سمیه اولادی قادیکلایی

In order to evaluate the performance of teaching hospitals, the patterns of accreditation system as one of the most important packages of transformation and innovation plan in medical education, considered by the Ministry of Health. One of the serious challenges of the educational accreditation program is the use of a same standard set to evaluate the educational programs of the educational-medical centers. The aim of this study was to determine the effect of a comprehensive program for evaluating performance of educational system as results of evaluation and educational accreditation of Dr. Shahid Beheshti Hospital in Babol.

This quasi –experimental study was performed in Shahid Beheshti hospital in Babol in 1397. A comprehensive program for evaluating performance of educational system was developed by accreditation team through the method of brainstorming and reviewing texts. The program was piloted for six months. The evaluation results of the years of 1397 and 1398 were extracted from the countrychr('39')s accreditation system and compared with our data.

The score obtained before and after the intervention was 242 points and 445 points, respectively. The results showed that the most effect of the comprehensive program in the domain of monitoring and evaluating the performance of the educational system (86.1%) and the least effect was seen in the field of clinical research (44.48%).

Due to the significant increase in points obtained from the evaluation in 1397 compared to the past and improving the educational status of the center, as well as the high satisfaction of the executive management team, it is suggested that a comprehensive program to evaluate the performance of the educational system as a model for the principled and effective implementation of accreditation used in other centers.

The goal of clinical training in Medical education is achievement the minimum skills expected of medical graduates. In order to educate capable, responsible and responsive to community needs graduates, in addition to clinical course examinations & assessments it seems necessary to asses of clinical competence at the end of the internship. The aim of this study was to Evaluate Medical Intern's Competence Based on Objective Structured Clinical Examination (OSCE) in Babol Medical University of Sciences in 2016. This Cross-sectional study was conducted on 28 of senior students of Babol University of Medical Sciences to evaluate their clinical competence in 2016. The test includes 15 stations (8 Question was essential and 5 questions was nonessential) that was designed based on the instructions of the Ministry of Health & Medical and Education. The test's reliability and validity was determined by the expert panel. Data were analyzed using SPSS software (version 21) and using descriptive and analytic statistics and independent t-test, paired t-test, Pearson coefficient. P<0.05 was considered significant. the acquired mean score by participants was 15.81±0.93. The Students has been achieved the highest mean score in both eyes (20) and internal diseases (19.07±1.01) stations. They received the lowest mean score in gynecology station (11.68± 2.9). More than 50% of students had been in the poor to moderate rang Neurological & health stations. Pearson correlation coefficient showed significant relationship between the mean score & the average score of students before the pre-internship course. (p<0.05)(r= 0.49), while this test showed no significant relationship between mean score and age (P> 0.05). T-test showed significant relationship between in two group's essential & non-essential station. (p<0.05) According to acquired scores in neurology, Health & gynecology stations that has been in the poor to moderate rang, attention to educational facilities such as holding clinical educational workshops, further use of the Clinical Skills Lab as well as taking advantage of educational videos and practice under supervision seems to be necessary to achieve educational goals

Evaluating quality of health and medical care is considered as an essential criteria to promote the care's quality that can lead to improve the results of programs and their efficacy. One of the methods to assess the quality of care is Bruce model which can detect the weak units and eliminate the shortages. This study was performed with aim to evaluate the quality of postpartum care Based on Bruce Model in medical health centers of Mashhad. This cross-sectional study was performed on 500 qualified mothers from 19 medical and health centers in Mashhad in 2013-2014. The samples were selected by multi-stage sampling method. Data collection tool included demographic questionnaire and care evaluation check-list based on Bruce model which included 6 aspects of technical skills, training and consultation, inter-personal relationship, informed selection, follow-up mechanism, organizing the services and conditions. Data was analyzed by SPSS software (version 16) and descriptive-analytical statistics. P Total quality of postpartum cares was moderate. In this study, technical qualification (clinical examinations) and training and consultation in postpartum care were weak. Other aspects including technical qualification (history), inter-personal relationship, follow-up mechanism, and informed selection were moderate. Based on the Kruskal-Wallis test, there was difference between mean scores of different aspects of quality in Mashhad health centers except in the aspect of follow-up mechanism (P<0.05). With regard to the poor quality of clinical examinations and training and consultation in these cares and their effects on preventing from postpartum complications, it is recommended to do more studies about the cause of weak quality of these cares.