Poopak Izadi, Ashraf Pirasteh, Ali Shojaienejad, Athar Omid,
Volume 14, Issue 4 (7-2014)
Abstract
Introduction : Patients are cornerstone of ambulatory teaching of medical students in clinics worldwide. Patient’s attitude and feeling towards the service they receive grounds for an increase in patients’ collaboration and consequently the quality of students’ clinical education. The aim of this study is to assess patient’s attitude and feeling toward the presence of medical students in educational clinics of Shahid Mostsfa Khomeini hospital.
Methods : This descriptive cross-sectional study was performed on 502 patients who visited 8 educational clinics of Shahid Mostafa Khomeini hospital in year 2013 who were selected through convenience sampling. Data was gathered using a researcher-made questionnaire. Face and content validity of the questionnaire as well as its reliability were confirmed using Chronbach’s Alpha (α=0.75). Statistical data analysis was performed using t-test and ANOVA.
Results: Mean score of patients’ feeling toward presence of medical students was 3.46±1 out of 5 total scores. In overall, 71.8% of patients were relaxed during history taking and examination by students. There was a significant statistical difference between mean and standard deviation of the feelings of patients informed about presence of students (3.81±0.73) and those non-informed (3.13±1.1) patients about negotiation (p=0.001, t=7.95). A significant difference was also observed between mean and standard deviation of the feelings of the patients toward examination and history taking by physicians of opposite gender (3.76±1) or the same gender (3.25±0.93) (p=0.001).
Conclusion : In general, patient’s felt comfortable about presence of medical students during history taking and examination. But in case of being further informed about presence of students and emphasis on their role on students’ training as well as being guaranteed about their privacy, this feeling will be increased among patients.
Ali Hamzezadeh, Saeideh Ghaffarifar, Abolghasem Amini,
Volume 19, Issue 0 (4-2019)
Abstract
Introduction: Outpatient medical education is one of the important parts of clinical training in medical education which has been given particular attention today due to its deep relationship with the future of the physician's occupation. Lack of proper tools and standards for assessing the status of outpatient education is one of the obstacles to conducting ambulatory education assessment studies. Therefore, this study was aimed at developing instruments for assessing outpatient training of medical students during externship and internship in Clinics Affiliated to the Medical Sciences Universities.
Methods: This developmental and psychometric study was conducted to develop an outpatient education assessment instrument in educational clinics. The sources used were included reputable medical education reference books, general medical education curriculum and previous studies. For standardization and calculation of reliability and validity, Cronbach's alpha coefficient and survey of specialists were used respectively. We used SPSS tools for data processing, and Pearson correlation index for inferential analysis.
Results: The developed instruments included two educational status assessment questionnaires from the viewpoint of students (reliability 89%, validity 85%) and faculty members (reliability 90%,validity 85%), a patient satisfaction assessment questionnaire (reliability 90%,validity 80%), and an observational checklist for assessment of educational clinics (reliability 95%,validity 82%).
Conclusion: The developed instruments in this study compared with the instruments used in previous studies simultaneously evaluates the status of outpatient education from the viewpoint of all the three involved exposures, including tutor, learner, and patient; which is the important positive point. The evaluation of educational clinics of medical universities in the future with the developed instruments in this study while providing a clear image of the status, can provide comparable information between educational centers.
Reza Arjmand, Maryam Zare, Anahita Hashempoor, Fateme Tahmasebi Boldaji, Saeed Ghanbari, Niyayesh Zivdar,
Volume 24, Issue 0 (5-2024)
Abstract
Introduction: Ambulatory training comprises an important part of the clinical training of students; in so doing, this study endeavored to investigate the status of education in the internal and pediatric clinics of the teaching hospitals of Ahvaz Jundishapur University from the perspective of interns.
Methods: This descriptive-analytical study was conducted to evaluate the educational environment of internal and pediatric clinics on 302 medical students who were selected by simple random sampling method. The instrument was ACLEEM psychometric questionnaire in 8 domains. The areas were "ability of clinical professors, activity in the clinical arena and patient care, allocation of time for non-clinical activities, infrastructure, clinical skills, assessment and feedback, information, communication and technology and clinical supervision. Descriptive statistics, distribution and percentage, and independent t-tests and ANOVA were used for data analysis.
Results: The highest average score of interns was related to the field of "clinical skills" with 69.25% and the lowest average score was related to the field of "measurement and feedback" with 37.55%. The total score of the areas was reported as 88.48±25.57 in the pediatric department and 88.47±30.67 in the internal department. Besides, there was no significant difference in the average score of all areas between the internal and pediatric departments (P value= 0.9), but overall score of all areas were significantly different between females and males (P value= 0.001).
Conclusion: The results indicated that the educational environment of clinics is a semi-optimal condition from the interns' point of view which indicates insufficient satisfaction with this environment. To improve clinical education, it seems necessary to plan carefully and use other available clinical capacities should be given serious attention.
