فهرست مطالب

آموزش پزشکی و توسعه - سال پنجم شماره 2 (پاییز و زمستان 1390)
  • سال پنجم شماره 2 (پاییز و زمستان 1390)
  • تاریخ انتشار: 1390/10/11
  • تعداد عناوین: 9
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  • M.Ziaeeha I.Mohammadi Zeidi A.Pakpour Haji Agha Page 3
    Background
    Certain medical conditions and stigma, stereotypes and negative attitudes are related. Research has shown that such attitudes can have a decisive impact on mental patient care and communication and affect their quality of life.
    Objective
    This study aimed to determine the attitudes of students towards patients with mental health and paramedical and acute psychiatric patients.
    Methods
    This study was a cross-sectional study was conducted in the second half of 2009-2010 in Qazvin University of Medical Sciences. Students were selected using Stratified random sampling among 7 field of School of Health and paramedical. Self reporting MCRS scales and demographic questions were used for data gathering from medical conditions. MCRS is designed to measure the attitudes and used in any types of medical terms. MCRS to be answered basing on Likert range (1=totally disagree to 6=totally agree) and its Reliability and validity have been verified in previous studies. Finally, the data were entered into SPSS 17/0 software and descriptive test along with T- test and ANOVA were used to analyze student's attitudes.
    Findings
    328 students participated in this study and results show a significant difference between different fields regarding test scores (MCRS, P<0.001) and gender (P<0.05). 4 items are received above average included There are little things I can do for patients like this (mean=5/69), Treatment of these patients is a waste of money (mean=5/56), It is hard for me to work with patients with similar (mean=5/41), I prefer not to work with such patients (mean=5/32).
    Conclusion
    Given the attitude of health personnel affect in the delivery of care to the mentally ill, the findings suggest that students had good attitudes to patients with mental disorders and mental disability. To improve the quality of life for patients suffering from mental disorder, educational programs should be implemented to promote public awareness of how to interact with patients and to identify needs of patients. It also focuses on the bill of rights of all patients.
    Keywords: Mental attitude, Health, paramedical students, MCRS
  • Mm. Emamjomeh F. Zahedifar Page 10
    Background
    The multiple choice questions are considered as the most common types of medical tests when they are given a high degree of reliability. But the different parameters have always been interested to researchers including the content validity, structure, taxonomy, and their structural principles.
    Objective
    This study was conducted to investigate the structural analysis of the second semester multiple choice questions at the school of health (Qazvin University of Medical Sciences).
    Methods
    The present research was a descriptive study. A total of 300 questions designed for the final exams of 15 specialized courses from different fields of study including the public health, environmental health, and occupational health were evaluated. The structural analysis was assessed using a standard checklist of questions (Mylmn) to design the question stem.
    Findings
    The results of this analysis demonstrated that most questions designed had no difficulty in the structure (83/74%). The most common structural problems involving the use of the terms "all" or "none" option (6%), the gap in the beginning or middle of the stem questions (3/1 %), and not put the text on a page (3/3 %).
    Conclusion
    Due to the design of the standard multiple choice questions, it is recommend to continuous monitoring design exam questions and holding of the exam questions training courses.
    Keywords: academic achievement, multiple choice questions, Mylmn principles, Educational evaluation
  • M.A.Zohal Z.Yazdi S.Fekri M.Dizaniha F.Movahhed Page 18
    Background
    Evidence-based medicine (EBM) is a relatively new approach to the teaching and clinical practice of medicine. Physician's clinical decision-making was based on the knowledge received during their medical training and experiences gained through individual patient encounters i. e. opinion-based. The evidence-based clinical practice guideline provides recommendations to primary care clinicians for diagnosis and management of patients.
    Objective
    This study aimed to general physician’s knowledge and attitude towards Evidence Based Medicine in Qazvin 2008.
    Methods
    A descriptive 20-item questionnaire-based survey was conducted in general physician's Qazvin university of Medical Sciences. We used a questionnaire to gather data about knowledge and attitude them about EBM. Statistical analysis was carried out using SPSS version 11. 5. The data were analyzed by Cronbach's alpha, and descriptive tests.
    Findings
    A total 108 general physicians responded to questionnaire. The internal consistency of questionnaire in our study was high with a cronbach's alpha of 0. 83. Overall, the respondents were positive towards EBM. The most common barriers to practicing EBM were lack of time (72%), insufficiency of knowledge about EBM (85%), and limited availability of guidelines (45%). 65% of respondents had internal access in the workplace.
