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Introduction: recognition of professional and unprofessional behaviors is the most important and fundamental factor which affects the relationships between the doctors and patients. Therefore, in order to progress in their professional life, doctors are supposed to understand and follow these behaviors
Methods: this is a cross-sectional, descriptive analytical study. All students in teaching hospital of Shiraz University of Medical Sciences were eligible to participate [374 individuals with census method]. The data were collected using a questionnaire containing 29 questions about the concept of medical professionalism. Here, participation of medical students in unprofessional behaviors and the relevance of this participation with the perception of these behaviors were considered. Data were analyzed through SPSS version 15, using descriptive statistics, t-test and Pearson correlation test
Results: according to the obtained data, despite the fact that all students [140 students in the junior and 234 in the senior years as interns] had passed the course of professionalism [95.7%], the perception of unprofessional behaviors between the two groups was significantly different [p<0.001] and the mean of the perception among junior students was higher than the interns. No significant difference was observed in participation in unprofessional behavior rates of the two groups [p=0.451]. Moreover, the data did not reveal a strong relationship between participation in unprofessional behavior and what is taught in the curriculum [p=0.079]
Conclusion: medical students' perception of unprofessional behaviors as acceptable may increase their participation in these behaviors. Thus, medical policy makers should consider approaches beyond simply providing ethical and professional guidelines or policies, and students should be regularly evaluated for their activities; their professional behaviors should be evaluated in order to temper them, when appropriate
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BACKGROUND: Occupational stress and its related psychological strain is a concern among resident doctors that may affect patient care adversely. Residents face many stresses because of their high job demands in delivery of hospital care. They are often subject to work load and pressure due to direct involvement with patients, prolonged working hours, poor job opportunities and low support. Their multiple educational and clinical roles can also affect their performance and quality of personal or professional life. The aim of this study was to evaluate the occupational stress among residents of various medical specialties. We aimed to explore the reasons of occupational stress in residents’ life and determine how we can enhance the stress-coping strategies and create more suitable conditions. METHODS: This cross-sectional analytical-descriptive study was conducted on all medical residents with various specialties in Shiraz University of Medical Sciences. Data was collected using Osipow occupational stress questionnaire and analyzed by SPSS software version 17. RESULTS: The response rate was 88.8%. The average stress score of all residents was 156.35 out of 250. The highest and lowest average stress scores belonged to gynecology and dermatology specialties, respectively. The highest average score of the stress factors was related to the workload with the score of 35.09 of 50 (moderate to severe stress). The total stress score had a significant relationship with age (P = 0.030) and sex (P = 0.009) as well as lack of time to get the needed healthy meals (P = 0.047), high work hours (P < 0.01), surgical specialties (P < 0.01) and on call shift (P < 0.01). CONCLUSION: Since most of the stressors were related to the workload, interventions such workload reduction, education about occupational stress and its management, promoting interpersonal relations and more supportive measures are recommended.
Subject(s)
Humans , Dermatology , Education , Gynecology , Interpersonal Relations , Meals , Occupations , Patient Care , Specialties, SurgicalABSTRACT
Nowadays different crimes are committed by people enticed away from the truth and deceived by devil, only to achieve their personal goals and maintain their individual liberty. One of the greatest sins committed in this world is abortion. The fetus is a human being from the very beginning and has the right to live. Although the mother has a right to decide what shall happen in and to her body, her rights cannot be privileged over those of the unborn child. Therefore, the life of every human being should be respected. The most common attempts were made to show that the unborn child does not have the right to burden the female reproductive rights and women's right to abortion. According to the universal declaration of human rights, every human being has the natural right over his own life and this rule encompasses all members of the human society including human embryo. All of them are supposed to have human personality and ethical rights. Thus, it is not permitted to deprive an embryo of his future life. The purpose in the current overview was to attempt an explanation of the questionable notion of the abortion. The paper puts forward a brief argument about abortion versus the right of fetus to live
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Background: Changes in expectations and requirements of the end users of medical education "community members" and evolution in health services necessitate some changes in the medical education curriculum. To achieve this reform in curricula, obtaining insight into the health care needs of community members and their comments about their physicians is highly required in community-oriented education. This survey was conducted to determine the attitudes of health care receivers toward the general physicians' professional behavior in Fars province, Iran
Methods: This is a descriptive study and the subjects were the receivers of health care services. We selected 97 individuals in each city of Fars province using randomized-cluster sampling. The sample size increased to 150 in each city and overall 2500 individuals participated in the study. For data collection, an anonymous questionnaire was developed which was tested for the validity of the contents using the experts' views and reliability was checked using test-retest. The data were analyzed using SPSS 14 statistical software
Results: The results of this study revealed the participants' attitudes toward education, treatment and consultative services by physicians in Fars province. Overall, the response rate was about 95%. The patients rated the physicians' professional behavior, as one of the key determinants of their experiences with healthcare services. Moreover, 73.2% of the participants were fully satisfied with the quality of care they received from their physicians and 24.9% were satisfied to some extent
Conclusion: According to the results of the study, the physician's educational and consultative roles in medical education curricula must be reviewed and emphasized
