improving its quality This study was performed to evaluate ...
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Background & Objective: Internship is an important and basic element in each field especially health care management A great deal of students knowledge is put into practice during this period Evaluation of internship status is necessary for improving its quality This study was performed to evaluate the health care management internship status in several aspects based on students and teachers point of view Methods: In this descriptiveanalytic study 102 health care management teachers and students from Isfahan University participated The data was collected using a researcher made questionnaire in which the general internship lessons status learning process learners teachers internship fields were included Results : The mean given scores after evaluation by teachers and students were 3936 (considered as good) and 2806 (considered as moderate) respectively The result of analysis showed that the weakest aspect of internship according to the students point of view was internship fields (hospital and health care centers) with a mean score of 226 and the weakest point according to the teachers point of view was about the learners (334) Teachers believed that the biggest problem was due to the transportation system ( =25) whereas students believed it to be due to lack of information by health care personnel about educational needs ( =1843) Conclusion : Internship lessons esp in internship fields which were given the least score by attendants need more attention In order to improve the situation of internship it is recommended to provide more facilities during internship period and focus on familiarizing briefing and attracting health care personnel
Original Article
Mansour Ranjbar; Kourosh Vahidshahi
Volume 4, Issue 2 , January 2008, Pages 92-99
Abstract
Background & Objective : Faculty members are one of the most important parts of Input in the Educational system so fine determination of effective factors on their Job satisfaction is critically important This study was designed to evaluate effective factors on faculty members job satisfaction in ...
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Background & Objective : Faculty members are one of the most important parts of Input in the Educational system so fine determination of effective factors on their Job satisfaction is critically important This study was designed to evaluate effective factors on faculty members job satisfaction in Mazandaran University of Medical sciences 2006 Methods : In this descriptive cross sectional study all faculty members (135 ones) of medical college who participated as the study samples completed a questionnaire (based on Herzberg theory) consisted demographic variables 40 items in 11 domains for assessment of effective factors on job satisfaction according to 4 point Likert seal degree Results : Among our sample 106 faculty members participated in the study (875% response rate) majority of them were clinical specialists and sub specialists and mostly were assistant professors (735%) The highest mean score (±SD) for effective domains on job satisfaction were as follow: salary 381(±061) condition of work environment 372(±075) job position 33(±081) The least important domains include: method of monitoring and supervising 191(±063) gratitude 2(±074) and communications 202(±085) Basic sciences faculties cared significantly more about salary steady job environment career promotion and quality while for assistant professors environment and responsibility were more significant Conclusion : This study showed that external factors including salary and job environment were the most effective factors on job satisfaction of faculty members but factors related to organizational position of faculty members (communications and supervision) were less important In Overall this study indicated less importance of organizational and team spirit in faculty members and predominance of individual benefits which should be modified by appropriate programs
Original Article
Tayebeh Fasihi Harandi; Mansoreh Azizzadeh Forozi; Sakineh Mohammad Alizadeh; Zahra Ghazanfari Moghaddam
Volume 4, Issue 2 , January 2008, Pages 100-107
Abstract
Background & Objective: Classrooms are suitable places for transferring teachers experiences to the students and a better understanding of educational contents The students absence from theoretical classes has been one of the increasing and most important educational problems in medical universities ...
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Background & Objective: Classrooms are suitable places for transferring teachers experiences to the students and a better understanding of educational contents The students absence from theoretical classes has been one of the increasing and most important educational problems in medical universities in recent years This study was performed to determine the effective factors on theoretical class attendance according to nursing and midwifery students point of view in Kerman Razi School of Nursing and Midwifery Kerman University of Medical Sciences 2003 Methods: In this descriptive – analytic study 320 nursing and midwifery students were asked to fill in the researchermade questionnaires using a census method Totally 217 questionnaires were filled Results : Among all 217 students 879% were female and 757% were single Students mean age (± SD) was 224(±4) years Native students were 567% and only 146% were employed Among the effective factors on theoretical class attendance the highest mean scores belong to “teachers scientific dominance and orientation” (47) “students interest in the related topic” (467) “proper teaching method” (466) “importance of class attendance for better comprehension of the lesson” (458) and the lowest mean scores belong to “classrooms physical environment” (385) “not attending the class as a duty” (388) using audiovisual aids (395) Conclusion : The findings showed that attending classes is affected by factors related to both teachers and studentsBut the teachers scientific dominance and orientation teaching methodology and students involvement during class discussions are the main factors which determine students attendance in the classes
Original Article
Afsaneh Borghei; Mohammad Reza Rabie; Sahar Ester Abadi; Ali Abtahi
Volume 4, Issue 2 , January 2008, Pages 108-115
Abstract
Background & Objective: Writing dissertation is an opportunity for students to become familiar with methodology of a research process during the period of education In recent years there has been special emphasis on proper studies structure similar and scientific writing process in research reports ...
