Showing 6 results for Residents
Marzieh Nojomi, Banafsheh Gharayee,
Volume 21, Issue 2 (8-2007)
Abstract
Abstract
Background: The process of medical education is stressful and medical students are at risk of psychological problems. In addition to the normal stressors of everyday life, medical students must deal with stresses specific to medical school. The aim of this study was to assess mental health in senior medical students and residents.
Methods: This cross-sectional study included 100 senior medical students and 100 residents of Iran University of Medical Sciences, Tehran, between October and December of 2006. The measurement method was the SCL-90-R questionnaire. Respondents rate 90 items using a 5-point scale to measure the extent to which they have experienced the listed symptoms during the last 7 days. In this study we only reported GSI and raw scores of SCL-90-R subscales. We used the cut off point of 0.7 for GSI. All statistical analyses were carried out by using SPSS for Windows 14. Asignificant level was considered as 5%.
Results: The mean and standard deviation of GSI was 0.55. Overall 19.4% of participants had GSI more than 0.7, as suspected mental illness. 26% of residents compared to 12% of senior medical students scored higher than 0.7 on GSI with significant difference. 13% (11 subjects) of males compared to 24% (27 subjects) of female had GSI more than 0.7. This difference was significant (P= 0.05). 11.3% of participants with a good economic status versus 56% of those with weak status in economy scored GSI of more than 0.7 with significant difference (P = 0.006). The majority of participants (91%) with a good overall satisfaction scored less than 0.7 on GSI. This proportion between weak categories of overall satisfaction was 66%. There were significant differences between the two groups in the SOM, OBS, INT, DEP, ANX, PHO, and psychoticism subscales.
Conclusion: About one-fifth of participants are suspected cases of mental disorder. Residents scored significantly higher than senior medical students on all subscales (except HOS and PAR) of SCL-90-R and GSI score. The GSI score was associated with overall satisfaction, gender, satisfaction of the studying major and economic status of participants.
Hossein Moravej, Seyed Mohsen Dehghani,
Volume 27, Issue 4 (11-2013)
Abstract
Background:
Training of pediatric residents is a dynamic process which should be changed as
the nature and epidemiology of pediatric diseases change. In this study, we
compared the training program of the pediatric residents with the disorders of
the pediatric patients who had referred to pediatric offices.
Methods:
The study was conducted in pediatric offices in Shiraz, South of Iran. The main
complaints of all the patients who were referred to these offices in the first
3 days of the four seasons of the year were recorded. Finally, descriptive
statistics was used to determine the frequency of different complaints among
these patients.
Results:
There are 58 Pediatrics offices in Shiraz and 37 offices completed the
questioners (64%). The most frequent complaints of the patients were related to
infections, especially respiratory and gastrointestinal ones. Nutritional and
growth problems were other frequent complaints. Nonetheless, a high number of
the patients were referred due to skin, eye, or ear problems or for check up of
the baby.
Conclusion:
There is an important training–practice problem in the curriculum of pediatric
residents. Thus, we suggest decreasing the periods of inpatient subspecialty
training and increasing the period of outpatient dermatology, ophthalmology,
otolaryngology, and well-baby clinics.
Sara Razmjou, Hamid Reza Baradaran, Jalil Kouhpayehzadeh, Kamran Soltani-Arabshahi,
Volume 29, Issue 1 (1-2015)
Abstract
Background: Clinical
supervision is an important factor in the development of competency in residency
program. Attending physicians play a key role in supervision of residents.
However little is known about how attending physicians and residents perceive
the quality of clinical supervision. The aim of this study was to explore the
differences between perceived qualities of supervision in these two groups in
different wards in teaching hospitals in Tehran, Iran.
Methods: A valid questionnaire were completed by 219
attending physicians and residents from
surgery, psychiatry, gynecology, pediatrics, internal medicine, orthopedics and
radiology wards in two teaching hospital affiliated to Iran University of
Medical Sciences. This questionnaire contained 15 items in regards to
supervisory roles, rated on a five point Likert scale (1=never, 2=seldom,
3=sometimes, 4=often, 5=always).
Results: Out of 219 participants, 90 (41%) were attending
physicians and 129 (59%) were residents. The overall mean±SD scores of
perceived clinical supervision achieved by attending physicians and residents
were respectively, 4.20±0.5 and 3.00±0.7 which was statistically significant
(p<0.05). Attending physicians and residents acquired minimum scores
(mean=4.06 and 2.7, respectively) regarding expectation from their supervisor
to know and do during training period of residency.
Conclusion: It seems that the clinical supervisory does not
have an efficient performance in teaching hospitals which needs to be more
assessed and improved. Therefore it is suggested that policymakers in medical
education system pay more attention to this important issue and enhance some
faculty development programs for clinical educators in Iran
Zahra Naghizadeh Moogari, Jalil Koohpayehzadeh, Susanne Roff, Ali Montazeri, Seyyed Kamran Soltani Arabshahi, Shoaleh Bigdeli, Maryam Moosavi, Faranak Azaminejad , Mahmoud Tavousi,
Volume 29, Issue 1 (1-2015)
Abstract
Background: Examining educational environment (academic and clinical) by means ofa valid, reliable and comprehensive questionnaire is a major key inachievinga highly qualified student – oriented curricula. The Persian translation of Ambulatory Care Learning Education Environment Measure-ACLEEM questionnaire has been developed to support this goal, and its psychometrics has beenexplored in this administration in teaching hospitals affiliated to Tehran University of Medical Sciences.