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Introduction: Accreditation assesses performance, or capacity to perform, against predetermined standards. It typically combines external quality assurance, through a process of peers review, with elements of self-regulation through internal and selfdirected assessment. This study is an attempt to identify the quality of pediatrics residency educational programs regarding predetermined standards
Methods: This descriptive-analytical evaluation study of applied type was conducted during 2010 and 2011 in the pediatrics department of Shiraz Medical School, Iran. The assessment process occurred in several phases; at first an assessment model for a residency educational development and a series of educational criteria and indices were created based on WFME Standards. Multiple methods including a self-assessment questionnaire and several checklists were used to collect data, whereas systematic site visit, peer review and document reviewing were conducted with survey team. Due to limitation of the statistical society, all faculty members [n=34] and residents [n=41] of the pediatric department were asked to complete the survey. At last, descriptive and deductive statistics data analysis was performed using SPSS version 14
Results: According to the records available in assessing program quality, it seems that the input criteria were desirable for the program based on the residents' viewpoints [86.6%].There were proper physical facilities for them to meet the residency program goals. The study indicated that the learning environment needed to be revised for the educational needs [Likert scale: 2.96 +/- 1.05]. The peer evaluation team demonstrated achievement of mission fulfillment in the context of the objectives and indicators by meeting the desired themes. In spite of some weaknesses in the process criteria, the criteria for output indicators were good according to the report [more than desired level of 75-80%]
Conclusion: Accreditation is an important step towards strengthening the quality of educational programs. According to this study the current status of the pediatrics department of Shiraz University of Medical Sciences was desirable leading to a satisfactory level in general. However, additional educational development will be needed in order to achieve a widespread change and improvement
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Clinical learning occurs in the context of a dynamic environment. Learning environment found to be one of the most important factors in determining the success of an effective teaching program. To investigate, from the attending and resident's perspective, factors that may affect student leaning in the educational hospital setting at Shiraz University of Medical Sciences [SUMS]. This study combined qualitative and quantitative methods to determine factors affecting effective learning in clinical setting. Residents evaluated the perceived effectiveness of the university hospital learning environment. Fifty two faculty members and 132 residents participated in this study. Key determinants that contribute to an effective clinical teaching were autonomy, supervision, social support, workload, role clarity, learning opportunity, work diversity and physical facilities. In a good clinical setting, residents should be appreciated and given appropriate opportunities to study in order to meet their objectives. They require a supportive environment to consolidate their knowledge, skills and judgment
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Changing concepts of education have led many medical schools to design educational programs to enhance teaching skills, as traditional approaches cannot fulfill the current students' needs. The educational development of medical faculty members has recently received impetus in Iran and the Eastern Mediterranean region. The aim of this study was to investigate whether participation in a faculty development program reinforced new teaching skills. A teacher-training program was designed at Shiraz University of Medical Sciences to help medical instructors improve their teaching skills. The program, imparted in workshop format, covered effective teaching methods, feedback, knowledge assessment, and time management. Program sessions lasted four hours, four days each week for one month. Instruction was in the form of lectures, group discussions, case simulations, video presentations, and role-playing. All participants in the study [n = 219] belonged to the academic staff of Shiraz University of Medical Sciences. The participants highly rated the quality of the program. They felt that the educational intervention was appropriate and had a positive impact on their knowledge [P < 0.001]. Assessment of the effectiveness of the program in strengthening the participants' teaching ability showed that students noticed significant improvements in the participants' teaching abilities [P < 0.05]. Our faculty development program appears to have a significant positive effect on medical teachers' competencies, and we suggest that our educational intervention is effective in achieving its aims. Further research should investigate whether this faculty development program actually results in improved teaching performance
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Neonatal jaundice is a common clinical finding in newborns. The efficacy and safety of phototherapy for neonatal jaundice have been firmly established, but it has some side effects, thus herbal therapy has recently received special attention. Herein we investigated the efficacy of Zizyphus jujuba for treatment of jaundice in neonates compared to phototherapy. In this clinical-trial study, a total of 121 neonates aged 2-14 days hospitalized for jaundice, were randomly assigned into experimental group including 63 patients who received Zizyphus jujuba's fruit extract 1ml/Kg 3 times a day and phototherapy, and control group of 58 cases receiving phototherapy with distilled water. Bilirubin level during hospitalization in both groups was measured daily. Experimental group stayed in hospital for 3.47 +/- 0.3 days. None of the neonates in this group was hospitalized more than 7 days. In controls, hospitalization was 3.67 +/- 0.4 days. 2 cases stayed more than 7days. The bilirubin level had decreased in both groups. Decrease of serum bilirubin in experimental group after 12 hours was statistically significant compared to control group [P=0.026]. In experimental group, after taking the herb for 1-2 days, 3 children developed slight diarrhea which resolved spontaneously. The results indicate that Zizyphus jujuba was effective for the treatment of neonatal jaundice in first 12 hours of treatment compared to controls which could be due to higher effect of Z. jujuba extract to reduce bilirubin concentration with different mechanisms
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This study aimed to compare the efficacy of dexamethasone and hydrocortisone in the treatment of acute paediatric asthma. Forty seven asthmatic children were randomised to receive either dexamethasone [0.6 mg/ml, maximum 16 mg] in a single dose or hydrocortisone [8-10 mg/kg/day] in 4 equal doses for 2 days. Our findings showed that the mean length of hospitalization in children receiving dexamethasone was significantly shorter than those receiving hydrocortisone