فصلنامه طب و تزکیه
سال بیست و نهم شماره 3 (پیاپی 118، پاییز 1399)

Transformation in the higher education system has been emphasized in national mega policies in order to achieve scientific hegemony. During the past years, many efforts have been made to medical education transformation policy making in Iran, such as the program of transformation and innovation in medical education. Considering the experiences gained and in order to solve the challenges that existed in the implementation of these programs, the hexagonal model of university excellence are designed. This model designed to clarify and magnify the role of university in promotion of medical education system and also emphasizes on the role of the university as the main institution of medical education.

In this study, the following steps have been taken: 1. Review of scientific documents 2. Review and analysis of Mega policies of the Islamic Republic of Iran 3. Review of policy making experiences in medical education system of Iran and preparing a list of strengths and weaknesses of previous policies 4. 4. Forming an elite panel and classifying components and designing the model

In this model, the inputs and outputs of each component of medical education system including policy-making, implementation and evaluation have been extracted. The system inputs include Student, faculty members, resources, rules and regulations, data and information, and knowledge content. As well as output of this system including scientific hegemony, convergence of sciences, globalization, social accountability, the promotion of wisdom and mission-oriented universities. This article examines the components of the hexagonal model of university excellence in Iran. We hope that with the existing infrastructure in the medical education system, this model will be implemented well and provide the basis for improving the Iranian health system.

The term "scientific supremacy " was first introduced by Ayatollah Khamenei and had been explained many times in meetings with academic faculties. After that, achieving this great goal was included in the vision document of the Islamic Republic of Iran and the comprehensive scientific map of the country; and various researchers defined, interpreted and explained this concept; so the definition and examples of this concept developed over time and in addition to the direct meaning of this concept the parallel concepts were formed and developed, therefore, due to the need to explain the roots of this concept over time, this study aim was analyze the discourse of scientific supremacy in Iran.

This qualitative study was conducted according to Norman Fairclough critical discourse analysis method, this method focused on three categories of text, discourse action and social action. For this purpose, the contemporary discourse of Iran in the field of scientific supremacy was examined and analyzed according to the Fairclough critical discourse analysis method.

The findings of this study consisted of 1232 codes (simple and compound) which led to the abstraction of 40 discourse themes.

Identifying the discourse context of scientific supremacy in the country will help to define more accurately, scientific measurement and more appropriate planning to achieve supremacy.

The global Covid 19 pandemic has caused the dynamic emergence of the "corona crisis" at different educational, cultural, social, political, security, economic, legal and professional dimensions thereby leading to a novel experience in managing the social interactions and human security. In this respect, the Higher Educational system is not an exception; in the past few months, the higher educational systems in the world have changed drastically due to the Coronovirus pandemic. For this reason, the need felt to investigate the possible impact of the new situation on the educational system. The aim of this study was to investigate the effect of coronavirus outbreak on the different dimensions of university managements from the perspective of academic experts.

The present study was conducted in 1399 using a qualitative approach. Participants in this study were 18 experts and administrators at different universities in Tehran (including dean, dean, vice chancellor and department manager) who had management experiences. Data were collected through semi-structured interviews and content analysis (thematic); method was used to analyze the interviews (coding and determining the main and secondary themes).

From the analysis of the interviews, four main themes of educational dimensions and activities, research dimensions and activities, social services and and governance and university management and 18 sub-themes were extracted and finally the results were summarized.

The findings of this study indicated that the outbreak of Covid-19 have affected different aspects of internationalization, globalization, localization, digital transformation, inequality in access to higher education, educational quality, the prevalence of virtual research, science and technology parks , research quality, research budget, university-industry relationship, local community networking, social accountability, management and leadership, upstream laws and documents, human resource management, financial resource management, crisis management and change management at universities.

Planning involves choosing the right goals and the right way to achieve them goals. University managers face a number of challenges that prevent them from achieving their goals effectively and efficiently. This study aimed to identify planning challenges and their solutions in the university.

This case study was conducted qualitatively in 2018 in 11 faculties of Tehran University of Medical Sciences. The research population included senior, middle and operational managers of the university. Sampling was done purposefully with maximum variety and continued until data saturation (91 interviews). In-depth semi-structured interview method was used along with document review for data collection. Thematic analysis method with MAXQDA11 software was used for data analysis.

Senior managers’ turnover, insufficient managers’ commitment, lack of belief in planning, lack of authority and power, failure history of previous plans, non-operational plans, incompatibility of goals with activities, lack of proper planning model, people resistance to plans, lack of a culture of teamwork, lack of effective communication between managers and employees, and lack of funds, were the most important challenges of planning. Solutions include strengthening managers’ and employees’ commitment, strengthening the culture of participation and teamwork, formulating the plans based on organizational needs, continuous training of staff, improving communication between managers and employees, and regular evaluation of the plans, internally and externally.

Poor management and leadership, poor planning, weak organizational culture, lack of attention to organizational learning and poor management of staff, resources and working processes are the main obstacles to planning for university managers.

The purpose of this research is to provide a decision model for the directors of medical universities, which in terms of purpose, is practical and with a combination of qualitative and quantitative methods based on data theory (grounded theory).

In the qualitative part of the statistical population, including the managers of the Crisis Department and the faculty members of Mazandaran University of Medical Sciences, sampling by purposeful method and interviews were performed Semi-structured to theoretical saturation and analytical methods have been coding methods. In the quantitative section of the statistical population, including senior and middle managers of Mazandaran University of Medical Sciences, a simple random sampling method based on the sample size determined by Cochran's method, Data collection was made from a researcher-made questionnaire and analyzed for non parametric statistical experiments, Kolmogorov-Smirnov, SPSS software, SMARTPLS, Excel and structural equation modeling method with partial least squares approach.

The path coefficient of each of the four dimensions extracted from the qualitative stage was effective and significant in explaining the decision in conditions of uncertainty. It was 0.137, which was an appropriate and acceptable value.

The implementation of this model is a change in decisions related to the health system in conditions of uncertainty and will increase the ability of medical university administrators and the resilience of the health system.

One of the personality components that exists in different degrees in employees and can affect the type and level of progress and success of employees is perfectionism. The aim of this study was to investigate the relationship between progressive perfectionism and organizational learning and organizational ethics in medical university. Methods and Materials: The present study was descriptive-survey, the statistical population included all employees of Mazandaran University of Medical Sciences with 2941 people, which according to Morgan table 341 people were selected by stratified random sampling as a sample. Data collection tools included questionnaires: Asadpour et al.'s Advanced Perfectionism (1397), Neefe Organizational Learning (2001) and Omidi Organizational Ethics (2011). To analyze the data from Kolmogorov-Smirnov tests, structural equation modeling was performed using Spss21 and LISREL8.5 software.

Progressive perfectionism has an average of 3.63, and among its components, the desire for order has the highest average and the target has the lowest average. Organizational learning has an average of 3.85, and among its components, the shared perspective has the highest average and systemic thinking has the lowest average. Organizational ethics has an average of 3.6 and among its components, fairness and equality have the highest average and honesty and truthfulness have the lowest average. Progressive perfectionism has a positive and significant relationship with organizational learning with standard coefficient (0.65) and with organizational-ethics with standard coefficient (0.58).

Progressive perfectionism has an impact on organizational learning and organizational ethics of Mazandaran University of Medical Sciences staff. Due to the relationship between learning and organizational ethics with the effectiveness, efficiency and improvement of the organization's performance, it is expected that university administrators and officials will work with scientific and coherent planning to nurture and promote the positive and progressive aspects of perfectionism in employees.