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professional competence

در نشریات گروه پزشکی
  • Imaneh Asgari*, Mostafa Dehghani Poudeh, Bijan Movahedian Attar, S.Mojtaba Hosseini Dinani, Parisa Golkar, Mohammad Dadgostarnia
    Objectives

    Entrustable professional activities (EPAs) are independent tasks or responsibilities that trainees can perform once they have competence. This article presented the development of EPAs for general dentistry, focusing on oral surgery and restorative dentistry. The study aimed to create a set of EPAs that can be utilized to train and evaluate dental students in Iran.

    Methods

    This qualitative pilot study was conducted in multiple phases. First, a focus group was formed, and their opinions were collected in three alternating rounds. After extracting the statements focusing on two fields of general dentistry curriculum, they were refined, and the importance and occurrence of the tasks were evaluated. Then, the EPA statements were categorized and validated based on the modified criteria. The EPAs were also evaluated regarding the competencies defined by the Ministry of Health of Iran and the American Dental Education Association.

    Results

    The study identified six EPAs for general dentistry in the fields of oral surgery and restorative dentistry. These EPAs encompassed various tasks such as gathering patient information, making accurate diagnoses, developing treatment plans, performing surgical and restorative procedures, and demonstrating advanced skills in treatment implementation. The EPAs aligned with the expected competencies for a dental graduate and could serve as a framework for curriculum design, assessment planning, and tracking students' progression.

    Conclusion

    EPA development in general dentistry, specifically in oral surgery and restorative dentistry, offered a standardized and comprehensive approach to evaluating the competence of dental learners. By integrating EPAs into dental education, educators can ensure that students acquire the necessary abilities in independent dental practice. Although this study provided a solid foundation for implementing EPAs in dental education, further research and evaluation are necessary to assess their effectiveness and practicality.

    Keywords: Medical Education, Undergraduate, Dental Education, Professional Competence, Professional Practice
  • طاهره توفیقیان، حسن رضا زین آبادی*، بیژن عبداللهی، حسین عباسیان
    زمینه و هدف
    ایده اصلی پژوهش حاضر بر این اصل استوار است که در تکاپوی ایجاد تحول و دستیابی به کیفیت و تعالی دانشگاه، نقش تعیین کننده مدیران گروه های آموزشی مورد غفلت واقع شده است. این تحقیق به منظور پوشش دادن این خلا علمی در کشور، به ارائه مدل بالندگی مدیران گروه دانشگاه های علوم پزشکی ایران پرداخته است.
    مواد و روش ها
    این پژوهش از حیث هدف، کاربردی و از نظر شیوه گردآوری داده ها، پژوهش کیفی از نوع تحلیل مضمون است. جامعه آماری پژوهش، منابع مرتبط شامل ادبیات و اسناد موجود در زمینه وظایف مدیران گروه های آموزشی دانشگاه های برتر جهان و بالندگی حرفه ای مدیران گروه های آموزشی می باشد. پس از بررسی منابع استخراج شده 45 منبع به عنوان نمونه هدفمند انتخاب شدند. تجزیه وتحلیل داده ها به روش کدگذاری و تحلیل مضمون انجام و به منظور اعتباربخشی داده ها، از روش کینگ و همکاران استفاده شد.
    یافته ها
    پس از تحلیل داده ها، در مجموع 59 مضمون پایه و 6 مضمون سازمان دهنده ذیل دو مضمون فراگیر شامل: «رهبری علمی (دانشگاهی)» و «رهبری اداری» شناسایی شدند. مضمون رهبری علمی دارای 2 مضمون سازمان دهنده (رهبری تعالی آموزش و رهبری تعالی پژوهش) و مضمون فراگیر رهبری اداری نیز دارای 4 مضمون سازمان دهنده (اداری-اجرایی؛ مدیریت مالی؛ روابط انسانی و مدیریت منابع انسانی) می باشد.
    نتیجه گیری
    رویکرد پژوهش حاضر در حرکت از وظایف به سمت شایستگی و از شایستگی به سمت بالندگی، نقطه قوت پژوهش حاضر است؛ به عبارت دیگر، الگوی ارائه شده در پژوهش حاضر، می تواند در زمینه های مختلف اعم از طراحی برنامه های بالندگی حرفه ای مدیران گروه ها، تعیین شرح شغل مدیران گروه ها، تعیین ضوابط و شاخص های انتخاب و انتصاب مدیران گروه ها مورد استفاده قرار گیرد.
    کلید واژگان: مدیر گروه، گروه آموزشی، رشد و بالندگی، شایستگی حرفه ای، دانشگاه علوم پزشکی
    Tahereh Tofighiyan, Hassanreza Zeinabadi *, Bijan Abdollahi, Hossein Abbasian
    Introduction
    The main idea of the current research is based on the principle that the decisive role of heads of academic departments in educational groups has been neglected in efforts to create transformation and achieve quality and excellence at universities. To address this scientific gap in the country, this research presents a development model for the heads of academic departments in Iran's Medical Sciences Universities.
    Materials and Methods
    This research is applied in terms of purpose and is classified as qualitative research based on thematic analysis for data collection. The statistical population of the study consisted of resources related to the heads of academic departments at the world's top universities and the development of these leaders. After reviewing the sources extracted from various databases, 45 resources were purposefully selected. Data were analyzed using coding and thematic analysis methods, and King et al.'s validation methods were employed to ensure data reliability.
    Results
    After data analysis, 59 basic themes and 6 organizing themes were extracted from two global themes. The results indicated that the development model for heads of academic departments can be summarized in two global themes: "Academic Leadership" and "Administrative Leadership." The Academic Leadership theme comprises two organizing themes (Leadership of Educational Excellence and Leadership of Research Excellence). Additionally, the global Administrative Leadership theme includes four organizing themes (Administrative-Executive, Financial Management, Human Relations, and Human Resources Management).
    Conclusion
    The strength of the current research lies in its approach of moving from tasks to competence and from competence to growth. In other words, the model presented in this research can be applied in various fields, including the design of development programs, the formulation of job descriptions, and the establishment of criteria and indicators for the selection and appointment of heads of academic departments.
    Keywords: Heads Of Academic Departments, Education Department, Growth, Development, Professional Competence, Medical Sciences Universities
  • Amir Siddiqi, Jafar Beikzad*, Farhad Nejadhaji Ali Irani, Ahmad Vedadi
    Background

    Emergency medical services (EMSs) can be considered as the health system’s main pillars. The competence of emergency medical technicians (EMTs) plays a vital role in reducing accident mortality rates. This research aims to design a professional competence model for the EMTs of the National Emergency Medical Organization (NEMO).

