Document Type : Original Article


1 Department of Pediatric Nephrology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran General Practitioner, Medical Education and Health Network Development, Shiraz University of Medical Sciences, Shiraz, Iran

2 School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3 General Practitioner, Head of the Department for Health Networks Development, Shiraz University of Medical Sciences, Shiraz, Iran


INTRODUCTION: In order to improve outpatient education, it is necessary to carry out formative
standard evaluation to reveal the strengths and weaknesses to improve planning the quality of clinical
education. Due to numerous challenges in clinical education, the present study was conducted to
determine the extent to which outpatient education standards were achieved in the major departments
of Shiraz Medical School.
METHODS: In this quantitative combined, cross‑sectional and practical investigation in the academic
year 2018–2019, 178 interns who had passed the outpatient education in the four major wards (internal
medicine, pediatrics, gynecology, and surgery) in Shiraz Medical School were randomly selected.
A 26‑item researcher‑made questionnaire, based on the Handbook of the Ministry of Clinical
Education (Outpatient Education) for Health and Medical Education’s Criteria and indicators, was
used in three areas of preparation, timing and implementation; and the psychometric properties
of the questionnaire were determined. For quantitative data analysis, SPSS version 22 was used.
Furthermore, we performed a qualitative study through semi‑structured interviews with 16 interns
and analyzed the data using MAXQDA 10 software.
RESULTS: The results of the quantitative study showed that 8.4% of interns evaluated the program
as poor, 66.3% moderate, and 25.3% good. The qualitative study showed that number and diversity
of patients, instructor’s educational model, and number of interns had a significant role.
CONCLUSION: Although the outpatient teaching in the four major departments of Shiraz Medical
School was evaluated relatively acceptable, it is far from the ideal point and need to be improved.


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