Designing a model to improve the quality of residents’ education in implementing the Health System Transformation Plan

Due to the integration of education and treatment in teaching hospitals, the quality of residents’ education has been affected by the implementation of the healthcare transformation plan system. The purpose of this study was to provide a model for improving the quality of Residents Education based on healthcare transformation plan.

This qualitative study was conducted on 24 managers, professors and assistants of Mashhad University of Medical Sciences using a grounded theory approach and Purposeful sampling was performed until theoretical saturation and confidentiality of information was achieved. Data were  collected through semi-structured interviews and open coding was done using MAXQDA10, in the next step the open source categories were identified as axial categories, and in the last stage, the relationship between the axial categories (selective coding) was determined.

Findings based on analyzing data including : ground condition (burden of treatment), causal condition (clinical education), intervening condition (supervision process) and strategies (education standardization, Qualification of education, promotion of professional ethics and preservation of human dignity and comprehensive review of pre-implementation transformation plan), and implications (reducing teacher and assistant therapeutic work, motivating residents, reducing medical error, increasing education time ,increasing supervision of occupational therapist and assistant).

Increasing the quality and quantity of education in medical universities will definitely have a positive effect on how patients are treated and on their health over time. The results showed that by creating appropriate infrastructure in educational hospitals, quality of residents' education will be improved as one of the key elements in promoting and improving educational system performance before and after implementation of health system development plan.