Rezaee Rita, Ebrahimi Sedigheh
Educational Development Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Acta Med Iran. 2013;51(1):62-5.
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.
临床学习发生在动态环境中。学习环境是决定有效教学计划成功与否的最重要因素之一。从主治医师和住院医师的角度调查可能影响设拉子医科大学（SUMS）教学医院环境中学生学习的因素。本研究采用定性和定量方法来确定影响临床环境中有效学习的因素。住院医师评估了大学医院学习环境的感知有效性。52名教员和132名住院医师参与了本研究。有助于有效临床教学的关键决定因素包括自主性、监督、社会支持、工作量、角色清晰度、学习机会、工作多样性和物理设施。在良好的临床环境中，住院医师应该得到赞赏并获得适当的学习机会以实现他们的目标。他们需要一个支持性的环境来巩固他们的知识、技能和判断力。
