Document Type : Original Article


Department of Forecasting and Theory Building, The Iranian Academy of Medical Sciences, Tehran, Iran


CONTEXT: Universities of medical sciences are responsible for educating and training human
resources (HRs) that provide services to all members of the community. Clinical educators play a
significant role in the promotion of health and education in medical sciences universities.
AIMS: The aim of this study was to prioritize and develop a model to illustrate the relationship between
faculty recruitment challenges in medical sciences universities.
SETTINGS AND DESIGN: Interpretive structural modeling (ISM) is a system design method initially
introduced by Warfield (1974). This method helps create order in the complex interconnections
between components of a system by interpreting the opinions of a group of experts. It both determines
the priority of elements influencing one another and uncovers the association between the elements
of a multipart set in a hierarchical structure.
SUBJECTS AND METHODS: In this method, the identified challenges were built into a paired
comparison questionnaire to be completed by policymakers and experts. By the same token, the
obtained results were analyzed with the ISM technique.
STATISTICAL ANALYSIS: The four steps include identified variables related to the issue, structural
self‑interaction matrix, initial reachability matrix, and final reachability matrix was used for analysis.
According to these steps, the ISM model was portrayed.
RESULTS: The ISM model was developed in ten levels that divided into three parts including key
challenges, strategic challenges, and dependent challenges.
CONCLUSION: Health promotion and quality of education in medical sciences universities is
dependent on quality of faculty recruitment system. According to the results, it is imperative that HR
managers and policymakers improve existing rules and develop policies to solve the challenges in
this area.


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