    Materials and Methods

    This is a mixed-method study. The main concepts for the model were first extracted through a literature review. Then, the opinions of 10 experts were used during three focus group discussion (FGD) sessions to localize and confirm the model. The opinions of 15 experts in accident and disaster risk management were used to measure the content validity of the model. 

    Results

    The final model included five main themes (attribute, knowledge, skill, ability, and attitude), 11 sub-themes (physical health, mental health, professional knowledge, organizational knowledge, clinical skill, technical skill, managerial ability, cognitive ability, professional ability, individual attitude, and organizational attitude), and 47 categories. The results of the content validity test showed that the model and its items were acceptable and valid.

    Conclusion

    The designed model covered all domains required for the professional competence of EMTs and is a comprehensive and valid model tailored to national and international standards, which can be used as an adequate model in other countries.

    Keywords: Professional Competence, Emergency Medical Technicians (Emts), Pre-Hospital Emergency
  • زاهر عاشور*، حسن دانشمندی، حسین فکوررشید
    مقدمه
    ژیمناستیک رشته ای کاملا رقابتی در سراسر جهان است. ابزار اندازه گیری فانکشنال ژیمناستیک مجموعه ای از ده آزمایش است که آمادگی جسمانی ژیمناست ها را ارزیابی می کند. فرایند اندازه گیری عملکردی در ژیمناستیک اهداف مختلفی را دنبال می کند. هدف از این مطالعه بررسی این است که آیا نمره کل در ابزار اندازه گیری فانکشنال ژیمناستیک با کلاس بندی مهارتی فنی ژیمناست های رقابتی مرد ارتباط دارد؟
    مواد و روش ها
    این پژوهش با استفاده از طرح میدانی و روی ژیمناست های پسر 7 تا 17 ساله از استان گیلان که در مسابقه ژیمناستیک دو بخشی شامل حرکات زمینی و پرش خرک شرکت کرده بودند، انجام شد. این نمونه ها به روش نمونه گیری در دسترس و به صورت غیر تصادفی انتخاب شدند. برای بررسی رابطه بین متغیرها از آزمون هم بستگی پیرسون و اسپیرمن استفاده شد. تجزیه وتحلیل داده ها با استفاده از SPSS نسخه 23، با سطح معنی داری (0/05≥P) انجام شد.
    یافته ها
    نتایج آزمون های ضریب همبستگی نشان داد که بین نمرات ابزار اندازه گیری عملکردی ژیمناستیک و نمره مهارت فنی حرکات زمینی و همچنین نمره فنی کامل مسابقه رابطه مثبت و معناداری وجود دارد؛ اما از نمره مهارت فنی پرش خرک، هیچ رابطه معنی داری یافت نشد.
    نتیجه گیری
    به نظر می رسد نمره حاصل از ابزار اندازه گیری عملکردی ژیمناستیک پذیرفتنی است و ارزیابی مهارت فنی ژیمناست ها را فراهم می کند، بنابراین نمرات آزمون های اندازه گیری حرکتی عملکردی، مدل پیش بینی مناسبی از مهارتی فنی را در اختیار مربیان و ورزشکاران ژیمناستیک قرار می دهد.
    کلید واژگان: مطالعه اعتبارسنجی، وضعیت عملکردی، ژیمناستیک، طب ورزشی، آسیب های ورزشی، صلاحیت حرفه ای
    Zaher Ashour *, Hassan Daneshmandi, Hossein Fakoor Rashid
    Introduction
    The Gymnastics Functional Measurement Tool is comprised of 10 tests. The purpose of this study was to investigate the relationship between the overall score on the gymnastics functional measurement tool and the technical skill class of competitive male gymnasts.
    Methods
    This field design research was conducted on 25 boy gymnasts, aged 7 to 17, from Guilan province, who competed in a two-part gymnastics competition (floor exercise and vaulting). The sample was selected by a non-random sampling method. The results of the competition in the technical skill classification of the athletes were obtained with the coordination of the Guilan Province Gymnastics Federation and after one week of the competition and having enough time for physical recovery and intervention avoidance, a functional movement measurement test (GFMT) was taken for each participant on their usual training day and time and after proper warm-up. Pearson and Spearman correlation tests were used to check the relationship between variables. The data were analyzed using SPSS software, with a significance level of P≤0.05.
    Results
    The correlation coefficient tests revealed a positive and significant relationship between the gymnastics functional measurement tool scores and the technical skill score of ground movements, as well as the overall technical score of the competition. There was no significant relationship between the gymnastics functional measurement tool scores and the vaulting technical skill score.
    Conclusion
    It seems that the gymnastics functional measurement tool evaluation score, which assessed gymnasts’ technical skill, had an adequate level of accuracy.
    Keywords: Validation Study, Functional Status, Gymnastics, Sports Medicine, Athletic Injuries, Professional Competence
  • Rebecca Mathew, Judith Angelitta Noronha, Shalini Ganesh Nayak*
    Introduction

     This study addresses the imperative in contemporary nursing education to prepare students for diverse healthcare settings by exploring nursing students’ expectations and perceptions of preceptorship programs, emphasizing the role of evidence-based educational strategies. The research aims to bridge the existing literature gap and contribute valuable insights into strategically designing preceptorship programs aligned with nursing students’ needs, preferences, and aspirations, ultimately enhancing precepting practices and relationships within nursing education.

    Methods

     Employing a sequential explanatory mixed method, 140 nursing students, from various colleges in the United Arab Emirates (UAE) participated in the study. A structured questionnaire, encompassing demographic information, a need assessment survey, and a survey on expectations on preceptors was administered. A focus group discussion was conducted to identify perceived barriers to the utilization of preceptorship practices in nursing colleges. Data analysis involved descriptive statistics, the chi-square test, exploratory factor analysis, and content analysis of the focus group discussion.

    Results

     The majority of participants expressed a high need for a preceptorship program, providing empirical evidence to support the development of a nurse educator preceptorship program in colleges and institutes. Preceptorship was identified as a significant contributor to career growth and achievement for nursing students, serving as a valuable tool to establish professional competency throughout their careers.