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Background & Objective: Writing dissertation is an opportunity for students to become familiar with methodology of a research process during the period of education In recent years there has been special emphasis on proper studies structure similar and scientific writing process in research reports and dissertations Attending methodology workshop for faculties and students together with preparing booklets has helped a lot but still there is a long way to meet the optimal standards This study was conducted to evaluate methodological structure of medical dissertations in Golestan University of Medical Sciences from 1996 to 2005 Methods : This is a descriptiveanalytic Study For data collection all of the dissertations (257) were studied and scored with a check list that was designed for a national research on thesis The maximum score for each thesis was 500 Results : The results showed that the mean score ( ± SD) of the dissertations has increased from 2699( ± 78) in 1996 to 3515( ± 331) in 2005 According to this study 769 percent of dissertations had statistical consultants and the most frequent design was crosssectional There was a significant relationship between final score of dissertations and grade of them (r=038 P=0039) The weakest parts of the dissertations were methodology then statement of problem and then discussion Conclusion : Although methodology structure of medical dissertations has improved considerably recently but there is a long way to reach optimal status Education of faculty members and students in research field guiding students for finding best tactics of research and supporting them to perform researches help to enhancement of dissertations quality This needs a fundamental reform in long term planning for medical education
Original Article
Nahid Bolbol Haghighi; Hosein Ebrahimi; Mehri Delvariyan Zadeh; Mohammad Reza Hasani
Volume 4, Issue 2 , January 2008, Pages 116-124
Abstract
Background & Objective : Passing through intrauterine phase to the extra uterine world is probably the most risky event in everybodys life About 1% of them need advanced cardiac life support to continue life By implementing professional methods of resuscitation the prognosis will improve more than ...
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Background & Objective : Passing through intrauterine phase to the extra uterine world is probably the most risky event in everybodys life About 1% of them need advanced cardiac life support to continue life By implementing professional methods of resuscitation the prognosis will improve more than one million neonatal deaths annually This study was designed to assess the effect of education on midwifery students neonatal resuscitation knowledge and skill Methods : In this interventional (pretest and posttest design) study 81 midwifery students participated The data was collected using a questionnaire for assessing knowledge and a check list for skill evaluation The validity and reliability of the questionnaire and the check list were approved before data collection Results : Our findings showed that all students level of knowledge was weak to moderate before education while it turned into good after education Mean knowledge score before education was 2446 which increased to 2934 after education Skill related mean score before and after education was 1383 and 9175 respectively Comparison between knowledge and skill related scores showed significant difference before and after education (p=0003 and p=00001 respectively) Conclusion : Midwifery students knowledge and skill in neonatal resuscitation was low before education and there was a significant difference in mentioned items before and after education Considering the effect of resuscitation in decreasing neonatal death index implementation of scientific and practical education using developed techniques and tools is necessary
Original Article
Mehrdad Azarbarzin
Volume 4, Issue 2 , January 2008, Pages 125-132
Abstract
Background & Objective: Nursing is a combination of knowledge and art and all aspects of theoretical and practical teaching of nursing must emphasize on these two points but practically the gap between what is theoretically taught at university and what is practically experienced at work is very ...
