1 2251-7065 Shahid Sadoughi University of Medical Sciences, Yazd 257 Midwifery The experience of graduated midwifery students about clinical education: A phenomenological study Shahoei R. Hesami K. Zaheri F. Hashemi Nasab L. 1 6 2013 8 1 2 13 03 06 2013 Introduction: Improvement and promotion of the quality of clinical education requires continuous assessment of the current situation, and also identifying the strengths and weaknesses. Students' views and ideas as learner can help future planning. This study aims to identify the experiences of midwifery graduates about factors affecting their clinical learning. Methods: A qualitative study using phenomenology approach was conducted. Ten midwifery graduates were selected based on purposive sampling and then interviewed. Data were analyzed by thematic analysis. Results: The extracted conceptual codes were classified into several main concepts. There were two main themes factors facilitating learning and factors preventing learning, and seven sub themes performance of instructor, pre-clinical training, students satisfaction, lack of peripheral facilities, lack of coordination of educational planning and behaviors of health care personnel. Conclusion: Trained human resources and equipment for midwifery educational planning are needed to provide a supportive learning atmosphere and promote the quality of clinical learning.
138 Medical Education The effective and preventive factors of taking patients' history from the viewpoint of the students of Birjand Medical School in 2010-2011 Khazaee Z. Khazaee T. Namayi M. H. Jananeh E. 1 6 2013 8 1 14 21 18 09 2012 22 12 2012 Introduction: Taking patients' history and doing physical examinations help physicians to diagnose correctly and treat accordingly. There are several factors which may affect the quality of taking patients' history. This study aims to assess determinants of taking patients' history from the viewpoint of the students of Birjand Medical School. Methods: This descriptive study was carried out in 2010-2011 on all 137 medical trainees and interns studying at Birjand Medical School. To determine the students’ attitudes towards history taking and to evaluate their performance a questionnaire and a check-list were used, respectively. The data analyzed using SPSS software. Descriptive-deductive statistics (T-test) were applied on the data. Results: The average score of the motivational factors was more than the preventive factors. Among the motivational factors, the statement “taking patient history is a basis of proper diagnosis and treatment” (3.58) and among the preventive factors the statement “taking patient history just to evade responsibility”(2.57)had the highest scores. Moreover, there was a significant difference between the performance of trainees and interns in taking and recording patients’ history (P<0.005). Conclusion: Although the students held a positive attitude toward taking patients' history, they didn’t have satisfactory performance in recording disease symptoms, diagnosis and treatment plans this entails more attention. Observation of trainers on the process of history taking may help. 106 Medical Education A comparative study on lecture based versus case based education on teaching general surgery to medical students Moazeni Bistegani M. 1 6 2013 8 1 22 29 14 08 2012 23 01 2013 Introduction : various methods of teaching have different learning outcomes. Using a combination of teaching and training methods of training may boost education. This study compared lecture based and case based teaching as a combined approach in learning general surgery by medical students. Methods: This study was a quasi-experimental performed on two consecutive groups of 33 and 36 students who were studying general surgery course. The two styles of teaching were lecture-based and real case teaching methods. The final exam included twenty multiple choice questions. The mean scores of each group of students were collected and analyzed accordingly with descriptive tests, Fisher’s test and T-test. Results: The mean final mark of students' who received real case based education was 16.8/20 ± 1.8 and for the lecture group was 12.7± 1.7. There was a significant difference between the two groups (P <0.0001). In both groups, there were significant differences in the mean scores of questions with taxonomy two and three, but not in the questions with taxonomy one. Students' evaluation score of the teacher of the real case group increased by 1.7/20 (8.7%) in the case based group compared to the lecture group. Conclusions: Case based teaching of general surgery led to a better outcome and students were more satisfied. It is recommended that case based education of surgery be encouraged. 88 Medical Education Evaluation of the effect of early clinical exposure on professional attitude of dental students of Shahid Sadoughi University of Medical Sciences in 2011-2012 Aghili H. Yassaei S. Taheri Moghadam Sh. Mohammadi S. H. 1 6 2013 8 1 30 44 06 07 2012 26 12 2012 Introduction : Learning dentistry could have many tension and anxieties like encountering to a strange clinical environment. Early clinical exposure (ECE) is supposed to control these stresses. ECE program is an increasingly widespread component of educational curriculum. This study aims to determine the effect of early clinical exposure on the attitude of dental students’ towards dental education and profession. Methods: An analytic study was performed on all 72 dental students studying basic science at Faculty of Dentistry of Shahid Sadoughi University of Medical Sciences consisted of a short term course of introduction to clinical environment in academic year of 2011-2012. Every 12 students attended in an one day ECE course from 8 AM to 1 PM. Students ' attitude towards dental profession and education were assessed by a questionnaire included 25 items before and after the course .For data analysis descriptive paired-t-test was used. Results: All students completed the questionnaires. Students' attitude towards dental education and profession was evaluated. Mean score of students' attitude before and after exposure to clinical environment were 94.6 and 100.5 respectively .Significant differences were found in the students' attitude before and after the course (P=0.001) Conclusion: Based on the results of this study, we found a positive effect of early clinical exposure on attitudes of first and second year dental students. Demographic variations had an effect on the students' attitude .Therefore we suggest that early clinical exposure should be added to educational curriculum of dental students. 