Journal of Advances in Medical Education & Professionalism

Value-Rich Exposures in Medical Education; Synthesizing the Concept

LEILA AFSHAR; SHAHRAM YAZDANI; SEYED ABBAS FORUTAN; HAKIMEH SABEGHI

Volume 11, Issue 3 , July 2023, , Pages 147-154

https://doi.org/10.30476/jamp.2022.96261.1692

Abstract

Introduction: Proper transfer of professional values is an essential part of medical education. Real-life experiences in the educational process are one of the most effective methods ... Read More

Explanation of the professional development process of general surgery residents in the operating rooms: A situational analysis

LEILA SADATI; SHAHRAM YAZDANI; BABACK SABET; PEIGHAM HEIDARPOOR

Volume 10, Issue 3 , July 2022, , Pages 191-198

https://doi.org/10.30476/jamp.2022.91510.1448

Abstract

Introduction: Numerous factors and elements are effective in the professional development of any field of study, including the educational structure, the individual characteristics ... Read More Introduction: Numerous factors and elements are effective in the professional development of any field of study, including the educational structure, the individual characteristics of learners, and the educational atmosphere prevalent in the educational environment. Understanding each of these factors and elements and the relationships among them can guide educational system administrators in the direction of professional development. Surgical residents’ professional development is no exception to this rule. As a consequence, the present research sought to explain and suggest a model for surgical assistant professional growth in Iranian operating rooms.Methods: The present research was a grounded theory study based on a post-positivist approach, in which data analysis was performed using Clark’s situational analysis methodology by drawing three maps, situational map, social worlds/arenas map, and positional map.Results: In the presence of human and non-human factors, cultural, political, historical, and social components, the ordered situational map demonstrated the complexity of the operating room learning environment. The social worlds/arenas map confirmed the existence of several communities of practice wherein surgical residents were present with different power roles, and the positional map showed role of the educational level in the acquisition of thecompetence in the professional development pathway. Finally, the Triple Helix model of professional development was extracted, which has three components: psychological identity, social identity, and surgical competency.Conclusion: The surgical residents’ professional development in operating rooms occurs due to the acquisition of surgicalcompetency along with the growth of individuals and socialization. As a result, all factors and components impacting the residents’ competence development process in this learning environment must be identified and their linkages clarified.

Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study

LEILA SADATI; SHAHRAM YAZDANI; PEIGHAM HEIDARPOOR

Volume 9, Issue 1 , January 2021, , Pages 34-43

https://doi.org/10.30476/jamp.2020.87464.1308

Abstract

Introduction: Training in operating rooms is challenging. Specifically, surgical residents often experience a stressful environment in training arenas that, in turn, might ... Read More

Developing a protocol for determining the competitive advantage of clinical specialty and sub-specialty mission differentiation in Iran

SARA SHAFIAN; PEIGHAM HEIDARPOOR; MARYAM OKHOVATY; SHAHRAM YAZDANI

Volume 8, Issue 4 , October 2020, , Pages 178-188

https://doi.org/10.30476/jamp.2020.86151.1221

Abstract

Introduction: The differentiation as a process occurs when new functions emerge in a system, and for this reason the university system is bound to diversify. With the advancement ... Read More Introduction: The differentiation as a process occurs when new functions emerge in a system, and for this reason the university system is bound to diversify. With the advancement of knowledge and increase in competition, it has become a challenging issue and an inevitable necessity. This study aimed at identifying the dimensions of the differentiation of Iran’s medical sciences universities through determining a protocol of the competitive advantage and scientific strength of clinical specialty and subspatiality departments of research activities.Methods: This was a mixed-methods study; the qualitative study was carried out using a conventional content analysis method. We held a focus group discussion to develop a protocol of scientific strength and competitive advantage for mission differentiation. We used purposive sampling, in February 2019. The sessions were audio-taped. We analyzed the data by considering the verbatim transcribed document of the audio recorded discussions using conventional content analysis method for theme development. In the second stage, we implemented the proposed protocol in thefirst stage through the Scientometrics System for all 66 colleges and universities of the Ministry of Health and Medical Education.Results: The results of the first stage includes a protocol, 4 indices and two formulae for scientific strength and competitive advantage proposed by the expert participants and an executive model designed to clinical specialty and sub-specialty of the college and universities of medical sciences in the research activities. In the second stage, the scientific strength and competitive advantage was calculated for all universities of medical sciences. The results indicated that some universities, for instance, Tehran, Shahid-Beheshti, Iran, Shiraz, Isfahan, etc. had the most competitive advantages among the academic clinical specialty and sub-specialty departments.Conclusion: Besides teaching and research, universities should contribute to local socio-economic development, in the growing conviction that scientific research results and educational skillsare crucial for the economic growth of nations. The enhancement of high-quality education and excellence in teaching will be consistent and sustained in research-intensive universities. Itshould strongly promote the integration and relatedness of teaching and research as an essential characteristic of the university.

A novel model of clinical reasoning: Cognitive zipper model

SHAHRAM YAZDANI; MARYAM HOSEINI ABARDEH

Volume 8, Issue 2 , April 2020, , Pages 61-71

https://doi.org/10.30476/jamp.2020.82230.1050

Abstract

Introduction: Clinical reasoning is a vital aspect of physician competence. It has been the subject of academic research for decades, and various models of clinical reasoning ... Read More Introduction: Clinical reasoning is a vital aspect of physician competence. It has been the subject of academic research for decades, and various models of clinical reasoning have been proposed. The aim of the present study was to develop a theoretical model of clinical reasoning.Methods: To conduct our study, we applied the process of theory synthesis in accordance with the Walker and Avant’s approach. First, we considered clinical reasoning as a focal concept of our study. Second, a search was carried out for the period 1984–2018, using the PubMed, Google Scholar, PsycINFO, ERIC, ScienceDirect and Web of Science databases to review the literature to identify factors related to the clinical reasoning and the nature of their relationships. Third, we organized clinical reasoning into an integrated and efficient representation of the clinical reasoning.Results: According to this study clinical reasoning is the iterative process of intermediation between the recalled clinical knowledge and the patient’s represented problem in the clinicians’ activememory. We analogize the process of clinical reasoning to the process of closure of a cognitive zipper. The recalled knowledge in clinician’s memory resembles to one side of zippers teeth and the evolving representation of the patient’s problem resembles the other side of zippers teeth. So, the results of this study are presented in three models: [1] multi-layer knowledge structure model, [2] problem representation model and [3] cognitive zipper model of diagnostic reasoning. Conclusion: We propose a developmental model of clinical reasoning. Several studies have tried to present models and theories to clarify clinical reasoning, but it seems that these theories and models could only explain part of this complex process and not the whole process. Cognitive zipper model, due to its developmental structure, can illustrate the clinical reasoning process in more details than other models do.

Journal of Advances in Medical Education & Professionalism

Articles in Press

Current Issue

Volume 11 (2023)

Volume 10 (2022)

Volume 9 (2021)

Volume 8 (2020)

Volume 7 (2019)

Volume 6 (2018)

Volume 5 (2017)

Volume 4 (2016)

Volume 3 (2015)

Volume 2 (2014)

Volume 1 (2013)

Author = SHAHRAM YAZDANI

Value-Rich Exposures in Medical Education; Synthesizing the Concept

Abstract

Explanation of the professional development process of general surgery residents in the operating rooms: A situational analysis

Abstract

Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study

Abstract

Developing a protocol for determining the competitive advantage of clinical specialty and sub-specialty mission differentiation in Iran

Abstract

A novel model of clinical reasoning: Cognitive zipper model

Abstract