    Conclusion
    It seems that there is a serious need to encourage family physicians to spend more time on more reliable sources of information. Continuing Medical education should be developed to enhance their abilities to make good questions, literature search techniques, critical appraisal skills, and application in patient management.
    Keywords: evidence based medicine, continuing medical education, general physician
  • H.A. Jamali F. Zahedifar Page 25
    Background
    Educational evaluation is a formal activity to determine effectiveness or value of program, process, goal and curriculum. Internal evaluation is a process that deals with gathering Information and Judging about educational activity improvement.
    Objective
    This study has been done to internal evaluation of the environmental health department of Qazvin University of medical sciences in 2010.
    Methods
    This analytic, cross sectional study was conducted in 9 domains to evaluate the environmental health department. Data were collected using a questionnaire based on the ten-step internal evaluation that was prepared by Ministry of Health and Medical Education. In the model that used in this study, the existing situation and the desirability was determined. If at least 70% of the indicators in each domain were favorable that domain was considered desirable, between 40% -70% of them were desirable, semi- desirable and if less than 40% of the indicators were favorable that domain was considered unfavorable.
    Findings
    The results indicate that in the domain of mission 40%, curriculum 82%, faculty members 57%, materials 17%, administration 50%, graduated 40%, evaluation 34 % and in the domain of research, 67 % of the indicators are desirable.
    Conclusion
    According to the results, the situation in the domain of curriculum is favorable. The situation in areas of assessment and educational resources is unfavorable. In the domain of mission, faculty member, management, graduated and research the situation is the semi-desirable. Researchers have some suggestions including taking defined strategies for reinforcing using modern educational policies, reinforcing educational resources and planning for revision the unfavorable and semi-desirable domains.
    Keywords: Evaluation, Internal evaluation, Public Health School, Environmental health department
  • M.A.Zohal Sh.Yazdani Z.Ghasemi R.Homayounizand R.Mohebbifar H.Pakniat Page 35
    Background
    One of the most important factors in the evaluation of specific performance of each university is the protection and promotion′s faculty members. This would improve the quality of the teaching- learning process, it make better results in outputs of this system.
    Objective
    Determining the effective factors of academic promotion of the faculty members of Qazvin medical university from their point of view.
    Methods
    This study is qualitative research of grounded theory type that carried on 27 of the attendants (participants) of this university. The data were obtained from semi structured interview with method conventional content analysis.
    Findings
    We made two categories of improving factors and obstacles of academic promotion of the attendants of this university. The promotion factors were: Performing research along with teaching, attendant-training courses, how to research of scientific articles, suitable teacher- student relationship, teacher accessibility for the students. In contrast the obstacles were: lack of knowledge of the promotion forum, unfamiliar to research principals and methods, inaccessibility of research professionals in research centers.
    Conclusion
    although research activities are essential component in academic promotion, an effectivetraining and the suitable teacher-student relationships are needed.
    Keywords: academic promotion, qualitative research, faculty member
  • F.Sefidi M.Taherpoor J.Mahdizadeh Z.Taherkhani Page 42
    Background
    Clinical education may be facilitator of learning in clinical environment in where educator and student associate equally. According to condition s of environment and specifications of clinical education, stress is inevitable. So recognition of the type and the amount of stress can be helpful to reduce it.
    Objective
    This study was conducted to determine the stressors of clinical teaching.
    Methods
    This research is a sectional- descriptive study in which the views of nursing students in both evening and daily course in third to sixth semester of nursing school of Qazvin was examined about stressors in clinical training and internship. 118 people randomly selected as samples and were studied. Data collected by questionnaire.
    Findings
    The average and standard deviation of the students was 21/5±1/86 years. Stressors associated with demographic specification, semester, age, sex and marital status were significant (p< 0/01). There was a significant relationship between demographic characteristics of age and experience upon semester (p<0/01). There was a significant association between semester and clinical process (p<0/01). Results showed that the association between marital status and evaluation and communication is significant (p<0/01).
    Conclusion
    The study showed that nursing students are exposed to multiple stressors and the planners should pay attention to this important issue to keep improve quality and quantity of nursing education.
    Keywords: stress, clinical education, nursing students