Document Type : Original Article

Authors

Abstract

BACKGROUND: In the recent years, the accreditation of educational institutions and hospitals has
attracted a lot of attention in different countries to ensure the quality of medical education. In this
regard, examining the experiences of different countries will help to improve the world and local
standards. This study was an attempt to explore the lived experiences of senior managers about
the educational accreditation challenges and appropriate strategies to overcome these challenges.
MATERIALS AND METHODS: The authors used a phenomenological approach to explore the lived
experiences of the senior managers about educational accreditation of teaching hospitals affiliated
to Iran University of Medical Sciences. Semi‑structured interviews were conducted to reach data
saturation. For this purpose, three semi‑structured face‑to‑face interviews and six electronic interviews
were conducted. Data were analyzed using the Colaizzi method.
RESULTS: Data analysis showed that the most important challenges of educational accreditation
of teaching hospitals were related to standards and criteria, executive policies of accreditation, and
educational, attitudinal, and financial infrastructures. The strategies expressed by the participants
were categorized into four themes including reviewing and revising standards and criteria, planning
for education, providing human and financial resources, and modifying the executive structure of
accreditation.
CONCLUSIONS: In order to improve the quality of educational accreditation programs, it is necessary
to identify and find a solution for the existing challenges by experiential support of the senior
managers of teaching hospitals and the other stakeholders (e.g., faculty members and students).
It also provides an opportunity for educational policy‑makers to improve the hospital’s educational
accreditation program.

Keywords

1. Rizwan M, Rosson N, Tackett S, Hassoun H. Opportunities and
challenges in the current era of global medical education. Int J
Med Educ 2018;9:111‑2.
2. Ulker N, Bakioglu A. An international research on the
influence of accreditation on academic quality. High Educ Stud
2018;44(1):1‑12.
3. Alomari JS. Ontology for Academic Program Accreditation. Int J
Adv Comput Sci Appl 2016;7:123‑7.
4. van Zanten M. The association between medical education
accreditation and the examination performance of internationally
educated physicians seeking certification in the United States.
Perspect Med Educ 2015;4:142‑5.
5. West DJ, Ramirez B, Filerman G, Stanowski A, Vasadze O,
Malik AM, et al. Global accreditation strategies in health
management education. Front Public Health 2019;7:12.
6. Yari FardK, SaadatM, Azami S, AbdollahiL, KabiriN, ValizadehS,
et al. Obstacles, Solutions and Potential Implementation of
Accreditation in Iranian Hospitals from the Perspective of Senior
Managers in University of Medical Sciences, Tabriz and Ardebil:
A Qualitative Study. The first Congress on Clinical Governance
and Continuous Quality Improvement; Tabriz University of
Medical Sciences; 2012.
7. Tabrizi J, Gharibi F. Systematic survey of accreditation models
for designing a national model. Sci J Kurdistan Univ Med Sci
2011;16(3):95‑109.
8. Mirzadeh A, Tavakoli S, Yazdani K, Taj M. Accreditation:
A way to quality assurance and improvement. Iran J Med Educ
2004;4:105‑16.
9. The Evaluation Criteria and Accreditation of Educational
Hospitals. Ministry of Health and Medical Education Educational
Vice Chancellor; 2016.
10. Guidance for Educational Evaluation and Accreditation
Educational Hospitals. Iran: Ministry of Health and Medical
Education; 2017.
11. Neubauer BE, Witkop CT, Varpio L. How phenomenology
can help us learn from the experiences of others. Perspect Med Educ 2019;8:90‑7.
12. Fraenkel JR, Wallen NE, Hyun HH. How to Design and Evaluate
Research in Education. New York: McGraw‑Hill; 1993.
13. Morrow R, Rodriguez A, King N. Colaizzi’s descriptive
phenomenological method. Psychologist 2015;28:643‑4.
14. Salehi Z, Payravi H. Challenges in the implementation
accreditation process in the hospitals: A narrative review. IJN
2017;30:23‑34.
15. Mahmoodian S, Safaei F, Meraji M, Kimiafar K, Farsinegar N,
Ghasemi R. Challenges and strengths of implementing
accreditation process from health information management staff
perspective. J Paramed Sci Rehabil 2016;5:25‑33.
16. Mosadeghrad AM, Akbari‑sari A, Yousefinezhadi T. Evaluation
of hospital accreditation standards. RJMS 2017;23:43‑54.
17. Soleimani A, Heidari Gorji A. Examining the observance level
of educational accreditation standards in Iranian hospitals.
Jentashapir J Health Res 2018;9:e74373.
18. World Health Organization. Accreditation of Hospitals
and Medical Education Institutions‑Challenges and Future
Directions A. Hospitals. World Health Organization; 2003.
19. Ng K, Leung GK, Johnston JM, Cowling BJ. Factors affecting
implementation of accreditation programmes and the impact of
the accreditation process on quality improvement in hospitals:
A SWOT analysis. Hong Kong Med J 2013;19:434‑46.
20. Ho MJ, Chang HH, Chiu YT, Norris JL. Effects of hospital
accreditation on medical students: A national qualitative study
in Taiwan. Acad Med 2014;89:1533‑9.
21. Accreditation Standards & Guidelines for Hospitals in the
FRANZCOG Training Program. The Royal Australian and
New Zealand College of Obstetricians and Gynaecologists; 2016.
22. Mosadeghrad A, Shakibaei E. Hospital accreditation
implementation prerequisites. JHOSP 2017;16:43‑56.