    Conclusion

     There is a complex demand and high expectations for the core role of nurse educators as preceptors in the field of nursing education. This pioneering study sheds light on the need and perception of nursing students for a preceptorship program in the nursing curriculum.

    Keywords: Expectation, Factor Analysis, Preceptors, Preceptorship, Professional Competence, Students, Nursing, Quality Education
  • Nakysa Hooman

    Training in pediatric nephrology officially started in 1990 in Iran, and since then, 143 pediatric nephrologists have been trained. The first curriculum was published in 2009 and has been revised twice. The timetable consists of a two-year program to train them by anticipating the prerequisite clinical skills and problem-solving thinking to apply in their upcoming careers. The training program accepts one fellow per year for each qualified training center. Until now, the ratio of pediatric nephrology is 5.6 per one million children.

    Keywords: Education, Teaching, Professional Competence, Nephrology, Pediatrics
  • محمدعلی قاسمی درزی، مهرداد ساروی*، همت قلی نیا، فاطمه جعفریان
    سابقه و هدف

    باتوجه به اهمیت آموزش درست دانشجویان پزشکی جهت ارتقا توانایی های حرفه ای آنان به سطوح بالا، در این مطالعه برآن شدیم تا به بررسی تاثیر برنامه آموزشی در رضایتمندی کارورزان از توانمندی حرفه ای خود در بخش آموزشی بیماری های قلب و عروق بپردازیم.

    مواد و روش ها

    طی این مطالعه کارورزان پس از بررسی معیارهای ورود و خروج وارد مطالعه شدند. سپس از ایشان خواسته شد که به پرسشنامه محقق ساخته پاسخ دهند. اطلاعات مورد نیاز به همراه اطلاعات دموگرافیک جمع آوری و ثبت شده، مورد تجزیه و تحلیل صورت گرفت.

    یافته ها

    153 نفر وارد مطالعه شدند. میانگین سنی افراد برابر با 24/1± 39/25 سال بود. 4/48% افراد شرکت کننده مرد و 6/51% زن بودند. نتایج نشان داد که برنامه آموزشی با سن، جنس و معدل شرکت کنندگان در ارتباط نبود اما تاثیر معنی داری در توانمندی حرفه ای آنان داشت (05/>P value).

    نتیجه گیری

    این مطالعه نشان داد که جهت رسیدن به توانمندی حرفه ای مطلوب، نیاز است تا به عوامل موثر خصوصا برنامه آموزشی توجه ویژه ای نمود و با تدوین برنامه ی آموزشی مناسب می توان به ارتقای توانمندی حرفه ای کارورزان پرداخت.

    کلید واژگان: توانمندی حرفه ای، برنامه آموزشی، دوره کارورزی پزشکی
    Mohammadali Qasemi Darzi, Mehrdad Saravi*, Hemmat Gholinia, Fatemeh Jafarian
    Background and Objective

    Considering the importance of appropriate training of medical students to improve their professional abilities to high levels, in this study, we decided to examine the impact of the educational program on the satisfaction of interns with their professional competence in the educational department of cardiovascular diseases

    Methods

    During this study, the interns entered the study after checking the entry and exit criteria, and then they were asked to answer the questionnaire made by the researcher, the required information along with the demographic information was collected and analyzed.

    Findings

    153 participants were included in the study, the average age of subjects was equal to 25/39 ±24/1 and 48/4% were men and 51/6% were women. The results indicated that the educational program was unrelated to participants' age, gender, or grade point average, but significantly impacted their professional ability. (p-value<0.05).

    Conclusion

    This study showed that to achieve the desired professional capability, it is necessary to pay special attention to the effective factors, especially the training program, and by developing a suitable training program, the professional ability of interns can be improved

    Keywords: Professional Competence, Education Program, Medical Internship
  • Payam Mahmoudian, Mehdi Jafari*, Eric De Roodenbeke, Mohammadreza Maleki
    Background

    Within the public sector, health managers occupy positions that are typically filled by individuals with a medical, clinical, or nursing experience who are entrusted with assuming an additional role. The primary objective of this study was to employ a scoping review methodology to ascertain a cluster of prevalent subjects encompassing the development of a proficient health care manager.

    Methods

    The purpose of this scoping review study was to identify critical components in the field of management professionalization, as described by Arksey and O'Malley. A total of 13 studies, characterized by predefined keywords, were meticulously culled from Scopus, Web of Science, PubMed, and Embase, Magiran, and SID databases. The inclusion and exclusion criteria considered factors such as language, temporal relevance, redundancy, thematic alignment with the professionalization domain, and congruence with the overarching objectives and methodologies of the present investigation. Subsequently, the contents of the selected studies were subjected to rigorous thematic analysis and judicious categorization using a framework analysis approach.

    Results

    From a total of 10,117 articles, a rigorous selection process yielded 13 articles to be included in this study. The identified dimensions are classified and elucidated across 6 overarching domains; namely, the science of management, educational trajectory, and curriculum, cultural infrastructure and ideologies, standards, professional institutions and associations, and licenses and certifications.

    Conclusion

    To enhance the efficacy of health management, policymakers and planners ought to adeptly incorporate these dimensions within the framework of the country's health system.

    Keywords: Professionalism, Professionalization, Profession, Organization, Administration, Professional Competence
  • عبدالمجید مصلح، زعیمه نعمت الهی، غلامرضا دشتی منش، مجید اسدی، سید محمود سجادی جزی*
    زمینه و هدف

    پژوهش حاضر به دنبال شناسایی شایستگی ‏های مورد نیاز مدیران در نظام سلامت و طراحی مدل شایستگی می ‏باشد. به علاوه این تحقیق به دنبال اولویت ‏بندی شایستگی ‏های شناسایی شده می ‏باشد. ویژگی منحصر به ‏فرد این تحقیق تمرکز بر دانشگاه‏ های علوم پزشکی و ارایه راهکارهای عملیاتی برای ارتقای شایستگی مدیران در این حوزه می ‏باشد.

    روش

    این تحقیق در دو مرحله انجام شد. در مرحله اول شایستگی‏ های مورد نیاز مدیران با انجام مصاحبه با خبرگان و مطالعه ادبیات موضوع شناسایی و مدل شایستگی طراحی شد. در مرحله دوم با استفاده از روش‏ بهترین- بدترین گزینه، شایستگی‏ های شناسایی شده اولویت‏ بندی شدند.

