m. mahboubi

The study of educational environments in teaching hospitals has been recommended by many countries on an ongoing basis. In medical science education environments, in order to organize students' behavior, it is necessary to adjust and adapt the content and educational environment to each other as two important factors in the development of medical sciences. The aim of this study was to determine and study the atmosphere of teaching hospitals in Abadan University of Medical Sciences from the perspective of clinical students and its relationship with the performance of managers.

the present cross-sectional study was conducted in educational hospitals under the auspices of Abadan School of Medical Sciences in 2019. Research tools were two valid and reliable questionnaires. The “Dundee Ready Educational Environment Measure questionnaire” was used for the educational environment and the “managers' performance questionnaire” was used to evaluate the managers of the departments. Sampling was done by census and 204 students and 32 heads of clinical departments were included in the study. The collected data were analyzed using descriptive tests (frequency and percentage, mean and standard deviation) and analytical tests of t-test, analysis of variance and Pearson correlation.

The performance of managers was strong (mean score was 68.75±7.39). Each of the different areas of managers' performance had a positive and significant relationship with each other. Educational atmosphere was also favorable (mean score 113.35±22.59). There was no significant relationship between educational atmosphere and managers 'performance and each of the managers' performance areas.

Due to the dissatisfaction of one third of students with the educational atmosphere in Abadan University of Medical Sciences in clinical departments and not so high score in the dimension of planning in the performance of managers, educational processes need careful planning and implementation of standards.

Nowadays accountability is a word that should be convert from theoretical to practical. Accountability is a vital issue in educational hospitals. Therefore، this study examined the dimensions of accountability in the educational hospitals of Iran.

This cross-sectional study was performed on 580 patients in the second half of 2011 in five large teaching hospital from the East، West، South، Central and North of Iran. The data were collected by reliable and valideted questionnaire with 31 items. Descriptive statistics presented by frequency، percent، means and standard deviation. Relationship between the variables were analyzed by t- test and Pearson correlation.

In this study total number of the subjects were 580 cases that %45. 3 of these were male and the rest were female. Most individuals (44. 3%) were in the age group of 21-29 and 5% were in age group of less than 20 years of old. Pearson correlation test showed positive relationship between all the dimensions. The highest average was related to political dimension (3. 68±0. 77) which was identified as the most significant component and cultural demention with lowest average (2. 22±1. 37) had least effect in improving the accountability. In the view of the staff about accountability، Imam Reza hospital of Kermanshah had the highest accountability mean (3. 31±0. 72) and Imam Khomeini hospital of Tehran had the lowest accountability mean (2. 53 ±0. 51). Overall، Accountability status of educational hospitals were moderate with mean of 3. 1 ±0. 68.

Research findings showed that the introduced dimensions were effected on accountability. This study suggests the establishment of a unit with the same name and Improve accountability in the educational hospitals by the help of strategic planning according to the local culture and demographic status.