ABSTRACT
Cardio-pulmonary resuscitation is the critical skill needed by emergency medical personnel; so they must be aware of the recent changes in CPR. This study has been done to determine the awareness level of emergency medical technicians in Kermanshah of the 2010 guidelines for CPR in 2012. In this descriptive cross-sectional study, emergency medical technicians [159 ones] were studied using census sampling in Kermanshah's emergency base in 2012. By using a self-administrated questionnaire, data were collected with face, content and reliability [r=%74]; also were analyzed by STATA-11 software, tests of Kruskal-Wallis, Mann-Whitney U and Spearman [P<0.05]. According to the findings, the level of awareness in emergency medical personnel was as follows:%19.5 excellent,%78.6 good and%1.9 moderate. Also, there was no statistically significant relationship between level of awareness and gender, work experience, field of study, previous workplace, passing advanced CPR training and observing CPR. However, level of awareness was higher in emergency technicians who had experience of passing and performing CPR training independent. In some areas, level of awareness was influenced by workplace and observing CPR [P<0.001]. It is recommended to teach CPR based on the 2010 guidelines for emergency technicians with the emphasis on Laryngeal Mask Airway [LMA], combitube intubations, reasons of termination and undoing of CPR, intraosseous injections [IO] and induced-hypothermia
ABSTRACT
Multiple choice questions are used for evaluation of learning in promotion residency exams. Due to holding these exams in a standard way, we conducted this study to evaluate the effect of board members, promotion scholarship who designed the questions on these exams results in 2009. A semi experimental research was designed and 105 exam boards of academic members were studied. The results of promotion exams analysis in 2008 plus a tripartite pamphlet for developing standard exams were sent to all. Quantity data was collected by discrimination index, difficulty level, standard deviation and Reliability of test index [KR20], computer report of health ministry analyzing software, and the quality data by percent of Taxonomy II and III questions and report questions from the secretariat of medical educational salinity. Data was analyzed by Even and independent T test and variance analysis. Data from 11 different academic groups were compared. A statistically significant increase was observed among average of distinction index, exam reliability, percent of questions without structural defects and Taxonomy II and III in 2008 compared to 2009 results [p=0.05]. The highest difficulty level was related to questions of urology promotion test 0.54 [p=0.005] and the lowest in psychiatry group 0.69 [p=0.013]. The most percent rise in the discrimination index was in the psychiatry group. This study suggested that medical academic members, scholarship promotion increase by using an educational pamphlet and providing feedback of results from previous exams
ABSTRACT
One of the most important components of educational technology is an educational plan. Medical education needs to evaluate regular educational achievements particularly in clinical training. This study was carried out to investigate medical students achievement compare to educational prepuces in clinical training in Kermanshah Emam Reza hospital. In this descriptive-analytical study. 135 students in level of replacement and internship were selected through satisfied random sampling method during the first semester of year 2008. Data was collected using researchers planned questionnaire. 15 experts in medical education area confirmed its face and content validity. To confirm the reliability of the questionnaire were checked Spearma-Brown in a pilot study [r=0.86]. Data were analyzed using SPSS13. The finding indicated that 11.1% of students were not achieved, 85.2% moderately achieved and only 3.7% of them were completely achieved to educational aims in clinical training. No significant differences were observed between gender, year of study and level of study. However there were statistically significant difference associations between students' achievement to educational aims in clinical training and introducing training objectives, evaluation methods and having an introduction session at the beginning of clinical training as well as induction training in the emergency ward. This study reveals that there are still some spaces and opportunities for increasing the medical students' achievements to educational aims in clinical training. This study recommended that at the beginning of clinical training with use of: aim, evaluation methods, justify session presented to the students and use of emergency wards for education, could increase achievement to educational aims in clinical training in medical students