    یافته‏ ها:

     پس از بررسی ادبیات موضوع و مصاحبه با متخصصان و مدیران نظام سلامت، تعداد 59 متغیر به عنوان شایستگی ‏های نهایی در هرم چهار سطحی شایستگی مدیران قرار گرفت. در سطح پایه، شایستگی ‏های زیربنایی، سپس شایستگی ‏های نگهدارنده و تقویت‏ کننده و در بالاترین سطح شایستگی ‏های متعالی قرار می ‏گیرند. در بین شایستگی ‏های زیربنایی، متغیرهای مسیولیت ‏پذیری، تفکر سیستمی و کارگروهی؛ در بین شایستگی ‏های نگهدارنده، متغیر توانایی حل مسیله؛ در بین شایستگی ‏های تقویت ‏کننده، متغیرهای برنامه ‏ریزی و سازماندهی و مدیریت منابع انسانی و در بین شایستگی ‏های متعالی، متغیر نگرش بهبود مستمر به عنوان مهم‏ترین متغیرها شناسایی شدند.

    نتیجه‏ گیری: 

    شایستگی ‏های زیربنایی بیشتر به ویژگی ‏های شخصی افراد مرتبط می ‏شود و پایه و اساس موفقیت مدیران است. نبود شایستگی ‏های نگهدارنده باعث عدم موفقیت مدیران می ‏شود و وجود آن‏ها به تنهایی لازمه موفقیت نیست. شایستگی ‏های تقویت ‏کننده دربرگیرنده شایستگی ‏های مدیریتی و تخصصی شغلی است و وجود این شایستگی‏ ها به بهبود عملکرد و افزایش اثربخشی کمک می کند. شایستگی ‏های متعالی به عنوان بالاترین سطح شایستگی، باعث موفقیت نهایی مدیران در سازمان می شود.

    کلید واژگان: ارائه مراقبت های بهداشتی، صلاحیت حرفه ای، مدیران تسهیلات بهداشتی
    Abdolmajid Mosleh, Zaeeme Nematolahi, Gholamreza Dashtimanesh, Majid Assadi, Sayed Mahmoud Sajjadi-Jazi*
    Background

    This study aims to identify necessary competencies for managers in the healthcare system and design a competency model. Additionally, this research prioritizes the identified competencies. The unique feature of this study is focus on medical universities and providing practical solutions to enhance the competency of managers in this field.

    Methods

    This research was conducted in two phases. In the first phase, necessary competencies for managers were identified using interviews with experts and literature review. Subsequently, a competency model was designed. In the second phase, using the best-worst method, identified competencies were prioritized.

    Results

    After reviewing literature and interviewing healthcare experts and managers, 59 variables were identified as final competencies in a four-level competency pyramid for managers. At the base level are foundational competencies, followed by maintenance and enhancement competencies, and at the highest level are advanced competencies. Among foundational competencies, responsibility, systems thinking, and teamwork were identified as important variables. Among maintenance and enhancement competencies, problem-solving ability was found to be crucial. Planning and organizing as well as human resource management were important variables among enhancement competencies. Finally, continuous improvement attitude was identified as the most important variable among advanced competencies.

    Conclusion

    Foundational competencies are generally related to personal characteristics of individuals and are the basis of manager success. Absence of maintenance competencies leads to failure of managers, and their presence alone is not necessary for success. Enhancement competencies includes managerial and job-specific competencie, the presence of which helps improve performance and increase effectiveness. Advanced competencies as the highest level of competency lead to ultimate success of managers in the organization.

    Keywords: Delivery of Health Care, Health Facility Administrators, Professional Competence
  • عبدالعلی محقق زاده*

    در این پژوهش سعی بر آن است که ضمن بررسی عملکرد و منش استاد پیشکسوت دانشکده داروسازی اصفهان، دکتر فریبرز معطر، برخی ویژگی های استاد و ریشه های آن استخراج و به دانشجویان، نسل جوان و استادان دانشگاه ها و سیاست گذاران سیستم آموزشی معرفی شود. شیوه مطالعه در این تحقیق براساس بررسی مستندات در دسترس (کتب، سرگذشت علمی، پایان نامه ها، تصاویر و سایر) و انجام مصاحبه با شخص استاد، همکاران و دانشجویان سابق ایشان است. نتایج به دست آمده در قالب پیشینه، شیوه آموزش، شاگردپروری (الگوی جذب دانشجو، اعتماد به دانشجو، ایجاد اعتمادبه نفس، مهربانی، خیرخواهی، عشق به دانشجو، صبوری در تنش ها، آموزش عملی حفظ شیون دانشگاه، آموزش عملی احترام به استادان، دانشجویان و کارکنان و عملیاتی کردن نتایج تحقیقات در عرصه تولید)، تعامل و نوع رابطه با همکاران دانشگاهی، میراث داری پیشینیان توام با آینده نگری و مکتب گیاهان دارویی و فارماکوگنوزی تقسیم بندی شده و مورد بحث قرار گرفته است. امید است بررسی هایی ازاین دست سبب بازنگری و روزآمدشدن قالب شیون استادی براساس رسالت های اساسی دانشگاه مانند شاگردپروری، آموزش پاسخگویی به نیاز جامعه، توجه ویژه به منش اخلاقی و به طور کلی استاد الگو و بافضیلت باشد.

    کلید واژگان: صلاحیت حرفه ای، فارماکوگنوزی، گیاهان دارویی
    Abdolali Mohagheghzadeh*

    This research has endeavored to examine the performance and character of the pioneer professor of Isfahan Faculty of Pharmacy, Dr. Fariborz Moattar, to acknowledge characteristics of the model professor and their roots, and to introduce them to students, the young generation of university professors, and educational policymakers. The study method in this research is based on a review of available documents (books, academic resume, theses, pictures, etc.) and interviews with the professor, his former students and colleagues. The results were arranged and are discussed as follows: background; teaching model; discipleship (model of attracting students; trust in students, instilling self-confidence in students; kindness and benevolence for students; patience in tensions and practical maintenance of university dignity; practical training of respect for professors, students and personnel; operationalization of research results in the field of production); relationship with academic colleagues; inheritance of predecessors with foresight; and the school of medicinal plants and Pharmacognosy. It is hoped such studies will lead to revision and updating of the format of professorships based on the basic missions of the university, such as discipleship, education responsive to the needs of society, and special attention to ethical character and in general, a mentor and virtuous professor.

