[Dual Practice: a challenge in health care system]

Dual practice is a common phenomen that is considered a challenge for health care system. In this paper, we provide underlying issues about dual practice it's, strengths and weaknesses, and methods to manage it. Finally, we propose a solution for lran. In this review, we have searched electronic databases, models, and government documents about dual practice of health care workers with "dual practice" and "health care workers" as key words. Types of interventions categorized in 3 groups: Complete prohibition dual practice, acceptance dual practice with some restrictions, Complete acceptance. In Iran acceptance of dual practice with some restrictions is logic. But Mechanisms of it needs further studies. So revision the 36 article of Fifth Development Plan is recommended.

[Internal evaluation in Department of Health Care Management in School of Allied Medical Sciences, Tehran University of Medical Sciences]

The internal evaluation is a process to improve the quality of the education using the collection and judgment of data. Considering some principles about educational measurement and data collection causes better recognizing of this process. In this study, we conducted the internal evaluation of Department of Health Care Management, School of Allied Medical Sciences in Tehran University of Medical Sciences, which is responsible for training healthcare management students; in this study, we used the opinion poll of university lecturers, students and graduates, and evaluated their system of education in 2006, Their aim was to remodel and adjust their educational system with the society's needs and to promote the quality of such education. The methodology was descriptive and cross sectional that implemented applied manner in 2006 and in Department of Health Care Management. All the research population filled a questionnaire with these factors considered with criteria and indicators: missions' statement and goals; management and organizational structure; faculty board members; students; training and learning process: educational course and curriculum; graduated students; educational and research facilities and equipments; and research. At least, gathered data were analyzed with descriptive statistics and SPSS software tools. In findings, maximum utility was faculty board members factor with 3.53 out of 5 points [70%], and minimum utility was for research factor with 2.4 of 5 points [36.6%]. Consideration of factors, studied educational faculty was rather utilized. The analysis of SWOTs show that studied educational school can obtain upper points in later evaluations

[Knowledge management of emergency department in Rasul Akram hospital based on Baldrige Excellence Model in 2007]

Baldrige model is the most important performance measurement system in world class. The forth criterion of this model is measurement, analysis, and knowledge management in health care. This was a descriptive and cross sectional study implementing applied manner. Data were collected and compare with response of the 2007 version of the model questionnaire. The score for the emergency room of the studied hospital was 27.55 out of 90 points in measurement, analysis, and knowledge management criteria. The emergency room of the studied hospital had the second level of excellence. Since the baldrige model scoring system is used for continues improvement of performance and excellence in organizations, it is recommended that this evaluation and improvement process continue to increase the scores and improve the performance