fa چالش‌های موجود و راهکارهای پیشنهادی در راستای ارتقای برنامه جامع عدالت، تعالی و بهره‌وری در آموزش علوم پزشکی: مورد مطالعه دانشگاه علوم پزشکی اراک آموزش پزشكي Medical Education پژوهشي Research <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> برنامه جامع عدالت، تعالی و بهره‌وری آموزش علوم پزشکی به‌ عنوان جدیدترین برنامه تحول در نظام آموزش عالی سلامت کشور ایران، در دانشگا‌ه‌های علوم پزشکی در حال اجرا می‌باشد. بدیهی است شناسایی چالش‌ها و راهکارهای ارتقای برنامه بر روی موفقیت اجرای آن در دانشگاه‌های علوم پزشکی تاثیر دارد. هدف این مطالعه، شناسایی چالش</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ها و راهکارهای ارتقای این برنامه در دانشگاه علوم پزشکی اراک می‌باشد.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> مطالعه کیفی حاضر در سال 1403، با مشارکت 17 نفر از مسئولین، کارشناسان و اعضای کارگروه‌های برنامه جامع عدالت، تعالی و بهره‌وری آموزش علوم پزشکی در دانشگاه علوم پزشکی اراک انجام شد. این افراد به صورت هدفمند و به روش نمونه‌گیری معیار برای انجام مصاحبه انتخاب شدند. تحلیل داده‌‌های جمع‌آوری شده به روش تحلیل محتوا صورت پذیرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتایج:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> پس از تحلیل محتوای مصاحبه‌های انجام شده، دو درون‌مایه اصلی، هفت درون‌مایه فرعی و 20 زیرمقوله بدست آمد. چالش‌ها و اقدامات موثر در اجرای برنامه، درون مایه‌های اصلی می‌باشند. چالش‌های اجرای برنامه شامل سه دسته مسائل ساختاری، اجرایی و برنامه‌ای می‌باشند. جهت ارتقای این برنامه، تعاملات درون سازمانی، افزایش حمایت‌های مدیریتی، اطلاع‌رسانی و اقدامات انگیزشی، موثر شناخته شدند.&nbsp; </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> اجرای بهینه برنامه‌های تحول و نوآوری آموزش در دانشگاه‌های علوم پزشکی نیازمند توجه به نقاط قوت و ضعف اجرای آنها در دانشگاه‌های مختلف می‌باشد. مدیران و تصمیم‌گیرندگان در دانشگاه علوم پزشکی اراک، دیگر دانشگاه‌های علوم پزشکی و وزارت بهداشت، درمان و آموزش پزشکی می‌توانند از نتایج این مطالعه برای برنامه‌ریزی‌های آینده برنامه‌های تحول و نوآوری آموزش پزشکی استفاده نمایند.</span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Introduction:</span></span></span></span></i></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">The Comprehensive Program of justice, excellence, and productivity in Medical Education, as the most recent reform initiative in Iran&rsquo;s higher health education system, is currently being implemented in Iranian medical sciences universities. Identifying the challenges and strategies for improving this program is essential for its successful implementation. This study aimed to explore the challenges and strategies for enhancing this program at Arak University of Medical sciences. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Method</span></span></span></i></b><b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">This qualitative study was conducted in 2024 with the participation of 17 individuals, including administrators, experts, and members of the working groups of the comprehensive plan for justice, excellence, and productivity in medical education at Arak University of Medical Sciences. Participants were selected purposefully using criterion-based sampling for interviews. The collected data were analyzed using content analysis. </span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></i></b><b> </b><span style="font-size:10.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Content analysis of the interviews revealed two main themes, seven sub-themes, and 20 categories. The challenges and effective measures for program implementation were the main themes. The challenges of program implementation included three categories: structural, executive, and program-related issues. To enhance this program, intra-organizational interactions, managerial support, informing, and motivational initiatives were identified as effective strategies. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></i></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The optimal implementation of transformation and innovation programs in medical education at medical sciences universities requires attention to their strengths and weaknesses across different universities. Managers and decision-makers at Arak University of Medical Sciences, other medical sciences universities, and the Ministry of Health and Medical Education can utilize the findings of this study for future planning of medical education transformation and innovation programs.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Keywords:</span></span></span></i></b> <span style="font-size:10.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">reform, innovation, education, medical education, university of medical sciences&nbsp; </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Introduction:</span></span></span></span></i></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">The Comprehensive Program of justice, excellence, and productivity in Medical Education, as the most recent reform initiative in Iran&rsquo;s higher health education system, is currently being implemented in Iranian medical sciences universities. Identifying the challenges and strategies for improving this program is essential for its successful implementation. This study aimed to explore the challenges and strategies for enhancing this program at Arak University of Medical sciences. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Method</span></span></span></i></b><b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">This qualitative study was conducted in 2024 with the participation of 17 individuals, including administrators, experts, and members of the working groups of the comprehensive plan for justice, excellence, and productivity in medical education at Arak University of Medical Sciences. Participants were selected purposefully using criterion-based sampling for interviews. The collected data were analyzed using content analysis. </span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></i></b><b> </b><span style="font-size:10.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Content analysis of the interviews revealed two main themes, seven sub-themes, and 20 categories. The challenges and effective measures for program implementation were the main themes. The challenges of program implementation included three categories: structural, executive, and program-related issues. To enhance this program, intra-organizational interactions, managerial support, informing, and motivational initiatives were identified as effective strategies. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></i></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The optimal implementation of transformation and innovation programs in medical education at medical sciences universities requires attention to their strengths and weaknesses across different universities. Managers and decision-makers at Arak University of Medical Sciences, other medical sciences universities, and the Ministry of Health and Medical Education can utilize the findings of this study for future planning of medical education transformation and innovation programs.</span></span></span></span></span></span></span><br> <br> &nbsp; تحول, نوآوری, آموزش, آموزش پزشکی, دانشگاه علوم پزشکی reform, innovation, education, medical education, university of medical sciences 1239 1252 http://jmed.ssu.ac.ir/browse.php?a_code=A-10-1509-1&slc_lang=fa&sid=1 Mohanna Rajabi مهنا رجبی rajabimohana68@gmail.com https://orcid.org/0000-0001-6671-600X Yes Assistant Professor of Healthcare Services Management, School of Health, Arak University of Medical Sciences, Arak, Iran استادیار مدیریت خدمات بهداشتی درمانی، گروه مدیریت خدمات بهداشتی درمانی، دانشکده بهداشت، دانشگاه علوم پزشکی اراک، اراک، ایران. raheleh soltani راحله سلطانی shadi8685@gmail.com https://orcid.org/0000-0003-0313-9385 No Associate Professor of Health Education and Promotion, School of Health, Arak University of Medical Sciences, Arak, Iran دانشیار آموزش بهداشت و ارتقای سلامت، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی اراک، اراک، ایران.