    Keywords: Professional competence, Pharmacognosy, Medicinal plants
  • مریم قائمی امیری، ابوذر میرزاپور، محمدمهدی نقیبی سیستانی*
    سابقه و هدف

      بررسی نظرات دانشجویان به منظور کسب مهارت های بالینی را می توان یکی از فعالیت های تسهیل کننده یادگیری در محیط بالینی دانست. بنابراین، نظر دانشجویان در مورد صلاحیت حرفه ای آنها جدا از نمرات بسیار مهم است. از این رو با توجه به عدم وجود داده های کافی در این زمنیه بر آن شدیم تا به بررسی توانمندی حرفه ای و عوامل مرتبط با آن در دانشجویان دندانپزشکی دانشگاه علوم پزشکی بابل با روش خود ارزیابی بپردازیم.

    مواد و روش ها

      پرسشنامه خودارزیابی طراحی شده بر اساس سر فصل های درسی دندانپزشکی شامل دروس اختصاصی که روایی و پایایی آن تعیین شده بود توسط دانشجویان تکمیل گردید. در انتها داده ها جمع آوری شدند و با استفاده از نرم افزار SPSS22 مورد تجزیه و تحلیل آماری قرار گرفتند. از تست های آماری کای اسکوئر، تست دقیق فیشر و تست یک طرفه ANOVA استفاده شد و سطح معناداری کمتر از 0.05 معنادار تلقی شد.

    یافته ها

     این مطالعه بر روی 50 دانشجو شامل 21مرد (42 درصد) و 29 زن (58 درصد) صورت گرفت. دانشجویان در بخش پروتز بیشترین و در بخش سلامت نگر کمترین امتیاز را از توانمندی  به خود اختصاص دادند. در کل مهارت دانشجویان در بخش ترمیمی بیشتر و در بخش جراحی دهان و دندان کمترین گزارش شد. هیچ ارتباط معناداری بین توانمندی حرفه ای دانشجویان دندانپزشکی با جنسیت یافت نشد.

    نتیجه گیری

     در مطالعه ی حاضر، میزان مهارت دانشجویان در بیشتر بخش ها از دیدگاه خودشان در حد خوب بود. لازم است دانشکده های دندان پزشکی تغییرات سازنده ای مطابق دیدگاه دانشجویان در یادگیری اعمال کنند تا با تشویق و رغبت بیشتر، منجر به یادگیری پایدار گردد.

    کلید واژگان: توانمندی حرفه ای، مهارت بالینی، دندانپزشکی
    M. Ghaemi, A. Mirzapour, MM. Naghibi*
    Background and purpose

    Examining students' opinions in order to acquire clinical skills can be considered as one of the activities that facilitate learning in the clinical environment. Therefore, the opinion of students about their professional competence is very important apart from the students. So we were able to study due to the lack of information in this area. Professional qualification and factors related to it in dental students of Babol University of Medical Sciences by self-assessment method.

    Materials and Methods

    A self-assessment questionnaire designed based on the chapters of dentistry courses that its reliability was determined and completed by students. After collecting data SPSS22 software was used for data analysis. Chi-square statistical tests, Fisher's exact test and one-way ANOVA test were used, and a significance level of less than 0.05 was considered significant.

    Results

    This study was conducted on 50 students including 21 men (42%) and 29 women (58%). Students scored the most in the prosthetics section and the lowest in the health section. In general, students' skills were reported to be higher in the restorative department and the lowest in the oral and dental surgery department. No significant relationship was found between the professional competence of dental students and gender

    Conclusion

    In this study, the level of students' skills in most sections was good from their point of view. It is necessary for dental schools to make constructive changes in learning according to the students' point of view, so that with more encouragement and desire, it will lead to sustainable learning.

    Keywords: Professional Competence, Clinical Skills, Dentistry
  • فاطمه هجرتی، مریم قائمی امیری، عفت خدادادی*
    سابقه و هدف

    آموزش پزشکی معمولا با آموزش علوم پایه زیست پزشکی آغاز شده و با یادگیری در دوره های بالینی پایان می یابد. سهم قابل توجهی از برنامه های آموزش بالینی در شکل دهی توانمندی های حرفه ای دانشجویان ضروری می باشد. ناکافی بودن تجربه بالینی در طول دوره تحصیل منجر به کاهش میزان یادگیری، افزایش استرس و ترس از ناتوانی در انجام کارهای بالینی می شود. بنابراین این مطالعه با هدف بررسی توانایی دانشجویان در انجام مهارت های بالینی به انجام رسید.

    مواد و روش ها

    پژوهش حاضر بصوزت مقطعی -توصیفی صورت پذیرفت. روش نمونه گیری به صورت سرشماری بود. پژوهشگر بعد از تهیه لیست دانشجویان، با حضور در بخشهای کلینیک به توزیع پرسشنامه پرداخت. داده ها پس از جمع آوری وارد نرم افزار SPSS شد و با شاخص های توصیفی و آزمون های تی تست مستقل، آنووا و ضریب همبستگی اسپیرمن مورد تجزیه و تحلیل قرار گرفتند و P < 0/05 معنی دار تلقی گردید.

    یافته ها

    در این پژوهش تعداد 71 نفر دانشجو دندانپزشکی شرکت کردند. تعداد دانشجویان دختر (7/57%) بیشتر از دانشجویان پسر (3/42%) بود. بیشتر دانشجویان دندانپزشکی دانشگاه علوم پزشکی بابل (2/59%) میزان توانایی خود را بالا ارزیابی کردند. در این مطالعه بیشترین میزان توانایی دانشجویان مربوط به کشیدن دندان های شیری بود و پایین ترین میزان توانایی در درمان بیماران با مشکلات سیستمیک گزارش شد.

    نتیجه گیری

    کمبودها در تجارب آموزشی مساله ساز هستند زیرا کیفیت تجارب آموزشی دندانپزشکی کودکان با نگرش و رفتار حرفه ای دندانپزشکان و تمایل آنها به ارائه انواع درمان های مختلف برای کودکان مرتبط است. بنابراین احتمال درمان کودکان توسط دندانپزشکان با تجربیات آموزشی بیشتر، بیشتر از دندانپزشکان با تجربیات آموزشی کمتر است.

