فهرست مطالب ali akbar rohani

Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018.

This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05.

Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction.

policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.

The patient-centered approach improves the quality of health care. Promoting this approach will increase the patients’ satisfaction and improve interpersonal skills among health care providers.

The aim of the current study was to compare the viewpoints of interns toward the patient-centered approach in the beginning and the end of the internship at the Kerman University of Medical Sciences (KUMS).

This longitudinal study was carried out at KUMS between March 2017 and July 2018. All medical students who had passed the internship entrance exam were selected through a census. The Persian version of the patient-practitioner orientation scale (PPOS) was completed at the start and the end of the internship. This instrument has 18 items in two 9-item subscales: sharing and caring. The minimum and maximum scores were 1 to 6, respectively. The higher the score, the more the patient-centered orientation. The data were analyzed by SPSS using independent and paired t-tests, ANOVA, and multiple linear regression.

The mean scores of PPOS were 3.92 ± 0.42 and 3.86 ± 0.37 at the beginning and the end of the internship, respectively. This difference was not statistically significant. The mean score of the caring subscale significantly increased during internship but no significant change was found in the mean score of the sharing subscale.

The results of our study showed that the patient-centered attitude toward patient caring improved during the internship in the majority of interns but no significant improvement was found in terms of patient sharing. Significant progress can be made in the quality of physician-patient communication and patient satisfaction if necessary training programs are run on patient-centeredness.

Due to the importance of patient safety, it is necessary that health care providers have sufficient knowledge and positive attitude toward this issue. Therefore, current study aimed to evaluate the patient safety viewpoint among trainees in internship and residency programs in Kerman University of Medical Sciences (KUMS). A cross-sectional study carried out on 275 trainees in internship and residency in KUMS, 2018. The data collection tool was the Persian version of World Health Organization, Patient Safety questionnaire which evaluates medical students’ knowledge (7 items) and attitude (35 items) toward patient safety. The minimum and maximum score was 7 and 35 for knowledge and 30 and 150 for attitude section. Data analyzed by SPSS 19 using T-test, ANOVA, and multiple linear regressions. The mean score of participants' knowledge was 19.63 which were significantly lower than the considered average. The mean score of participants' attitude was 97.33 which was considered higher than the average. Residents had higher knowledge and attitude scores compared to interns. A significant relationship was found between the knowledge score and age and the time spent in the current educational level. Our study showed that knowledge and attitude of interns and residents was almost moderate toward patient safety. The residents had a higher attitude and knowledge than interns. This is probably due to more work experience and training courses provided at the beginning of the residency program. Therefore, it is imperative that patient safety topics be considered in medical curriculum planning.

The number of research misconduct cases seems to be increasing so the need for developing a disciplinary charter of research misconduct is felt more than ever. This study was aimed to propose and develop a charter to determine types of research misconduct and dealing with them.

In this qualitative study, three consensus rounds were conducted. Each round consisted of five to six qualified experts with related specialties. They included one member of academic staff with sufficient experience in research management, two experts in professional ethics, and two experts in legal affairs. Each session lasted for 1.5 to 2 hours. Based on an extensive literature review and personal experiences, the different types of research misconduct were extracted in the first two sessions and in the third round, agreement on classification of research misconduct was made

In general, 49 types of research misconduct were explored and defined including 17 mild, 22 moderate and 10 severe ones. Based on the severity of each type, an appropriate penalty like "verbal warnings and summons" to "early retirement with reduced payment base" was determined. Finally the expert panel made some comments.

The results of this study revealed different types of research misconduct and dealing with them. Such an understanding can lead to a better design of national charters compatible with Iranian culture and it can also be as a base for preventive interventions