100 Medical Education The relationship between self-efficacy and academic motivation among students of medical sciences Roohi Gh. o Asayesh H. p Bathai S. A. Shouri Bidgoli A. R. Badeleh M. T. Rahmani H. o Golestan University of Medical Sciences p Qom University of Medical Sciences Qom University of Medical Sciences Qom University of Medical Sciences Golestan University of Medical Sciences Golestan University of Medical Sciences 1 6 2013 8 1 45 51 04 08 2012 26 01 2013 Introduction: self-efficacy is referred to individual's beliefs about their abilities to learn and doing significant tasks in life. This study aims to determine the relationship between self-efficacy and academic motivation in a group of medical sciences' students. Methods: In this cross-sectional study 275 students of Golestan University of Medical Sciences (GOUMS) were selected using stratified random sampling method. A questionnaire consists of questions regarding demographic, academic motivation, and self-efficacy beliefs were used to collect data. Pearson correlation coefficients, independent T-Test and one way ANOVA were applied on the data. Results: The average of students’ academic motivation was 30.3±4.0. 50.2 percent of students had self-efficacy higher than average. Self-efficacy had significant correlation with intrinsic motivation sub-scale (r=0.196, P=0.001) and total score of academic motivation scale (r=0.155, P=0.01). There were no significant correlations between self-efficacy and extrinsic motivation (r=0.054, P=0.376) and motivation sub-scale (r=0.104, P=0.08). There was no significant difference between two genders in self-efficacy. Conclusion: Improvement in self-efficacy of medical sciences' students could improve their motivation.   157 Medical Education Learning styles of students of Baqiyatallah University of Medical Sciences in 2012 Rashidi-jahan Hojat Saffari Mohsen Sanaeinasab Hormoz Pakpour Amir Khajehazad Mojtaba Baqiyatallah University of Medical Sciences, Baqiyatallah University of Medical Sciences, Baqiyatallah University of Medical Sciences, Qazvin University of Medical Sciences Baqiyatallah University of Medical Sciences, 1 6 2013 8 1 52 64 24 10 2012 27 01 2013 Introduction: Understanding the learning styles of students may help educational planning and improve the learning. This study aims to assess learning styles, and relevant determinants, of students who study in various disciplines of medical sciences at Baqiyatallah University of Medical Sciences (BUMS) in 2012. Methods: In this cross-sectional study, 180 students from BUMS were selected randomly. Data were collected sing the Kolb learning style questionnaire during April/May 2012. One-way ANOVA, Student t-test, Chi-square or Fisher exact tests were used for analyzing the data. Results: The mean age of participants was 29.3±7.0, majority of them were males. The preferred learning styles were diverger (76.7%), accommodator (12.8%), assimilator (7.8%) and converger (2.8%) respectively. The results showed that the factors such as age, sex, marriage status, father and mother education, grade point average (GPA) and academic degree could be important to determine learning style characteristics of students. The findings also indicate that the preferred learning style among the students with different GPAs or academic degrees are not different considerably. Conclusion: Regarding the most preferred leaning style by the, proper planning to address proper teaching styles according to the preferred learning styles is necessary.    144 Medical Education Reasons of absence from clinical foundation classes from the viewpoints of medical students of Semnan University of Medical Sciences vakili abedin Teimouri Maryam Ghorbani Raheb Department and Research Center of Physiology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran student Research Center , School of Medicine, Semnan University of Medical Sciences, Semnan, Iran Dept. of Social Medicine, School of Medicine, Semnan University of Medical 1 6 2013 8 1 65 73 30 09 2012 23 01 2013 Introduction : Absence of students from classes can reduce the quality of education and increase the failure rate. The present study aims to assess the reasons of absence from classes in basic sciences from the viewpoints of medical students of Semnan University of Medical Sciences in 2011. Methods: This cross-sectional study was performed using a questionnaire with the participation of medical students who undertook basic sciences' course and BSc. students who studied in year two of the course. A questionnaire containing demographic data and factors influencing on students' absence including teacher, student, educational processing and physical conditions of classrooms was designed. Students completed the questionnaire before starting of lectures in classrooms. Results: The results showed that 39% of students were absent two hours and 22.4% were absent for four hours per course credit and 38.6% said they were not aim to be absent except in emergency situation. at all.   Inappropriate teaching was identified as the main reason for absence (3.53 / 4±1.1) followed by inadequate sleep the night before the class (3.45 / 4±1.33) lack of scholarship in teaching (3.43 / 4±1.21) and lack of self-interest to the field (1.76 / 4±1.13). Conclusion: Education planners should consider factors influencing on absence of students. In faculty recruitment, academic proficiency and scholarship of teaching should also be considered. Moreover, emotional status of students should be noticed.   93 Medical Education Socially accountable medical education Karimi mehran Shahid Sadoughi University of Medical Sciences 1 6 2013 8 1 74 76 19 07 2012 18 11 2012