Journal of Advances in Medical Education & Professionalism

Develop talents to increase productivity: report of the ninth national medical science olympiad in Islamic Republic of Iran in year 2017

SHAHRAM YAZDANI; FAKHROSADAT HOSSEINI; EBRAHIM KALANTAR MEHRJERDI; MITRA AMINI

Volume 6, Issue 3 , July 2018, , Pages 144-145

https://doi.org/10.30476/jamp.2018.41022

Abstract

Dear Editor, Extracurricular activities for the gifted andtalented students in Iran derive from thebelief that students with high potentials areexpected to make great help for the healthcare ... Read More Dear Editor, Extracurricular activities for the gifted andtalented students in Iran derive from thebelief that students with high potentials areexpected to make great help for the healthcare of the community. One of these activitiesis holding medical science Olympiads. In theprevious meeting report about medical scienceOlympiad in year 2011, a unique experienceof Islamic Republic of Iran was reported. TheOlympiad was held in three areas of basicsciences, clinical reasoning and management byparticipation of high rank medical students fromall over the country in two stages: individual andgroup (1-4).After performing 8 Olympiads in the country,the ninth Olympiad was held in September 2017in Tehran, Iran differently with more emphasison creativity and productivity.While creativity in health care is mostlysupposed to be innovations in surgical devices,medications, and procedures, we believed that italso relates to other health care disciplines likebasic sciences, medical education, philosophy ofmedicine and management. Creativity in thesefields is a newer concept that may result in findingnovel solutions to health care and educationalproblems and challenges such as improvingpatient care and coordinating care across multipledisciplines and difficult conditions.Shahid Beheshti University of MedicalSciences was the host of the Ninth NationalMedical Science Olympiad in September 2017under direct supervision of Ministry of Healthand Medical Education. This Olympiad was heldin five areas including basic sciences, clinicalmedicine, medical education, philosophy ofmedicine and health care management. All topranked students in medical sciences (such asmedicine, pharmacy, nursing, health management,dentistry, etc.) from all over the country had thechance of participating in this Olympiad. In Iranintegration of medical education and health caredelivery system has started in 50 universities ofmedical sciences all over the country (5). 2151students from these universities participated inthe individual Olympiad exam. Then 30 teamsin each of the five areas (total 450 teams) wereselected 55 experts in five scientific committeesconstructed the Olympiad questions in individualand team stages. A unique experience in the NinthOlympiad was using a novel and creative projectbased assignment for each team in each of thefive areas. These projects were Evidence-based decision making, public private partnership, earlyclinical exposure, medical futility and autonomicmodulation on the brain functional connectivityrelated to depression.75 percent of the students stated that theywere satisfied with these innovative and creativeprojects in different areas. 84 percent of thefaculties reported that this kind of Olympiadincreased students’ motivation and led themto compare issues friendly with each other ina scientific environment. 69.25 percent of thestudents reported that increasing the numberof teams in this Olympiad for problem solvingactivities was a very good experience for themand ascertained that such activities should beincluded in the formal curriculum of medicalschools.The main shortcoming in this Olympiadreported by the students was the competitivenature of the exam and subjectivity in scoringthe projects in some areas.Performing such Olympiads is essential indiscovering talented students and developingtheir capabilities to promote health systems.Although academic merit is not the onlyindicator of success in health science disciplines,designing additional programs for gifted andtalented students is warranted to help academicallytalented students to further their knowledge.

Models of clinical reasoning with a focus on general practice: a critical review

SHAHRAM YAZDANI; MOHAMMAD HOSSEINZADEH; FAKHROLSADAT HOSSEINI

Volume 5, Issue 4 , October 2017, , Pages 177-184

Abstract

Introduction: Diagnosis lies at the heart of general practice.Every day general practitioners (GPs) visit patients with awide variety of complaints and concerns, with often minor butsometimes ... Read More Introduction: Diagnosis lies at the heart of general practice.Every day general practitioners (GPs) visit patients with awide variety of complaints and concerns, with often minor butsometimes serious symptoms. General practice has many featureswhich differentiate it from specialty care setting, but during thelast four decades little attention was paid to clinical reasoningin general practice. Therefore, we aimed to critically review theclinical reasoning models with a focus on the clinical reasoningin general practice or clinical reasoning of general practitionersto find out to what extent the existing models explain the clinicalreasoning specially in primary care and also identity the gaps ofthe model for use in primary care settingsMethods: A systematic search to find models of clinical reasoningwere performed. To have more precision, we excluded the studiesthat focused on neurobiological aspects of reasoning, reasoningin disciplines other than medicine decision making or decisionanalysis on treatment or management plan. All the articles anddocuments were first scanned to see whether they include importantrelevant contents or any models. The selected studies whichdescribed a model of clinical reasoning in general practitioners orwith a focus on general practice were then reviewed and appraisalor critics of other authors on these models were included. Thereviewed documents on the model were synthesizedResults: Six models of clinical reasoning were identified includinghypothetic-deductive model, pattern recognition, a dual processdiagnostic reasoning model, pathway for clinical reasoning, anintegrative model of clinical reasoning, and model of diagnosticreasoning strategies in primary care. Only one model hadspecifically focused on general practitioners reasoning.Conclusion: A Model of clinical reasoning that included specificfeatures of general practice to better help the general practitionerswith the difficulties of clinical reasoning in this setting is needed.Keywords: Problem solving, General practitioners, Diagnosis