    کلید واژگان: دموگرافیک، توانمندی حرفه ای، دندانپزشکی
    Fateme Hejrati, Maryam Ghaemi, Effat Khodadadi*
    Background and Objective

    Medical education usually begins with teaching basic biomedical sciences and ends with learning in clinical courses. A significant contribution of clinical education programs is essential in shaping the professional abilities of students. The insufficiency of clinical experience during the study period leads to a decrease in the amount of learning, an increase in stress and the fear of being unable to perform clinical tasks. Therefore, this study was conducted with the aim of investigating the ability of students to perform clinical skills by self-assessment method.

    Methods

    The current research was cross-sectional and descriptive. After preparing the list of students, the researcher attended the clinic departments and distributed the questionnaire. After collecting the data, they were analyzed using SPSS (with descriptive indices and independent t-tests, ANOVA and Spearman's correlation coefficient) and P < 0.05 was considered significant.

    Findings

    71 dental students participated in this research. The number of female students (57.7%) was more than male students (42.3%). Most dental students of Babol University of Medical Sciences (59.2%) rated their ability as high. In this study, the highest level of students' ability was related to extracting milk teeth, and the lowest level of ability was reported in treating patients with systemic problems.

    Conclusion

    Deficiencies in educational experiences are problematic because the quality of children's dental educational experiences is related to the attitude and professional behavior of dentists. Therefore, dentists with more educational experiences are more likely to treat children than dentists with less educational experiences.

    Keywords: Demographic, Professional competence, Dentistry
  • Shahpari Zakeri Dehvostanezhad, Mahmoud Sabahizadeh, Kolsum Nami, Nadergholi Ghourchian
    Background

    This study was conducted with the aim of identifying indicators of social and emotional health competence of managers of education departments, as a case study of Bandar Abbas city.

    Methods

    This study wasapplied research conducted by descriptive-correlational method. In the first section, using content analysis method (interview with experts), 20 expertsattendin the field of educational sciencesand educational management.In the second, to design a structural-interpretive model, 15 experts were used to answer the questionnaire. Data collection was performed by a researcher-made questionnaire. The reliability of the questionnaire was confirmed by Cronbach's alpha coefficient, composite reliability coefficient and factor loads. The validity of the questionnaire was confirmed by content and construct validity.Analysis of descriptive indices and correlation matrix between them were performed with SPSS and model fit was examined with Smart PLS software.

    Results

    Factors affecting social and emotional competencies have high influence. Professional competencies, especially basic and teaching-related competencies have a significant effect on teachers' educational performance. Themes include 8 main variables about quality of work life, protectionism, realism, trust building, social commitment, job competence, individual and social competence.Weak, medium and strong value of the structural part of the model is determined by criterion of R2were 0.19, 0.33 and 0.33.

    Conclusion

    Emotional and social functioning and concurrent conditions among education and referral managers for the implementation of evidence-based interventions may be useful for the overall performance. The results of studyare useful for improving the emotional and social skills of education managers.

    Keywords: Administrative Personnel, Health, Mental Competency, Professional Competence, Social Skills
  • Champion N Nyoni, Anke van der Merwe, Benjamin S Botha, Cecille Fourie, Yvonne Botma, Mathys J Labuschagne, Riaan van Wyk
    BACKGROUND

    Simulation debriefing influences learning from healthcare simulation activities. Health sciences educators must be competent in conducting simulation debriefing for healthcare students. A structured faculty development intervention for health sciences educators must be informed by educator needs to enhance its utility. This paper describes the needs of health sciences educators regarding simulation debriefing at a faculty of health sciences.

    MATERIALS AND METHODS

    A parallel convergent mixed methods study design was applied on a selected population of 30 health sciences educators at the University (x) who integrate immersive simulation for first‑ to final‑year students in their undergraduate programs. The Objective Structured Assessment of Debriefing tool underpinned observations which informed the quantitative strand of the study, while semi‑structured interviews were conducted as part of the qualitative strand. Descriptive statistics and thematic analysis were used to analyze the data.

    RESULTS

    Health sciences educators struggled to establish the learning environment for simulation (median 1), facilitate learning (median 3), and evaluate their debriefing activities. However, they were able to apply an appropriate approach toward simulation (median 4). They identified the need to be educated on the fundamentals of simulation‑based education.

    CONCLUSION

    A continuing professional development program must be developed aimed at transforming approaches toward facilitating learning, explaining the fundamentals of simulation‑based education, modeling of best‑practices related to debriefing, and applying appropriate strategies for evaluating debriefing activities.

    Keywords: Needs assessment, professional competence, simulation training
  • مهناز تسلیمی*
    مقدمه

    مراقبان سلامت مدارس ، به عنوان منابع انسانی در دو حیطه آموزش و بهداشت در مدارس انجام وظیفه می نمایند که به عنوان فرد مستخدم دولت، موظف به ارتقاء حرفه ای خود هستند. این فرایند در افراد جدید استخدام یا با سابقه ، نیاز به توجه بیشتری دارد تا سواد سلامت به درستی به مخاطبان این گروه شغلی، منتقل شود.

    روش ها

    در این مقاله مروری، تطبیقی، سیستماتیک که در سال تحصیلی 1400- 1399 بر پایه روش مطالعات اسنادکاوی و تجربه محقق با هدف انتقال تجارب حرفه ای (مستندسازی دانش)، به شرح مصادیق توسعه حرفه ای بر اساس  تطبیق با مدل KSAB  - پرد اخته شد.

    یافته ها

    مصادیق مورد نیاز کسب شایستگی و توسعه حرفه ای مراقبان سلامت، ابتداء شرح داده شده است و در مدل تطبیق و مجزا شد. سپس  در 15 مقوله و 4 حیطه (دانش حرفه ای- توانایی حرفه ای- نگرش حرفه ای و مهارت حرفه ای) بر اساس مدل KSAB  ، احصاء شد.

    نتیجه گیری

    تعیین شاخص ها و مولفه ها بر اساس اجماع گروه متخصصان آموزشی و بهداشتی بر اساس نیاز مخاطبان میتواند ضمن تقویت تعهد و اخلاق حرفه ای، به رشد و بالندگی و رضایت شغلی کارکنان منجر شود. لذا مربیان بهداشت مدارس  و متولیان برای توسعه شایستگی های حرفه ای به طور مستمر بازنگری کنند.

