Journal of Medical Council of Iran
Year:2016 | Volume:34 | Issue:1|Papers Count:7

Background & Purpose: Promotion of Postgraduate Medical Education (PGME) is constantly one of the main concerns’ for medical education policy makers because of the key role of residents and graduated specialists/subspecialists in health care system. This study aimed to determine challenges, and potential solutions for promoting the PGME in Iran by exploring the expert’s implicit knowledge.Methods: in this applied qualitative research, Using purposive sampling, seven experts and key decision makers in Iran’s medical education system, selected, and invited to participate in panel of experts’ session. A panel was conducted in May 2015 for 120 minutes and the data analyzed by thematic framework approach.RESULTS: Challenges and associated solutions for promoting the PGME in Iran were identified in 10 main themes, 34 subthemes for challenges and 43 subthemes for proposed solutions. These themes were framed in three main tasks of stewardship in medical education system.10 main themes for key challenges and solutions; included goal and mission, systematic management, curriculum, residents, faculty members, resources and infrastructures, Program evaluation , developing new programs, and Presence in the International Arena , and intersectional cooperation .The main themes and subthemes were categorized within the framework of educational macro policy making, intra educational system governance, and intersectional leadership.Conclusion: This study, proposed some applied solutions to promote postgraduate medical education of the highest quality in response to community and health system demands.Revising the specialty/ subspecialty curriculum, reform in national system of resident’s admission, reform in resident’s evaluation system program accreditation, decentralization in educational development, admitting international residents, presence in international arena, and constant interaction with clinical research sectors are priority areas and potential solutions should be considered by medical education planners and decision makers.

Background and Aim: In recent years, fast-food consumption has increased significantly among societies which is a consequence of many factors for example lifestyle changes. Undoubtedly knowledge and attitude of consumers are factors can influence on fast food consumption by individuals. So, goal of this research is study of knowledge and attitude of medical students about fast food consumption.Materials and methods: This study was a cross-sectional study including 228 students of school of medicine of Shahid Beheshti University at medical science. The Samples were randomly selected from classes. The sample size was estimatedat 228 people. Basic science courses data were collected by using questionnaire determined its validity and reliability. Data were collected in November 2015. Collected data analyzed by descriptive statistics, chi2, T test, Mann-Whitney ,Kruskal-Wallis.Result: Results of research showed 50% of students were women and 50% were men. In this study 30.7 % of students never used fast food and 52.6 % of individuals were using fast food 1-2 times per week .The average score of knowledge of student was 8.22±2.22 and average score of attitude of student was 22.83±3.64. There was a correlation between knowledge and fast food consumption. (P=0.030) mean knowledge was 8.51±1.95 for women and 8.09±2.44 for men. There was no correlation between sex and knowledge to fast food consumption. (p=0.138) The mean score of attitude were in women and men 23.10±3.51 and 22.97±3.31 respectively. There was no correlation between sex and attitude to fast food consumption (p=0.404). 48.2% of students were in average level of knowledge to fast food consumption, 19.7% in weak level, 29.8% in good level and 2.2% in very weak level of knowledge. 68.4% of students had positive attitude to fast food consumption, 1.8% negative attitude and 29.8% had no opinion.Conclusion: According to the high rate of fast food consumption between students and high tendency withless awareness of male students to fast food consumption, it is necessary to plan for informing students, especially boys.

Providing quality services to patients based on information technology (IT) in a hospital which necessitates a suitable and implementable architecture. By searching on the Internet and reputable Iranian medical web sites and also by visiting the prestigious hospitals in Tehran, nothing interesting was found about hospital enterprise architecture. In this paper, based on the two aspects of implementation and having the appropriate characteristics, from the seventeen architecture frameworks, the best architecture framework will be selected. For this purpose, by using experts' viewpoints, five criteria were selected for the implementation aspect. Based on these criteria, five frameworks with the highest rating were selected. In the next stage, through in-depth analysis of the seventeen existing frameworks, forty-four public criteria were selected. Then, according to these criteria in a hospital, by using the Delphi questionnaire, eight of the most important criteria were selected. In the next step, by using hierarchical analysis, through the reference frameworks, TOGAF framework with the absolute weight of 0.318 was selected for designing an IT enterprise architecture for a hospital.

Introduction: Paper-based prescription orders, commonly having numerous medication errors, can increase adverse drug events (ADEs) and threaten patient’s safety. Computerized physician order entry (CPOE), as an appropriate alternative, can significantly reduce medication errors. This study aimed to investigate the effects of well-designed CPOE in reducing medication errors and ADEs.Method: Electronic databases including EBSCO Host, Web of Science, PubMed, SID, Google Scholar, Iranmedex, Irandoc were used to conduct the literature review. We reviewed all the papers published about CPOE and its impacts on medication errors from 1998 until 2015. Thus 56 articles were found. Considering the relevance of their title and abstract with the objectives of study, and deleting repetitive cases, 32 articles were selected among which 10 articles were directly related to the objectives of the study.Results: A number of studies indicate that CPOE can reduce the incidence of serious medication errors and ADEs. Nonetheless, there is evidence indicating that CPOE could negatively affect patient's health if the system is not well-designed.Conclusion: The replacement of conventional, paper-based prescription orders with well-designed CPOEs in hospitals could play a key role in minimizing medication errors and improving patient safety. To this end, the CPOEs have to be designed according to recent standards and needs.

Self-medication is an important part of peoples’ medical behavior. In light of The increassy prevalence rates of self-medication this study aimed to survey the prevalence of self-medication Amongs women we consider it necessary to study self-medication status in women referring to health centers in Bandar abbas city.Materials and Methods: 400 women in this descriptive-analysis study in Bandar Abbas city. Data was collected by self-designed questionnaire. The obtained data were analyzed in SPSS.Results: The prevalence of self-medication in students was more than(%79.5).Some reasons for seeking self-medication included Previous illness experience(%36)and feeling not important of illness(%35.8)the most common drug was palliatives(%38.8),tab cold(%22.8) and the most common disease Including cold (%42.8),headache(%40.5),menstruation disorder(%23.2)and anemia (%15.8).Conclusion: The prevalence of self-medication among the women was very high and a program for changing the attitude and the habits of women with regard to self medication is highly recommended.

Background and aims: Myasthenia Gravis (MG) is a chronic autoimmune disorder of neuromuscular transmission resulting in muscle weakness. While MG reportedly occurs in all ethnic groups, relative differences in disease prevalence are yet to be determined. The aim of this study was evaluation of incidance and other disorders with it in Kerman province of Iran.Methods: All patients with MG that referred to our department since 2007-to-2009 evaluated. The patients are all of MG diagnosed in Kerman province.Results: The average annual incidence in our study is 5.6/million population with male to female ratio 1/2. These rates in the cities with low mean temperature are higher than high mean temperature. Thyroid diseases associated with MG is 9%, systemic lupus erythematous is 4.5%. The rate of abnormal thymus is 45% (thymoma 16%, and thymus hyperplasia 29%).Conclusion: incidence of myasthenia gravis in Kerman estimated 5-10/million population with female to male ratio 2/1. The incidence rate was higher in cities with low mean temperature.