Document Type : Original Article

Authors

1 General Practitioner, PhD Candidate of Iranian Traditional Medicine, Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

2 General Practitioner,PhD Candidate of Iranian Traditional Medicine, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

3 General Practitioner, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Faculty Member of Department of Internal Medicine, Endocrine and Metabolism Research Center, Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Due to ever increasing of medical information volume and restriction of time and resources for medical education, the educational priorities in planning of medical education become very important. At 1383 the Ministry of Health and Medical Education with collaboration of Shahid Beheshti university of medical sciences offered the educational priorities for 1800 diseases (in 20 clinical wards) according to general practitioner’s future duties, the defined priorities' grades from A (must to be learned) to D (no need to be learned). In this study, we tried to evaluate the coherence of comprehensive pre-internship exams questions with mentioned priorities. In this research we evaluated contents that were questioned in pre-internship exams questions to determine allocated percentage to each priority grade (A-D) for each one. Then their coherence with the expected ones was calculated by Chi-square test. At all fields' questions except those related to Urology and also at each exams, significant difference between questioned and expected questions were seen (p-value<0.05). Regarding to participated stuffs across the universities in determination the mentioned priorities, the target changes in questions seem essential in question' texture.

Keywords

AlizadehNaini M, Kadivar MR, Ghayuomi MA, et al, 2005, Evaluation & comparison of knowledge & skills of 6th year medical students, Shiraz University of Medical Sciences, Iranian Journal of Medical Education, (14 supl), p. 68. [In Persian]
Centeno A, Primogerio C, Llull L, 2007, The process of learning during an examination, Med Educ, Vol.41, No.6, p. 619. Cilliers FJ, Schuwirth LW, Van der Vleuten CP, 2012, Modelling the pre-assessment learning effects of assessment: evidence in the validity chain, Med Educ, Vol. 46, No.11, p.1087-98. Eftekhar H, Labaf A, Anvari P, et al, 2012, Association of the pre-internship objective structured clinical examination in final year medical students with comprehensive written examinations, Med Educ Online, Vol. 17.
Gurukadappa K, 1999, Undergraduate medical examination an Aid or a penalty, Indian J Med Sci, Vol. 53, p.385-6. Handfield-Jones RS, Mann KV, Challis ME, et al, 2002, Linking assessment to learning: A new route to quality assurance in medical practice, Med Educ, Vol. 36, No.10, P.949-58.
Heydari M, Hashempur MH, Shams M, 2012, Inappropriate time splitting among endocrine topics in undergraduate medical education, Educ Health (Abingdon), Vol.25, No.2, P. 131-2.
Mahmoodi M, Ranjbar M, Vahidshahi K, et al, 2005, The evaluation of effective factors on pre-internship exam of 1377-8 students of Mazandaran university of medical sciences, Proceeding of the 8thnational congress of Medical Education Congress 2005, Kerman: 6-8 Mar, P. 189.[In Persian]
Mishmastnehi Gh, 2005, The effective factors on comprehensive preinternship exam in medicine faculties of Iran according to Iranian ranking and database of medicine faculties, Iranian Journal of Medical Education, (14 supl), P.60.[In Persian]
Mohammadi M, Ahmadi J, 2002, Predictive validity of the comprehensive basic science examination (CBSE) for success assessment of comprehensive preintership examination (CPIE) in medical students, Iranian Journal of Medical Education, Vol. 2, No.0, P. 40-40.[In Persian]
NasriKh, Kahbazi M, Nasri Sh, 2010, Medical Students' Viewpoints toward Basic Sciences and Preinternship Comprehensive Exams in Arak University of Medical Sciences, Iranian Journal of Medical Education, Vol.10, No.1, P. 82-91.[In Persian]
Newble,DI, Entwistle,NJ,1986, earning styles and approaches: implications for medical education, Med Educ, Vol.20, No.3, P. 162-75.
Newble DI, Jaeger K, 1983, The effect of assessments and examinations on the learning of medical students, Med Educ, Vol. 17, No.3, p. 165-71.
Rahmani R, Mehrvarz Sh, Hosseini Aghdam SK, et al, 2012, Pre-internship comprehensive test status in medical students and its related factor, Iranian Quarterly of Education Strategies, Vol. 5, No.1, P. 39-43. [In Persian]
Roudbari M, Movahed S, 2004, The related factors on the pre-internship scores and the exam result of Zahedan Medical students in 2002, Strides in Development of Medical Education, Vol. 1, No.2, P. 94-103. [In Persian]
Stedman JM, Schoenfeld LS 2011, Knowledge competence in clinical and counseling training and readiness forinternship, J Clin Psychol, Vol. 67, No.1, P. 1-5.
Van der Vleuten C, 2000, Validity of final examinations in undergraduate medical training, BMJ, Vol.321, No. 7270, P.1217-9.
Yazdani S, Hatami S, 2004, General practitioner in Iran; tasks and educational needs, 1st, Tehran: ShahidBeheshti University of Medical Sciences. [In Persian]