Document Type : Original Article


1 Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2 Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran

3 Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran


BACKGROUND: The Health System Reform Plan, especially in medical education, has undoubtedly
caused changes in the university. The continuation of this project requires recognizing the challenges
confronted by those in charge of its implementation. This study aimed to explore the challenges of
the implementers of the Transformation and Innovation Plan in Medical Education in the universities
of Macroregion 5.
MATERIALS AND METHODS: The qualitative research was conducted using the content analysis
method. Semi‑structured interviews with health and medical education managers were used to
collect information. Participants were 11 educational leaders of universities who were selected by
purposeful sampling. Data collection continued until data saturation was reached. Data analysis
was performed continuously and simultaneously with data collection. The Graneheim and Lundman
methods were used to analyze the data.
RESULTS: From 11 interviews, one theme, five categories, and 12 subclasses were obtained. Five
categories include lack of proper groundwork, weak leadership, structural problems, inability to fund,
and inadequate monitoring.
CONCLUSION: Innovation and transformation in medical education are one of the critical missions
and admirable actions of the Ministry of Health in the field of education, but a review of this plan
can, in addition to identifying shortcomings and problems, pave the way for success, and progress
in future programs.


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