Future of Medical Education Journal

Future of Medical Education Journal

General Medicine Clinical Education Pitfalls: What Do Stagers and Interns State as Their Courses’ Challenges?

Document Type : Original Article

Authors
Leila Safabakhsh 1
Alireza Atashpanjeh 2
Peyman Bekran Behesht 3
Saeedeh Sarhadi 4
Mojhgan Jahantigh 5
1 Department of Medical Education, Zahedan University of Medical Sciences, Zahedan, Iran
2 Department of English Language, Clinical Immunology Research Center, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
3 General Practitioner Zahedan University of Medical Sciences, Zahedan, Iran
4 Department of Community Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan
5 Department of Nursing, Nursing and midwifery School, Zahedan University of Medical Sciences
10.22038/fmej.2022.66662.1489
Abstract
Background: Investigating the curricula, teaching activities, and interaction in education settings is essential to improve educational effectiveness. There is some evidence in the literature that general medical graduates do not adequately assess their skills and abilities to perform professional responsibilities. This study aimed to investigate the clinical education challenges at Zahedan University of Medical Sciences (ZAUMS) from the students’ perspectives.
Methods: In this cross-sectional analytic study, the viewpoints of 273 (stagers, n=153, and interns, n=120) students of ZAUMS were investigated using a researcher-made questionnaire consisting of 28 5-Likert items in four areas of a) education, b) equipment, c) professors/assistants/the staff, and d) evaluation method. They were selected based on the availability sampling method.
Results: The investigated challenges among stagers (87.96 ± 17.03) were lower than interns (106.90 ±15.80). This difference was observed to be statistically significant (P˂0.001). The highest scores regarding clinical education challenges were related to item 17 (availability of appropriate amenities in the hospital pavilion, including suitable rooms and internet access). The lowest score was related to item 1 (increasing the student's motivation and interest by commencing the hospital and clinical education at the beginning of the internship).
Conclusion: The upward trend in gaining experiences and patient exposure is effective in students' attitudes. Since one of the crucial factors in education is a passion for learning, these results may indicate that applying theoretical teaching can be more helpful in influencing students' learning than mere theoretical teaching.
Keywords
Challenges
Clinical Education
Medical Students
  1. Amiresmaili M, Nekoei Moghadam M, Moosazadeh M, Pahlavan E. Challenges of general practice education in Iran: A qualitative study. SDME. 2013;9(2):118-31. Persian.
  2. Talaei A, Hekmatpour D. Exploration of Arak Medical Students’experiences on Effective Factors in Active Learning: A Qualitative Research. Iranian Journal of Medical Education. 2012; 12(2):131-42. Persian.
  3. Alizadeh M, Saiyah melli M, editors. Viewpoint of Interns in medical school about clinical education problem and improving strategies at Tabriz Medical University. 7 th National Congress of Medical Education; 2005.
  4. Nasri K, Kahbazy M, Noroozy A, Nasri S. The medical education problems and possible Solutions in stagers and intern's view points of Arak University of Medical Sciences, 2006-07. JAMS. 2010;12(4):111-21 Persian.
  5. Yaghoobi T, Saleme F, editors. Assessment of clinical education problem and improving strategies from the viewpoint of medical student at Mazandaran Medical University 2003-4. 7th National Congress of Medical Education; 2005.
  6. Fekri A, Sarafinejad A. A survey of medical Students opinion regarding the quality of clinical medical education in 3 different educational groups. Journal of Teb va Tazkiyeh. 2001;10(1):25-33. Persian.
  7. Siabani S, Moradi M, Hossein S, Rezaei M, Siabani S, Amolaei Kh, et al. Educational Problems of Kermanshah Medical School: View Points of Students, Graduates and Faculty Members. Journal of Kermanshah University of Medical Sciences. 2009; 13: 162-71.
  8. Heydari A, Dadgar Moghaddam M, Ebrahimi Garoui H. General Medical Education (Extern and Intern) in school of Medicine, Mashhad University of Medical Sciences. Horizon of Medical Education Development. 2021;12(3): 35-49.
  9. Gandomkar R, Salsali M, Mirzazadeh A. Factors Influencing Medical Education in Clinical Environment: Experiences of Clinical Faculty Members. Iranian Journal of Medical Education. 2011;11(3):279-90. Persian.
  10. Zafarghandi N, Davati A, Ghurchian M, Sadat Bateni F, Hadavand S. Necessity of medical education amendment in Shahed University according to educators and students viewpoints. Journal of Daneshvar Medicine. 2011;19(1):63-8. Persian.
  11. Amini M, Ghanavati Sh, Sagheb Mm, Kojuri J, Dehghani M Ra, Nabeiei P, Shiee H, Saffari Z, Rivaz S. Evaluation of general medicine course from graduated medical students’ point of view based on AAMC. Educational Development Of Jundishapur. 2016;7(3):240-46.
  12. Gharaei S, Kargoza S, Amirchakhmaghi M, Gholami H, . Students’ Viewpoints of Mashhad Dental School about Educational Problems a Qualitative Study. Education Strategies in Medical Sciences. 2015;8:123-30.
  13. Clack GB. Medical graduates evaluate the effectiveness of their education. Med educ. 1994;28(5):418-31.
  14. Remmen R, Derese A, Scherpbier A, Denekens J, Hermann I, Van Der Vleuten C, et al. Can Medical Schools Rely on Clerkships to Train Students in Basic Clinical Skills? Med educ. 1999;33(8):600–5.
  15. Aziz A, Kazi A, Jahangeer A, Fatmi Z. Knowledge and skills in community-oriented medical education (COME) self-ratings of medical undergraduates in Karachi. Journal of Pakistan Medical Association. 2006;56(7):313-7.
  16. Daryazadeh S, Yavari M, Sharif M, Azadchahr M, Jafari M, Khademian Z. Quality assessment of clinical rounds at Kashan University of Medical Sciences based on clinical education standards. Development Strategies in Medical Education. 2021;8(4):11-20. Persian.
  17. Lewkonia RM, Murray F. Grand rounds: a paradox in medical education. CMAJ. 1995;152(3):371.
  18. Tarala R, Vickery A, Alistair W. Hospital grand rounds in Australia. Med j Aust. 2005;183(11-12):592-4.
Future of Medical Education Journal
Volume 13, Issue 1
Winter 2023
Pages 20-25