    کلید واژگان: مراقب سلامت، مربی بهداشت، شایستگی حرفه ای، توسعه حرفه ای، آموزش و پرورش، مدل KSAB
    Mahnaz Taslimi*
    Introduction

    School health care providers work as human resources in two areas of education and health in schools, which are responsible for their professional development as government employees. This process requires more attention in newly hired or experienced people in order for health literacy to be properly conveyed to the audience of this occupational group.

    Materials and  Methods

    In this review, comparative, systematic article, which was conducted in the academic year of 2019, based on the method of document analysis studies and the researcher's experience, with the aim of transferring professional experiences (documentation of knowledge), the Items of professional development based on adaptation to the KSAB model were discussed.

    Findings

    The items required for the acquisition of competence and professional development of health care workers have been described in the beginning and were adapted and separated in the model. Then it was counted in 15 categories and 4 fields (professional knowledge-professional ability-professional attitude and professional skill) based on the KSAB model.

    Discussion and Conclusion

    Determining indicators and components based on the consensus of the group of educational and health experts based on the needs of the audience can strengthen the commitment and professional ethics, lead to growth and job satisfaction of employees. Therefore, school health educators and trustees should be constantly reviewed to develop professional competencies

    Keywords: Health care, Health educator, Professional competence, Professional developing, Education, KSAB Model
  • هما وجدانی، فاطمه طالبیان، علی مرادی، اکرم ثناگو*، لیلا جویباری
    مقدمه

    یکی از عوامل مهم در یادگیری و موفقیت دانشجویان، صلاحیت حرفه ای اساتید است. هدف این مطالعه تبیین درک دانشجویان پرستاری از صلاحیت حرفه ای اساتید بوده است.

    روش ها

    این پژوهش کیفی با استفاده از نمونه گیری مبتنی بر هدف با 12 دانشجوی پرستاری در سال 1401 در دانشگاه علوم پزشکی مازندران انجام شد. برای جمع آوری داده ها از مصاحبه های نیمه ساختار استفاده شد. نمونه گیری به صورت هدفمند شروع و تا رسیدن به اشباع داده ها ادامه یافت. برای آنالیز داده ها از روش Elo و Kyngas (2008)  در سه مرحله کدگذاری باز، ایجاد طبقه و انتزاعی سازی انجام شد.

    یافته ها

    از تحلیل داده ها سه مضمون اصلی شامل صلاحیت آموزشی (به روز بودن دانش اساتید، تخصص داشتن در رشته، قادر به انتقال مطلب بودن)، صلاحیت اخلاقی (الگوی رفتاری بودن، ظاهر آراسته، تفاوت قایل نبودن بین دانشجویان)، مدیریت کلاس (کلاس داری، داشتن طرح درس) استخراج شد.

    نتیجه گیری

    یافته ها بیانگر سه ویژگی آموزشی و اخلاقی و مدیریت کلاس یک استاد حرفه ای در پرستاری است. بکارگیری این ویژگی ها در مراکز اموزشی دانشگاه های علوم پزشکی، نه تنها در بدو ورود بلکه در طول خدمت اساتید می تواند کاربرد داشته باشد.

    کلید واژگان: صلاحیت حرفه ای، استاد، دانشجو، پرستاری
    H .Vejdani, F .Fatemeh Talebian, A .Moradi, A. Sanagoo*, L .Jouybari
    Introduction

    One of the important factors in learning and  students` success is the professional competence of teachers. The aim of this study is to explore nursing students' understanding of the professional competence of their teachers.

    Methods

    This qualitative study was conducted using purposive sampling with 12 nursing students in 2022 at Mazandaran University of Medical Sciences. Semi-structured interviews were used to collect data. Sampling continued until data saturation was reached. Elo and Kyngas' method was used for data analysis, which included three stages of open coding, creating categories, and abstraction.

    Results

    Three main themes were extracted from the data analysis, including educational competence (updating the knowledge of teachers, expertise in the field, ability to transfer knowledge), ethical competence (being a role model, having a presentable appearance, not discriminating among students), and classroom management (class management, having a lesson plan).

    Conclusion

    The findings revealed that three characteristics of educational, ethical, and classroom management competencies are essential for a professional nursing teacher. The implementation of these competencies in educational centers of medical universities can be useful not only at the beginning of their career but also throughout their service as teachers.

    Keywords: Professional competence, Teacher, Student, Nursing
  • نرگس تبریزچی*، محمدعلی محققی، حسین ملک افضلی، سید جمال الدین سجادی جزی، محمدجواد کبیر، باقر لاریجانی، علی اکبر حقدوست
    زمینه و هدف

    پزشکان خانواده برای انجام مسیولیت ها نیازمند داشتن توانمندی ها و مهارت های ضروری هستند. هدف از این مقاله معرفی این مهارت ها و تحلیل برنامه آموزشی دانشجویان پزشکی از نظر آموزش مهارت های ضروری است.

    روش

    این مطالعه به روش ترکیبی انجام شده است. ابتدا مقالات داخلی و بین المللی و در مواردی وبگاه دانشگاه ها یا سازمان های مرتبط با سلامت و آموزش پزشک خانواده به صورت هدفمند جستجو شد. با دسته بندی و تحلیل مطالب جمع آوری شده، فهرست مهارت ها استخراج شد. در گام بعد با برگزاری 8 جلسه بحث گروهی فهرست مهارت ها بررسی و بازبینی شد. در انتها برنامه آموزشی موجود با رویکرد پزشکی خانواده مورد بررسی و تحلیل قرار گرفت.

    یافته ها

    دانش و مهارت های مورد انتظار پزشکان عمومی به عنوان مدیر گروه پزشکی خانواده در شش حیطه کلان و 63 زیر حیطه دسته بندی و ارایه شد. حیطه های کلان عبارتند از: سلامت عمومی، مهارت های بالینی ضروری، اقدامات عملی، فناوری اطلاعات در سلامت، معنویت اسلامی، اخلاق و قانون و مهارت های نرم. در کل 26 واحد عملی و 25 واحد تیوری پیشنهاد شد.

    نتیجه گیری

    تحلیل برنامه آموزشی فعلی در شش حیطه کلان انجام شد و حوزه های مغفول مانده مهمی را آشکار کرد. توجه به این حوزه ها و برنامه ریزی در جهت رفع موانع آموزشی و فراهم کردن زیرساخت ها، لازم و ضروری است.