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Background & Objective: Nursing is a combination of knowledge and art and all aspects of theoretical and practical teaching of nursing must emphasize on these two points but practically the gap between what is theoretically taught at university and what is practically experienced at work is very big Therefore in this study it is aimed to evaluate the application of some academic nursing lessons in practical work from recruiting nurses point of view Methods : This research is an analytical descriptive one Some hospitals in Isfahan were selected using random sampling method All recruiting nurses in mentioned hospitals were 78 and all of them were questioned by the research questionnaire which was in two sections: demographic information and a section about the application of nursing lessons in clinical practice Results : The findings indicated that most of the subjects were female (846%) graduated from Azad universities (641%) had a 612 months career experience (474%) and were working at emergency wards(205%)In addition the highest mean( ±SD) of the applied lessons at work was for medicalsurgical nursing lessons 3468( ± 243) and the lowest one was for maternity child nursing lessons 1158( ±434) there was no significant difference between the mean application of different lessons and it was the same regarding gender but the increase in career experiences showed the decrease in clinical application mean in community health nursing and psychiatric nursing (P=0025 and P=004 respectively) According to Azad universities graduates point of view medical surgical nursing and maternity child nursing lessons were more applicable in clinical practice (P=003 and P=0016 respectively) Conclusion : According to the above findings and studies which were already conducted it seems that there is a noticeable gap between nursing theoretical lessons and nursing clinical practice Therefore this gap must be filled by changing the outlines of university lessons and nursing educational curriculums
Review
Abdolhassan Kazemi
Volume 4, Issue 2 , January 2008, Pages 133-139
Abstract
Background & Objective: Patients have the right to be informed about their own health condition including bad news and sometimes medical staff has no choice but to give the patients such information that makes them feel bad and is thats when its evaluated as bad news Unfortunately such kind of news ...
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Background & Objective: Patients have the right to be informed about their own health condition including bad news and sometimes medical staff has no choice but to give the patients such information that makes them feel bad and is thats when its evaluated as bad news Unfortunately such kind of news is enormously found in medical environment for medical staff patients and their companies The responsibility of telling patients the bad news is one of the hardest tasks in medical career Patients and their companies illogical expectation and inappropriate behavior add to its difficulty while in this situation medical staff is also responsible for calming others Conclusion : The difficult part of telling bad news is due to physicians previous lack of skill even the ones with a proven track record for facing the situation of transferring bad news and further management and consequences which may end in bringing it out of control and causes patients and their companies mistrust in staff or hospital environment This ends in discontinue of future and useful necessary plans This situation causes a faulty circle of unwanted events which are against the medical affairs So a thoughtful bad news transfer to patients and their companies may cause them a relief and makes the control of present and future consequences easier This important factor will be gained by practicing and applying the smart strategy of SPIKES by the professional physician
short communication
Abbas Ebadi; Zohre Vanaki; Batool Nahrir; Davoud Hekmatpou
Volume 4, Issue 2 , January 2008, Pages 140-145
Abstract
Background & Objective: Continuing education is necessary for all health providers through out presenting developing knowledge new technologies and making an advanced direction but much attempt is to be done for promoting its performance and making it effective this study was designed in order ...
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Background & Objective: Continuing education is necessary for all health providers through out presenting developing knowledge new technologies and making an advanced direction but much attempt is to be done for promoting its performance and making it effective this study was designed in order to evaluate continuing education status in Iran medical society according to review of articles Methods: In this systematic review all available previously conducted studies and references were evaluated generally the published articles comprised one of the following three subjects: 1 Motivational factors 2 Factors related to the need assessment and educational priorities 3 Factors related to the context and methodology Results: Based on the reviewed articles according to the participants point of views learning scientific updates was their first choice and then needed privilege achievement was located Most of them believed that subjects should be presented according to the occupational needs and privileges should be omitted On the other hand some continuing educational experts have stated that there is no scientific need assessment for these programs Findings of several studies have also shown that lecture was the prominent teaching method in these programs Conclusion: In spite of positive points of the law all participants evaluated the program performance method as moderate level So it is suggested that together with correct law application and executive instructions periodical and continues need assessment repeated evaluation by mechanisms like reaccrediting the licenses developing eLearning methods expert lecturer training and measuring the effectiveness of programs should be done through investigation on health indices etc in order to increase the effectiveness of these programs