Shiraz E-Medical Journal Shiraz E-Medical Journal Shiraz E-Med J http://www.emedicalj.portal.tools 1735-1391 10.5812/semj. en jalali 2019 11 13 gregorian 2019 11 13 13 3
en An Academic Medical Center: a Customized Strategy to Overcome the Shortcomings of Interns’ Ambulatory Education An Academic Medical Center: a Customized Strategy to Overcome the Shortcomings of Interns’ Ambulatory Education research-article research-article Purpose

This study aims at evaluating the medical faculty Interns' skills in ambulatory area both from their own perspectives and researchers’ observations, in order to diag-nose the causes of the problems and to recommend the right solution

Method

In this study (2010), 4 researchers and 45 Interns of the Imam Reza Academic Medical Center (IRAMC), Tabriz- Iran measured the Interns' abilities in ambulatory care setting from 9 disciplines based on 1335 patients visited and using a well-structured questionnaire covered those abilities based on the MD2000 curriculum of the Brown University. Ambulatory teaching process in each clinic was described according to various items and based on researchers’ direct observations of 45 sessions.

Results

forty six faculties visited 10293 patients during two-hour sessions in an ex-tremely varied range -two to five times- per week for a period of five months (439 ses-sions) in 9 visit rooms with about 160 square feet area. The teaching model in all clinics was Grand Stand model, and some important reasons of the Interns' imperfect ambula-tory education were distinguished: attending in a resident-centered venue just to observe those mostly follow-up, complex and referral cases; lack of engagement in the patients' visit process and not receiving any feedback. The level of the Interns' abilities was mostly low both from their points of view and researchers' observations. Significant differences upon 4 items were found.

Conclusions

We found "frenetic and chaotic pace “of patient visit in IRAMC as the key constraint on ambulatory teaching, and in order to augment the Interns' unsatisfactory skill level, several customized recommendations would be presented

Purpose

This study aims at evaluating the medical faculty Interns' skills in ambulatory area both from their own perspectives and researchers’ observations, in order to diag-nose the causes of the problems and to recommend the right solution

Method

In this study (2010), 4 researchers and 45 Interns of the Imam Reza Academic Medical Center (IRAMC), Tabriz- Iran measured the Interns' abilities in ambulatory care setting from 9 disciplines based on 1335 patients visited and using a well-structured questionnaire covered those abilities based on the MD2000 curriculum of the Brown University. Ambulatory teaching process in each clinic was described according to various items and based on researchers’ direct observations of 45 sessions.

Results

forty six faculties visited 10293 patients during two-hour sessions in an ex-tremely varied range -two to five times- per week for a period of five months (439 ses-sions) in 9 visit rooms with about 160 square feet area. The teaching model in all clinics was Grand Stand model, and some important reasons of the Interns' imperfect ambula-tory education were distinguished: attending in a resident-centered venue just to observe those mostly follow-up, complex and referral cases; lack of engagement in the patients' visit process and not receiving any feedback. The level of the Interns' abilities was mostly low both from their points of view and researchers' observations. Significant differences upon 4 items were found.

Conclusions

We found "frenetic and chaotic pace “of patient visit in IRAMC as the key constraint on ambulatory teaching, and in order to augment the Interns' unsatisfactory skill level, several customized recommendations would be presented

Ambulatory Education; Intern; Shortcoming; Clinical Skill Ambulatory Education; Intern; Shortcoming; Clinical Skill 113 121 http://www.emedicalj.portal.tools/index.php?page=article&article_id=20535 Saeideh Ghaffarifar Saeideh Ghaffarifar Research Center of Medical Education, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Health Education, School of Medicine, Tarbiat Modares University , + 98- 9128120191 Research Center of Medical Education, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Health Education, School of Medicine, Tarbiat Modares University , + 98- 9128120191 Morteza Ghojazadeh Morteza Ghojazadeh Department of physiology, Research Methodology Consultant of Research and Development Coordi-nation Centre, Tabriz University of Medical Sciences, Tabriz, Iran Department of physiology, Research Methodology Consultant of Research and Development Coordi-nation Centre, Tabriz University of Medical Sciences, Tabriz, Iran Mahasti Alizadeh Mahasti Alizadeh Department of Family and Community Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Department of Family and Community Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Mohammad Reza Ghaffari Mohammad Reza Ghaffari Department of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Department of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Fatemeh Sadeghi-Ghyassi Fatemeh Sadeghi-Ghyassi Iranian Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Iranian Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran