With the expansion of medical knowledge, various new disciplines and subspecialties have been developed and trained for the comprehensive management of diseases. There is always an inevitable correlation between medical disciplines that cannot be completely separated from each other. Some diseases involve multiple organs/systems of the human body simultaneously, requiring the cooperation of a team of specialists to manage them. In addition, in some cases, there is an overlap between different specialties in managing and treating the same disease. Although specialists aim to give the patient the best possible treatment options, this overlap can lead to confusion in management according to different practice guidelines (1).

Dear Editor, The internet created new situations in the educational arena and the application of the appropriate internet infrastructure for new electronic (e)-learning and computerbased learning methods is welcomed in recent years; however, the process and tool of knowledge transfer shifts toward e-learning-teaching. According to the provided definition, virtual learning is a new learning method with many advantages (1). A great change is observed in the evolution of education and distance learning alongside the shifting from written texts to educational television. The distance learning was first launched in Europe and desirably welcomed (2)...

Background and purpose: Evidence based medicine bas become on increasing important topic in recent years in medical schools. The Internal medicine residents as important group in managing patient need evidences for better diagnosis and treatment. Our intension was to investigate view and understanding of evidence-based medicine (EBM) among Internal medicine residents.Methods: in 3 teaching hospital in shiraz university of medical school in Iran, a questionnaire was give to Internal medicine residents to determine their view about EBM and their ability to access, use and interpret evidences.Results: The overall response rate was 80% (40/50). The result showed that 90% of them had previously received education in research methodology but none of them had a course about EBM. All of residents had access to MEDLINE and word web wide (www) in work place but their use isn’t favorable. Only 10% of them thought they able to critically evaluate medical literatures.Conclusion: The ability to evaluate the literature and apply methods of data analysis, should be educate to all trainees.

Background and Objectives: Situation assessment during the implementation process will create favorable feedback that makes clear to what extent the implemented program has been successful in achieving the predetermined goals. Therefore, the Internal evaluation of Social medicine Department of Rafsanjan School of medicine was aimed at understanding the strengths and weaknesses points in order to improve weaknesses and reinforce strengths.Materials and Methods: In this descriptive study, different parameters were evaluated including; relevant criteria for the head and middle manager of the group, technical facilities and equipments, library facilities and services, analysis of students' comments regarding educational curriculum i.e. theory, apprenticeship and internship cpourses, faculty members' structure and their curriculum vita (CV) and finally, the group colleagues' comments about the faculty members' teaching quality. Markers associated with each criterion were determined in a checklist form and compared using the Gorman table.Results: Evaluation results showed that the mean scores for the aforementioned parameters were 4.89, 4.46, 5, 2.77, 4.79, 4.56, 4.15, 2.53 and 2.30 respectively. The overall rank for Internal evaluation of the group, 3.83, was considered good based on the Gorman ranking criterion.Conclusion: According to the results, the group rank was strong and very strong for most of the parameters. However, the group rank was satisfactory and borderline for the parameters of library facilities and services and students' comments regarding educational curriculum in apprenticeship and internship cpourses.The findings of this study put a higher responsibility on the Social medicine Department to have a complete revision of the educational curriculum in apprenticeship and internship courses for medical students and to seek to eliminate weaknesses and enhance strengths points and take the appropriate action to equip and support the library.