Methods: This descriptive – analytical study involved medical residents in fourmajor clinics. In this study,the ACLEEM Questionnaire was conducted after translating and retranslating the questionnaire and examinethe face and content validity, construct validity, test retest reliability and internal consistency coefficient.
Results: In this study, 157 out of 192 residents completed the questionnaire (response rate 82%). The mean age of the residents was 31.81 years .The final mean of the questionnaire was calculated as 110.91 out of 200 (with 95% confidence interval). Test – retest stability of the questionnaire was between 0.322 and 0.968. The face validity of the questionnaire was confirmed. The content validity ratio was 0.64 and content validity Index was 0.78. In Exploratory factor analysis,eight factors were confirmatory that changed the orientation of some questions. The Cronbach's alpha coefficient of the whole questionnaire was 0.936.
Conclusion: According to thedata, thePersian version of the ACLEEM questionnaire has sufficient psychometric reliability and validity to be used forconducting research, teaching and practicingthe educational learning environment in ambulatory care in Iran.
Jalil Koohpayehzadeh, Zahra Mirzaei, Hamid Zahedi, Mahmoud Reza Alebouyeh, Zahra Naghizadeh Moogari,
Volume 33, Issue 1 (2-2019)
Abstract
Background: The quality improvement of medical education programs and the ongoing reform of the curriculum should be done in the light of clinical training fields and identifying the strengths and improving the weaknesses. Therefore, this study was conducted to evaluate the validity and reliability of ATEEM (Anesthetic Trainee Theatre Educational Environment Measure) questionnaire for assessing learning environment of anesthesiology residents in educational centers affiliated to 3 main medical schools in Tehran, Iran.
Methods: This study was conducted on first to fourth year anesthesiology residents using a questionnaire. Validity (face, content, construct) and reliability of ATEEM questionnaire was investigated. Construct validity was measured by confirmatory factor analysis, stability of reliability by test-retest, and internal consistency by Cronbach's alpha.
Results: A total of 156 questionnaires out of 190 were fully answered, returned by residents of anesthesiology, and analysis were performed (82% response rate; 44.5% male (n=69); 55.5% female (n=86)). The age range of respondents was 26 to 48 years. The mean total ATEEM score was 114.03 out of 160. Face and content validity of the questionnaire was approved. Content validity ratio (CVR) and content validity index (CVI) were 0.63 and 0.88, respectively. Fitness indices in confirmatory factor analysis were greater than 0.9, and RMSEA (root mean square error of approximation) index was less than 0.08 (0.07). This indicator measures the acceptability of fitness and it is an appropriate measurement model. The average reliability coefficient was 0.73 and the overall Cronbach's alpha coefficient was 0.959.
Conclusion: The results of this study showed that the Persian version of the ATEEM questionnaire, with appropriate psychometric properties, can be used to evaluate the anesthetic trainee theatre learning environment used in hospitals.
Mohammad Amin Khajehazad, Masoomeh Faghankhani, Ali Asadi, Elnaz Golalipour, Seyed Vahid Shariat, Morteza Naserbakht, Hamid Bahador, Shahram Agah, Golnoosh Ansari, Farzaneh Barzkar, Hamid Baradaran,
Volume 36, Issue 1 (1-2022)
Abstract
Background: Empathetic communication improves the physician-patient relationship and enhances patient and physician satisfaction. This study aims to evaluate the impact of empathic communication skills training on physicians’ self-perceived performance and patient satisfaction regarding the empathetic quality of their relationship with their physicians.
Methods: In this single-group before-after experimental study, we recruited 50 internal medicine residents at a large teaching hospital. We assessed the residents’ empathy using the Jefferson Scale of Empathy before and 3 weeks after an 8-hour workshop on empathic communication skills. We also recruited 50 of their patients before and another 50 patients 3 weeks after the training to assess the patient’s perceptions of their physician’s empathy using the Consultation and Relational Empathy scale. Physicians’ and patients’ mean scores on empathetic care at the beginning of the study were then compared using paired t-tests with their scores after the workshop.
Results: The residents’ mean score on Jefferson Empathy Scale increased from 81.1 (95%CI:78.8-83.3) at baseline to 96.8 (95%CI:93.6-100) following the workshop (p < 0.001). Before the empathetic communication skills training, patients assessed their doctors' empathy at 68.3 (95%CI:63.5-73.2). After the intervention, this improved to 84.9 (95%CI:82.2-87.5) (p < 0.001).
Conclusion: In this study, both the residents and their patients stated that the residents' empathy skills had significantly improved after an empathetic communication workshop for internal medicine residents.