Social accountable medical education: a concept analysis

MOHAMMADREZA ABDOLMALEKI; SHAHRAM YAZDANI; SEDIGHEH MOMENI; NADER MOMTAZMANESH

Volume 5, Issue 3 , July 2017, , Pages 108-115

Abstract

Introduction: Considering the pervasiveness of social accountablemedical education concept around the world and the growingtrend of literature in this regard as well as various interpretationsmade ... Read More

Balancing power: A grounded theory study on partnership of academic service institutes

FATEMEH HESHMATI NABAVI; ZOHREH VANAKI; EESA MOHAMMADI; SHAHRAM YAZDANI

Volume 5, Issue 3 , July 2017, , Pages 124-133

Abstract

Introduction: Governments and professional organizationshave called for new partnerships between health care providersand academics to improve clinical education for the benefit ofboth ... Read More

Medical education in cyberspace: Critical considerations in the health system

SHAHRAM YAZDANI; ZOHREH KHOSHGOFTAR; SOLEIMAN AHMADY; HASSAN RASTEGARPOUR; SEYED ABBAS FOROUTAN

Volume 5, Issue 1 , January 2017, , Pages 11-20

Abstract

Introduction: Over the past few decades, two revolutionaryapproaches have emerged as a new form of medical education:Electronic Medical Education and Web-based Medical Education.A number ... Read More

Barriers to integration of behavioral and social sciences in the general medicine curriculum and recommended strategies to overcome them: A systematic review

ZAHRA TABATABAEI; SHAHRAM YAZDANI; RAMIN SADEGHI

Volume 4, Issue 3 , July 2016, , Pages 111-121

Abstract

Introduction: The integration of behavioral and social sciences(BSS) into the curriculum of medical students in order to equipthem with the necessary knowledge, skills and attitudes ... Read More

System based practice: a concept analysis

SHAHRAM YAZDANI; FAKHROLSADAT HOSSEINI; SOLEIMAN AHMADY

Volume 4, Issue 2 , April 2016, , Pages 45-53

Abstract

Introduction: Systems-Based Practice (SBP) is one of the sixcompetencies introduced by the ACGME for physicians toprovide high quality of care and also the most challenging of themin ... Read More

Leadership and management curriculum planning for Iranian general practitioners

SHAHLA KHOSRAVAN; HOSSEIN KARIMI MOONAGHI; SHAHRAM YAZDANI; SOLEIMAN AHMADI; MOHAMMAD REZA MANSOORIAN

Volume 3, Issue 4 , October 2015, , Pages 159-165

Abstract

Introduction: Leadership and management are two expected featuresand competencies for general practitioners (GPs). The purpose of thisstudy was leadership and management curriculum ... Read More Introduction: Leadership and management are two expected featuresand competencies for general practitioners (GPs). The purpose of thisstudy was leadership and management curriculum planning for GPswhich was performed based on Kern’s curriculum planning cycle.Methods: This study was conducted in 2011-2012 in Iran using anexplanatory mixed-methods approach. It was conducted throughan initial qualitative phase using two focus group discussions and28 semi-structured interviews with key informants to capture theirexperiences and viewpoints about the necessity of managementcourses for undergraduate medical students, goals, objectives, andeducational strategies according to Kern’s curriculum planning cycle.The data was used to develop a questionnaire to be used in a quantitativewritten survey. Results of these two phases and that of the review ofmedical curriculum in other countries and management curriculumof other medical disciplines in Iran were used in management andleadership curriculum planning. In the qualitative phase, purposefulsampling and content analysis with constant comparison based onStrauss and Corbin’s method were used; descriptive and analytic testswere used for quantitative data by SPSS version 14.Results: In the qualitatively stage of this research, 6 main categoriesincluding the necessity of management course, features and objectivesof management curriculum, proper educational setting, educationalmethods and strategies, evolutionary method and feedback resultwere determined. In the quantitatively stage of the research, fromthe viewpoints of 51.6% of 126 units of research who filled out thequestionnaire, ranked high necessary of management courses. Thecoordination of care and clinical leadership was determined asthe most important role for GPs with a mean of 6.2 from sampleviewpoint. Also, team working and group dynamics had the firstpriority related to the principles and basics of management with amean of 3.59. Other results were shown in the paper.Conclusion: Results of this study indicated the need to provideeducational programs for GPs; it led to a systematic curriculumtheory and clinical management using Kern cycle for generalpractitioner’s discipline. Implementation and evaluation of thisprogram is recommended.Keywords: Curriculum; Management; Medical education; General practitioner

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Author = YAZDANI,%20SHAHRAM

Develop talents to increase productivity: report of the ninth national medical science olympiad in Islamic Republic of Iran in year 2017

Abstract

Models of clinical reasoning with a focus on general practice: a critical review

Abstract

Social accountable medical education: a concept analysis

Abstract

Balancing power: A grounded theory study on partnership of academic service institutes

Abstract

Medical education in cyberspace: Critical considerations in the health system

Abstract

Barriers to integration of behavioral and social sciences in the general medicine curriculum and recommended strategies to overcome them: A systematic review

Abstract

System based practice: a concept analysis

Abstract

Leadership and management curriculum planning for Iranian general practitioners

Abstract