Sabzghabaei Foroogh, Salajeghe Mahla, Soltani Arabshahi Seyed Kamran
Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Iran.
Education Development Center, Kerman University of Medical Science, Kerman, Iran.
Med J Islam Repub Iran. 2017 Dec 10;31:99. doi: 10.14196/mjiri.31.99. eCollection 2017.
In this study, ambulatory care training in Firoozgar hospital was evaluated based on Iranian national standards of undergraduate medical education related to ambulatory education using Baldrige Excellence Model. Moreover, some suggestions were offered to promote education quality in the current condition of ambulatory education in Firoozgar hospital and national standards using the gap analysis method. This descriptive analytic study was a kind of evaluation research performed using the standard check lists published by the office of undergraduate medical education council. Data were collected through surveying documents, interviewing, and observing the processes based on the Baldrige Excellence Model. After confirming the validity and reliability of the check lists, we evaluated the establishment level of the national standards of undergraduate medical education in the clinics of this hospital in the 4 following domains: educational program, evaluation, training and research resources, and faculty members. Data were analyzed according to the national standards of undergraduate medical education related to ambulatory education and the Baldrige table for scoring. Finally, the quality level of the current condition was determined as very appropriate, appropriate, medium, weak, and very weak. In domains of educational program 62%, in evaluation 48%, in training and research resources 46%, in faculty members 68%, and in overall ratio, 56% of the standards were appropriate. The most successful domains were educational program and faculty members, but evaluation and training and research resources domains had a medium performance. Some domains and indicators were determined as weak and their quality needed to be improved, so it is suggested to provide the necessary facilities and improvements by attending to the quality level of the national standards of ambulatory education.
在本研究中，基于伊朗本科医学教育中与门诊教育相关的国家标准，运用波多里奇卓越模型对菲鲁兹加尔医院的门诊护理培训进行了评估。此外，还运用差距分析方法，针对菲鲁兹加尔医院门诊教育的现状及国家标准，提出了一些提高教育质量的建议。这项描述性分析研究是一种评估研究，采用本科医学教育委员会办公室发布的标准检查表进行。通过查阅文件、访谈以及依据波多里奇卓越模型观察流程来收集数据。在确认检查表的有效性和可靠性后，我们从以下4个领域评估了该医院各科室本科医学教育国家标准的建立水平：教育项目、评估、培训与研究资源以及教职员工。根据本科医学教育中与门诊教育相关的国家标准以及波多里奇评分表对数据进行分析。最后，将现状的质量水平确定为非常适宜、适宜、中等、薄弱和非常薄弱。在教育项目领域，62%的标准适宜；在评估领域，48%的标准适宜；在培训与研究资源领域，46%的标准适宜；在教职员工领域，68%的标准适宜；总体比例为56%的标准适宜。最成功的领域是教育项目和教职员工，但评估以及培训与研究资源领域表现中等。一些领域和指标被确定为薄弱，其质量需要改进，因此建议关注门诊教育国家标准的质量水平，提供必要的设施并进行改进。