    کلید واژگان: آموزش پزشکی، پزشکان خانواده، صلاحیت حرفه ای
    Narges Tabrizchi*, MohammadAli Mohagheghi, Hossein Malekafzali, Seyed Jamaleddin Sajadi, MohammadJavad Kabir, Bagher Larijani, AliAkbar Haghdoost
    Background

    Family Physicians need to have necessary abilities and skills to fulfill health-related responsibilities. The purpose of this article is to introduce those skills and analyze the general medicine curriculum in terms of those skills.

    Methods

    This study was conducted using mixed methods. Initially, national and international articles and in some cases the websites of universities or organizations related to health and family physician education were searched in a targeted manner. A list of skills was extracted by categorizing and analyzing the collected materials. In the next step, the list of skills was reviewed and revised in eight group discussion sessions. Finally, the current general medicine curriculum was examined and analyzed from the family doctor’s perspective.

    Results

    The expected knowledge and skills of general practitioners as family medicine team managers were categorized and presented in six major areas and 63 sub-areas. The major areas include public health, essential clinical skills, procedures, medical information technology, Islamic spirituality, ethics and law, and soft skills. A total of 26 practical studies and 25 Lectures were offered.

    Conclusion

    The current general medicine curriculum was analyzed in six major areas and and important neglected areas were revealed. It is necessary to pay attention to these areas and plan to remove educational barriers and provide the necessary infrastructure.

    Keywords: Family Physicians, Medical Education, Professional Competence
  • Fatemeh Aliakbari, Tahereh Pirani, Mohammad Heidari*, Soleiman Kheiri
    Background

    It is necessary to prepare nurses for their important and accountable roles in disaster response teams. Given the lack of in-service training courses, nurses’ knowledge and skills in responding to disasters are lower than the desired level. This status can lead to nurses’ poor performance in caring for victims of disasters. This study aims to determine the effects of empowerment programs on nurses’ competence in disaster response.

    Materials and Methods

    A total of 70 nurses working in Ardal and Naghan hospitals in Chaharmahal and Bakhtiari Province, Iran, in 2020 were selected via a sampling method. One hospital was randomly selected as the intervention and the other as the control. The members of the intervention group were divided into 5 groups. Educational sessions were held in four 2-h sessions in one month. In addition, the intervention consisted of a 2-day workshop, hanging posters, and pamphlets that covered topics of competencies in disaster nursing.

    Results

    The results showed that the mean score of nurses’ competence score significantly increased in the intervention group (P=0.001); however, no significant difference was observed in the control group (P>0.05). Additionally, significant improvements were observed in all dimensions of competencies in the experimental group. The Mean±SD scores of the increase in different domains of nurses’ competencies were as follows: management, 16±4.6; ethical competency, 12±2.8; personal competency, 18±8.6; and technical competency, 30±9.3. 

    Conclusion

    According to other study results with the same scale in Iran, nurses’ competencies in disaster response are not desirable; therefore, it is recommended that nurses, administrators, and other members of the healthcare system use these results to improve nurses’ competencies through in-service training.

    Keywords: Empowerment, Professional competence, Nurse, Disasters
  • Fatemeh Vaseghi, MohammadHossein Yarmohammadian, Ahmadreza Raeisi
    Background

    Today’s health systems require the collaboration of diverse staff such as physicians, nurses, social workers, and other healthcare professionals. In addition to professional competencies, they also need to acquire interprofessional competencies. Effective interprofessional collaboration among healthcare professionals is one of the solutions that can promote the effectiveness of the health system using existing resources.

    Materials and methods

    A systematic review was conducted in 2021 according to the PRISMA and through searching Web of Science, Scopus, PubMed, ProQuest, Science Direct, Emerald, Springer Link, Google Scholar, SID, and Magiran databases. The official websites of WHO, United Nations, and World Bank were also searched. The time frame for the research was from 2010 to 2020, and included both the English and Persian languages. Out of 7267 initially retrieved articles, 17 articles finally met the quality evaluation criteria and were analyzed through qualitative content analysis. Then their full texts were retrieved and analyzed in MAXQDA software, and final results were categorized.

    Results

    Competencies have been explored in various areas of health care, especially in the clinical field. The competencies introduced were extracted and categorized into six domains of “patient‑centered care,” “interprofessional communication,” “participatory leadership,” “conflict resolution,” “transparency of duties and responsibilities,” and “teamwork.” The competence of “transparency of duties and responsibilities” was mentioned in all studies and is required for any collaboration.

    Conclusions

    Interprofessional competencies provide quality, safety, and patient‑centeredness through effective collaboration. Integrating interprofessional competencies into the educational curriculum, in‑service training, and continue education is essential to form effective interprofessional collaboration. 

    Keywords: Interprofessional relations, intersectoral collaboration, professional competence, systematic review
  • Zohrehsadat Mirmoghtadaie, Tahereh Hosseinabadi, Fatemeh Tavakoli, Maryam Tabarzad
    Background

    Using augmented reality (AR) in blended learning in the higher education system has exhibited promising results.

    Objectives

    In this study, the effect of using a simple AR-based booklet was evaluated on the learning and practical skills of pharmacy students during a pharmacognosy lab-based course.

    Methods

    A pre-test/post-test controlled trial was designed. The traditional educational booklet was revised by adding experimental videos using QR-code as a simple AR technology. The students’ laboratory skills were scored according to a checklist developed by professionals. The paired t-test was used to compare the mean differences between the pre-test and post-test scores in each group, and ANCOVA was used to compare the mean differences in the post-test scores between the two groups. After adjusting for pre-test scores, ANOVA was used to compare the scores of practical skills between all six groups participating in the lab course.

    Results

    The mean pre-test scores were not significantly different between the control and intervention groups. No significant differences were noticed between the two groups regarding post-test grades. Generally, the students’ practical skills significantly improved; however, changes were more obvious in some indicators, including the number of blatant mistakes, troubleshooting questions, misidentification of materials, and improper use of equipment. The students were well satisfied with the new educational booklet.

    Conclusion

    Although AR makes the learning process an interactive, multi-sensory, and enjoyable experience for students, this novel-designed educational booklet for lab courses needs improvements by using more advanced AR technologies in order to completely fulfil the learning objectives of students.

    Keywords: Augmented Reality, Learning, laboratories, Professional Competence, Education
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